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ATI med surg content mastery practice 2024/2025 already graded A+

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ATI med surg content mastery practice 2024/2025 already graded A+

Institution
ATI RN ADULT MEDICAL SURGICAL
Course
ATI RN ADULT MEDICAL SURGICAL










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Institution
ATI RN ADULT MEDICAL SURGICAL
Course
ATI RN ADULT MEDICAL SURGICAL

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Uploaded on
January 29, 2024
Number of pages
22
Written in
2023/2024
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ATI med surg content mastery practice

A nurse is planning care for a client who is receiving chemotherapy and has a protein deficiency.
Which of the following interventions should the nurse include in the plan of care? (Select all that
apply.)
A. Mix powdered skim milk into liquid milk
B. Add a raw egg to fruit smoothies
C. Add a slice of cheese to hot vegetables
D. Add honey to hot tea
E. MIX yogurt into fresh fruit
ACE


A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive
brachytherapy in an ambulatory care clinic. Which of the following statements by the client
indicates an understanding of the teaching?
A. "I need to lie still in bed during my brachytherapy treatment."
B. "I will have an implant placed once a month during my brachytherapy treatment."
C. "I must stay at least 3 feet away from others between brachytherapy treatments.
D. "I should expect some blood in my urine after each brachytherapy treatment."
A
remain on bedrest with limited movement while the radioactive implant is in place to prevent
dislodgement


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A nurse is providing postoperative discharge teaching to a client following a panhysterectomy
for uterine cancer. Which of the following pieces of information should the nurse include in the
teaching?

,A. "You will need to continue to use some form of birth control for 6 months.
B. "You might experience manifestations of menopause."
C. "Do not lift anything heavier than 15 lb."
D. "Pain or burning with urination is an expected outcome of this surgery.
B
a panhysterectomy includes the removal of the uterus and the ovaries, which might cause,
manifestations of menopause (e.g. hot flashes, night sweats, and vaginal dryness).


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A charge nurse is observing a newly licensed nurse provide care for a client who is receiving
internal radiation therapy for the treatment of cervical cancer. For which of the following actions
by the newly licensed nurse should the charge nurse intervene?

A. Leaving soiled linens in a container in the client's room i

B. Instructing visitors to remain 2 m (6 feet) away from the client

C. Borrowing a dosimeter film badge from another nurse before entering the client's room

D. Removing an extra IV pole from the client's room to be used for another client

C
A nurse should never borrow a dosimeter film badge from another staff member. Nurses who
are caring for the client should each have a personal badge and wear it while in the client's
room. The badge measures the radiation exposure that the nurse is receiving, and each film
badge will indicate the nurse's cumulative radiation exposure.


A nurse is providing preoperative teaching for a client with colorectal cancer who is scheduled to
undergo colostomy placement with a perineal wound. Which of the following statements by the
client indicates an understanding of the teaching?
A. "Not having any more rectal pain will be a relief."
B. "I will need to sit on a rubber donut when I am in the chair"
C. "I can have only liquids for 2 days before the surgery."
D. "The colostomy will start working about 7 days after the surgery."
C
The client should consume a full or clear liquid diet for 24 to 48 hours before the surgery to
decrease bulk. The client should consume a low
residue diet for several days prior to surgery to decrease peristalsis.


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, A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse
should ensure the client understands that she will receive which of the following interventions?
A. Chemotherapy via a central venous access device
B. Radiation to the tumor from an external source
C. Precise delivery of high-dose radiation after tumor imaging
D. Radioactive infusions or insertions into or near the tumor
D
Brachytherapy is a type of radiation therapy during which the radiation source, either an implant
or via infusion, is in direct contact with the client's tumor continuously for a specific duration.


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A nurse is providing teaching to a client who has cancer and is undergoing external radiation
treatment. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I should use petroleum-based lotions on the areas being radiated."
B. "I will dry the areas being radiated by rubbing in a circular pattern."
C. "I will apply sunscreen to the areas being radiated when I spend time in the sun."
D. "I should use my hand, instead of a washcloth, to wash the areas being radiated."
D
Washing the areas being radiated with the hand is gentler than using a washcloth.


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A nurse on an oncology unit is providing discharge teaching to an adolescent female client who
received a bone marrow transplant for leukemia. Which of the following pieces of information
should the nurse include in the teaching? (Select all that apply.)
A. "Take your temperature twice each day."
B. "You may return to school if you feel strong enough."
C. "It is important to wear shoes always."
D. "Clean your toothbrush weekly with isopropyl alcohol."
E. "Avoid using tampons."
ACE
Clients who are postoperative from bone marrow transplants are immunosuppressed and
should continually monitor for manifestations of infection. A temperature that is greater than
38°C (100°F) should be reported immediately to the provider. The client should wear shoes to
prevent injury and decrease the risk of infection. The use of tampons is discouraged because
they can disrupt the mucosal layer of the vagina and may support the growth of bacteria if left in
place for too long.


A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation
therapy. Which of the following statements by the client indicates a need for further teaching?

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