ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
History and Physical
Vital signs
Nurse’s Notes
Diagnostic Results
The client is a 60-year-old female diagnosed with Stage III breast cancer and undergoing chemotherapy with docetaxel. She has a history of hypertension and no known drug allergies. The client presents with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue. Her last chemotherapy session was 10 days ago, and she has been feeling increasingly fatigued in the last week.
A nurse is caring for a 60-year-old female client in the oncology unit who is currently receiving chemotherapy for breast cancer. The client presents with a recent onset of symptoms, and the nurse must evaluate the best actions to take based on the exhibits provided.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B,C,D
Rationale: Private room and mask protect against infection in immunosuppression. Fluid intake manages symptoms. Contact precautions are unnecessary. Antibiotics need provider orders.
Extract:
Question 2 of 5
A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?
Correct Answer: D
Rationale: Colorectal cancer screening at age 45 aligns with updated ACS guidelines for average-risk adults. Cervical screening is specific to those with a cervix. Lung screening targets smokers. Age 50 is outdated.
Question 3 of 5
A patient has been admitted with tumor lysis syndrome (TLS). Which intervention would be incorporated into the plan of care to prevent the metabolic imbalances associated with this disorder?
Correct Answer: A
Rationale: Restricting potassium foods prevents hyperkalemia in TLS. Sodium polystyrene sulfonate treats hyperkalemia, not hypokalemia. Urine pH should be above 7.0 to prevent uric acid crystallization. Hydration, not fluid restriction , is needed.
Question 4 of 5
A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Calling about unusual bleeding shows understanding, as it may indicate thrombocytopenia. Avoiding crowds prevents infections, not spreading them. Dishwasher cleaning is unnecessary. Antiemetics should be taken before or at nausea onset.
Question 5 of 5
A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A WBC count of 2300/mm³ indicates neutropenia, a critical chemotherapy side effect requiring immediate reporting. RBC , hemoglobin , and platelets are within normal ranges.