ATI RN
ATI Med Surg Exam 6 Questions
Extract:
Question 1 of 5
The nurse's comprehensive assessment of a patient includes inspection for signs of oral cancer. What assessment finding is most characteristic of oral cancer in its early stages?
Correct Answer: A
Rationale: A painless sore with raised edges is a hallmark early sign of oral cancer, prompting further evaluation.
Question 2 of 5
A nurse is assessing a patient who has just been admitted to the postsurgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment should the nurse prioritize?
Correct Answer: B
Rationale: A patent airway is the top priority post-surgery for oropharyngeal cancer to ensure effective breathing and prevent life-threatening complications.
Question 3 of 5
During a health education session, a participant has asked about the hepatitis E virus. What prevention measure should the nurse recommend for preventing infection with this virus?
Correct Answer: D
Rationale: Proper hand-washing prevents hepatitis E transmission, which occurs primarily through the fecal-oral route via contaminated water or food.
Question 4 of 5
The management of the patient's gastrostomy is an assessment priority for the home care nurse. What statement would indicate that the patient is managing the tube correctly?
Correct Answer: D
Rationale: Flushing the gastrostomy tube before and after medications prevents clogs and maintains patency, indicating correct management.
Extract:
The client has had the following intake and output during the shift:
Intake:
4 oz of Pedialyte
1/2 of an 8-oz cup of clear orange Jell-O
2 graham crackers
200 mL of D 5-1/2 sodium chloride IV
Output:
345 mL of urine
50 mL of loose stool
Question 5 of 5
The nurse is completing the intake and output record for a preschool-age client admitted for fluid volume deficit. The nurse documents the client's intake as milliliters. How much liquid intake did the client have in Milliliters? Round the answer to the nearest whole number.
Correct Answer: 437
Rationale:
Total liquid intake is calculated as 4 oz Pedialyte (118.28 mL) + 1/2 of 8 oz Jell-O (118.28 mL) + 200 mL IV fluid = 436.56 mL, rounded to 437 mL.