ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The client has developed graft versus host disease (GVHD) during treatment for acute lymphoblastic leukemia (ALL). The client has a generalized pruritic rash on the trunk and the extremities. What nursing measures should the nurse use to address this problem?
Correct Answer: B,C,D
Rationale: B: Antihistamines relieve itching. C: Cool water and mild soap soothe skin. D: Clipping nails and using lotions prevent scratching and moisturize skin. A is incorrect as bacitracin is for infections, not GVHD rash.
Question 2 of 5
Which physical assessment findings would the nurse anticipate for a client with rapid atrial flutter?
Correct Answer: C
Rationale: Atrial flutter causes rapid atrial rates, leading to palpitations and shortness of breath due to inefficient cardiac output.
Question 3 of 5
The physician recommends a carotid endarterectomy for a client with atherosclerosis and a history of transient ischemic attacks (TIAS). The nurse explains that this procedure involves:
Correct Answer: B
Rationale: Carotid endarterectomy removes atherosclerotic plaques from the carotid artery in the neck to improve blood flow and reduce stroke risk.
Question 4 of 5
The nurse is caring for a client who is to have an autologous transfusion of packed red blood cells. The nurse recognizes the client requires additional teaching when they state:
Correct Answer: C
Rationale: Autologous transfusion eliminates the risk of hepatitis, as the blood is the patient's own.
Question 5 of 5
The nurse is performing an admission assessment of an older adult client with a history of chronic heart failure. The client exhibits +2 pitting edema of the ankles and bibasilar crackles. Based on these findings what action should the nurse take next?
Correct Answer: A
Rationale: Weighing the client establishes a baseline to monitor fluid retention, critical in heart failure management.