Questions 168

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ATI RN Test Bank

ATI Med Surg Nursing 300 Day Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client diagnosed with cancer who is experiencing a decreased nutritional intake due to painful oral lesions. Which intervention would the nurse include in the plan of care?

Correct Answer: B

Rationale: Mouth care before and after meals minimizes discomfort and maintains oral hygiene, aiding nutritional intake.

Question 2 of 5

A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?

Correct Answer: 62.5 mL/h

Rationale:
To determine the IV pump rate, divide the total volume (500 mL) by the infusion time (8 hours): 500 mL / 8 hours = 62.5 mL/h.

Question 3 of 5

The nurse is caring for a client that has undergone a modified left radical mastectomy with lymph node removal. Which intervention would assist in preventing lymphedema?

Correct Answer: D

Rationale: Elevating the arm above heart level promotes lymphatic drainage, reducing fluid accumulation and the risk of lymphedema post-mastectomy.

Question 4 of 5

The nurse is caring for a client who is scheduled to have Mohs Micrographic surgery for a basal cell carcinoma. Which statement by the client Indicates a need for further teaching?

Correct Answer: B

Rationale: Mohs surgery focuses on local skin removal, not lymph node biopsies, indicating a misunderstanding.

Question 5 of 5

The nurse has provided teaching to a client who had an implantable cardioverter/defibrillator inserted. Which statement by the client indicates the need for further instruction?

Correct Answer: A

Rationale: Contact sports like football can dislodge the ICD or trigger shocks, requiring a longer recovery period and activity restrictions.

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