Questions 168

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ATI Med Surg Nursing 300 Day Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a male patient who complains about a small 'lump' that he discovered in his right testicle. What would be the best response by the nurse?

Correct Answer: A

Rationale: Asking about pain helps differentiate potential causes (e.g., testicular cancer, epididymitis), guiding further assessment of the testicular lump.

Question 2 of 5

Which statement, made by a client being discharged to home after a radical cystectomy, indicates a need for further clarification by the nurse? 'I will:

Correct Answer: B

Rationale: After a radical cystectomy, normal voiding is not possible due to bladder removal; clients typically have a urinary diversion, indicating a need for clarification.

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

A 78-year-old client is admitted to the Emergency Department (ED) with numbness and weakness of the right arm and slurred speech. Which nursing intervention is a priority?

Correct Answer: B

Rationale: A STAT CT scan is critical to diagnose the cause of neurological symptoms (e.g., stroke), guiding time-sensitive treatment decisions.

Question 5 of 5

Which initial assessment finding(s) would the nurse expect in a client diagnosed with acute lymphocytic leukemia (ALL)?

Correct Answer: A

Rationale: Thrombocytopenia in ALL leads to petechiae and epistaxis due to low platelet counts, common initial findings at diagnosis.

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