ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
On a hot humid day, a nurse is caring for a client who is confused and presents with these vital signs: temperature 104.1°F (40.1°C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mmHg. What action would the nurse take to provide immediate appropriate care?
Correct Answer: C
Rationale: IV saline rapidly rehydrates and cools in heatstroke. Oral fluids are insufficient. Acetaminophen does not address hyperthermia. Rest delays critical treatment.
Question 2 of 5
A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Calling about unusual bleeding shows understanding, as it may indicate thrombocytopenia. Avoiding crowds prevents infections, not spreading them. Dishwasher cleaning is unnecessary. Antiemetics should be taken before or at nausea onset.
Extract:
History and Physical
Nurse's Notes
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
The client presents with a history of hypertension and type 2 diabetes mellitus. He was found on the ground near his car after spending several hours in the sun while fixing his vehicle. The client reports feeling dizzy and weak prior to losing consciousness. He states that he did not drink enough fluids during the day. The client denies any chest pain or difficulty breathing. He has not experienced similar symptoms in the past. There is no history of neurological disorders or substance abuse. The client is alert but appears confused and disoriented.
A nurse is caring for a male client, 58 years old, in the emergency department who is suspected of having heatstroke. The primary health care provider has ordered a series of diagnostic tests and interventions. Below are the exhibits to help the nurse assess the client.
Question 3 of 5
The nurse is caring for a male client suspected of having heatstroke. Which findings are consistent with this diagnosis?
Correct Answer: A,C
Rationale: Tachycardia and hot, dry skin are heatstroke signs. Hallucinations are not typical. Bradycardia contradicts the observed tachycardia.
Extract:
Question 4 of 5
A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?
Correct Answer: D
Rationale: Elevated PSA is associated with prostatic cancer. PSA is specific to prostate cells, not linked to liver , breast , or colon cancers.
Question 5 of 5
A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?
Correct Answer: C
Rationale: BRCA1 mutation increases breast cancer risk . It is not linked to thyroid cancer , Down syndrome , or Alzheimer's .