2024 ATI Med Surg Exam 1 New Latest Version with
All Questions from Actual Past Exam and 100%
Correct Answers
Question 1:
The nurse is providing
... [Show More] preoperative education to a client at high risk for breast
cancer who is scheduled for an incisional biopsy is being done instead of
excisional biopsy.
Which answer by the nurse is appropriate?
A. “An incisional biopsy is performed because it is known to be less painful and
more accurate than other forms of testing.
B. “An incisional biopsy is performed to confirm a diagnosis and so that special
studies can be done that will help determine the best treatment”
C. “An incisional biopsy is performed to assess the potential for recovery from a
mastectomy.”
D. “An incisional biopsy is performed on clients who are younger than age 40 and
who are otherwise healthy.”
E. “An incisional biopsy is performed on clients who are younger than age 40 and
who are otherwise healthy.”
Show correct answer and explanation
Explanation
“An incisional biopsy is performed to confirm a diagnosis and so that special
studies can be done that will help determine the best treatment”
The appropriate answer is b because an incisional biopsy is typically performed
to obtain a tissue sample from a suspicious mass to confirm a diagnosis and to
help determine the best treatment approach. It is not performed primarily to
assess potential for recovery or to select a less painful or more accurate test, nor
is it limited to a specific age group or health status. The nurse should provide
accurate and relevant information to the client to help them understand the
purpose and benefits of the procedure, and to alleviate any concerns or fears
they may have.
Question 2:
The nurse is caring for a client who has just had a radical mastectomy and
axillary node dissection. When
providing teaching to the client, which is the most appropriate?
A. Avoid exercise of the arm for the next 2 months.
B. Avoid exercise of the arm for the next 2 months.
C. Avoid lifting objects heavier than 10 pounds.
D. Use a sling until healing is complete
Show correct answer and explanation
Explanation
After a radical mastectomy and axillary node dissection, the client may
experience swelling and discomfort in the affected arm, known as lymphedema.
Lifting heavy objects with the affected arm can worsen the swelling and increase
the risk of developing lymphedema. Therefore, it is important for the client to
avoid lifting heavy objects with the affected arm and to limit activity that could
cause strain or injury to the arm. However, gentle exercise and movement of the
arm can help improve circulation and reduce the risk of lymphedema. Using a
sling is not typically necessary after this type of surgery, and keeping cuticles
clipped neatly is not directly related to post-operative care for a mastectomy
and axillary node dissection.
Question 3:
The nurse is caring for a client with ovarian cancer. The client is to receive
chemotherapy consisting of
A. paclitaxel and carboplatin. For What adverse effect of this treatment should
the nurse look out for?
B. Leukopenia
C. Metabolic acidosis
D. Hyperphosphatemia
E. Respiratory alkalosis
Show correct answer and explanation
Explanation
The nurse should look out for leukopenia, which is a common adverse effect of
chemotherapy drugs like paclitaxel and carboplatin. Leukopenia refers to a
decrease in the number of white blood cells in the body, which can increase the
risk of infections. It is important for the nurse to monitor the client's white blood
cell count regularly during chemotherapy and report any significant changes to
the healthcare provider. Metabolic acidosis, hyperphosphatemia, and respiratory
alkalosis are not typically associated with paclitaxel and carboplatin
chemotherapy. [Show Less]