ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
Which pathophysiologic events contribute to renal failure associated with tumor lysis syndrome?
Correct Answer: C
Rationale: Uric acid crystallization causes renal failure in TLS. Acidosis , elevated WBC , and hypocalcemia are not direct causes.
Question 2 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 3 of 5
A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
Correct Answer: C
Rationale: Writing questions empowers the client for provider discussions. Internet articles may be unreliable. Assurance alone is passive. Waiting increases anxiety.
Question 4 of 5
Which of the following findings indicate that the client may be experiencing transplant rejection?
Correct Answer: B
Rationale: Elevated creatinine suggests kidney transplant rejection. Normal sodium , blood pressure , and no edema do not indicate rejection.
Question 5 of 5
A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use?
Correct Answer: A
Rationale: Pap smear is the primary cervical cancer screening test. Ultrasound , prolactin , and biopsy are not used for initial screening.