ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
inely A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A WBC count of 900/mm3 indicates neutropenia, increasing infection risk; avoiding raw fruits reduces bacterial exposure. Contact isolation, prolonged pressure, and negative pressure rooms are not indicated.
Question 2 of 5
A nurse is teaching a group of clients who have cancer about radiation therapy. Which of the following activities should the nurse include in the teaching?
Correct Answer: B
Rationale: Limiting sports that cause bruising reduces bleeding risk due to radiation-induced thrombocytopenia. Sun exposure should be minimized, diet should include fruits/vegetables, and socializing is safe unless neutropenic.
Question 3 of 5
A nurse in an emergency department is caring for a client who is to receive tissue plasminogen activator (tPA) for the treatment of an ischemic stroke. In which order should the nurse complete the following actions?
Correct Answer: B,A,C,D
Rationale: Checking contraindications ensures tPA safety, weighing determines dosage, administering tPA treats the stroke, and transferring to CCU provides monitoring.
Question 4 of 5
A nurse is providing discharge teaching to a client who has chronic urinary tract infections. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Drinking 2-3 L of fluids daily helps flush bacteria, aiding ciprofloxacin's effectiveness. Antacids reduce absorption, heart rate monitoring is unnecessary, and laxatives may cause dehydration.
Question 5 of 5
A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?
Correct Answer: D
Rationale: Checking for local anesthetic allergies prevents severe reactions during thoracentesis, prioritizing client safety.