ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
History and Physical
Vital Signs
Nurse’s Notes
Diagnostic Results
The client is a 63-year-old female with a history of Stage III colorectal cancer, for which she is receiving chemotherapy and radiation. The client denies any significant past medical history except for her cancer diagnosis. She reports that the excessive fatigue started 6 months ago and has become so intense that she is unable to perform her usual activities without needing to rest. She also mentions that she has been experiencing recurring headaches and unexplained bruising. The client has not been taking any prescribed medications but has been using ibuprofen frequently over the past 6 months for pain and joint swelling.
A nurse is caring for a 63-year-old female client in the emergency department (ED) with a history of colorectal cancer. The client is receiving chemotherapy and radiation. She presents with complaints of fatigue, unexplained bruising, and recurring headaches. The nurse must evaluate the situation based on the exhibits provided to determine the client’s risk factors and findings.
Question 1 of 5
The client is at risk for developing due to their
Correct Answer: A,F
Rationale: Low platelets increase DIC risk in cancer. Normal potassium , sodium , and oxygen rule out hyperkalemia, hyponatremia, and pneumonia. Normal creatinine makes nephritic syndrome unlikely.
Extract:
Question 2 of 5
A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Antiemetics prevent chemotherapy-induced nausea. Dark stools are not typical. Flossing risks bleeding. Mouthwash may irritate mucosa.
Question 3 of 5
A nurse in the emergency department is monitoring a client who is receiving vincristine through a peripheral line. The nurse should monitor the client for which of the following complications indicating the need to stop the infusion?
Correct Answer: A,B,E
Rationale: Resistance to flow , pain/swelling/redness , and no blood return indicate extravasation, requiring infusion stoppage. Anxiety/depression and nausea/vomiting are unrelated to IV complications.
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 nurse is preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should plan to include which of the following findings as a manifestation of SLE?
Correct Answer: A
Rationale: A butterfly rash is a classic SLE manifestation. Hypothermia , weight gain , and hyperreflexia are not typical.