Questions 168

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ATI RN Test Bank

ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

The physician has just informed a client with advanced heart failure that a left ventricular assist device (LVAD) will be needed. The client is crying and says to the nurse, 'I just know that I am going to die. What's the point of treatment?' The priority nursing action is to:

Correct Answer: C

Rationale: Expressions of hopelessness require assessing for suicidal ideation to ensure patient safety.

Question 2 of 5

In assessing a client with esophageal cancer being treated with radiation therapy, which finding(s) would alert the nurse to a possible side effect of this treatment?

Correct Answer: A

Rationale: Fatigue is a common side effect of radiation therapy due to the body's response to treatment and cancer.

Question 3 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 4 of 5

The nurse is caring for a client who is in the later stages of left-sided heart failure. Which chief complaint would the nurse expect the client to report?

Correct Answer: A

Rationale: Left-sided heart failure causes reduced cardiac output, leading to activity intolerance and fatigue, but comfort at rest.

Question 5 of 5

The nurse is evaluating the following rhythm strip on a client in the telemetry unit. The client is alert and oriented but complains of slight nausea after eating breakfast. What is the nurse's best action?

Correct Answer: D

Rationale: Sinus tachycardia with mild symptoms warrants continued monitoring and assessment rather than immediate intervention.

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