Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

Which of the following would you include as risk factors for the development of skin cancer when assessing the integumentary system?

  • A. Advancing age
  • B. Positive family history
  • C. Dark pigmentation
  • D. White collar job
Correct Answer: B

Rationale: Advancing age by itself is not a risk factor. If that person has been exposed to a lot of sun there may be increased risk, but that information is not given here. There is a known genetic risk, with some cancers being seen to be present in families with low risk factors. Those with dark pigmentation develop skin cancer, but at a lower rate than those with low amounts of pigmentation. White collar jobs, which occur in offices and inside buildings, are a low risk for skin cancer.

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Which biologically based practice involves the use of scents to alter emotions and biologic processes?

  • A. Herbal supplements
  • B. Apitherapy
  • C. Probiotics
  • D. Aromatherapy
Correct Answer: D

Rationale: Aromatherapy utilizes essential oils to influence mood and biological responses.

A client is being treated for inhalational anthrax following bioterrorism exposure. Which of the following medications should NOT be expected as a common treatment for anthrax?

  • A. Ciprofloxacin
  • B. Doxycycline
  • C. Amoxicillin
  • D. Penicillin G
Correct Answer: D

Rationale: The correct answer is D, Penicillin G. Anthrax is caused by Bacillus anthracis, which is susceptible to ciprofloxacin and doxycycline. Penicillin and amoxicillin are not recommended due to the potential for B. anthracis to produce beta-lactamase, which can make the bacteria resistant to penicillin-based medications. Penicillin G is not effective in treating anthrax and should not be expected as a common treatment option.

A patient scheduled for hip replacement surgery in the early afternoon is NPO but receives and ingests a breakfast tray with clear liquids on the morning of surgery. What response does the nurse expect when the anesthesia care provider is notified?

  • A. Surgery will be done as scheduled.
  • B. Surgery will be rescheduled for the following day.
  • C. Surgery will be postponed for 8 hours after the fluid intake.
  • D. A nasogastric tube will be inserted to remove the fluids from the stomach.
Correct Answer: A

Rationale: Clear liquids are generally acceptable up to 2 hours before surgery, allowing the procedure to proceed as planned.

What are the recommendations that can help develop culturally sensitive nursing care?

  • A. Learn about different cultures,avoid stereotypes and involve clients in decision-making.
  • B. Focus solely on universal care standards.
  • C. Ignore cultural differences.
  • D. All of the above.
Correct Answer: A

Rationale: Understanding cultural nuances and involving clients in care decisions enhances cultural competence and improves outcomes.

You are caring for a patient who has had a transurethral resection of the prostate for benign prostatic hypertrophy. There is continuous bladder irrigation setup. You would notify the physician if you noted

  • A. Any signs of hematuria.
  • B. A change from clear red output to thicker, bright red output.
  • C. A decrease in the amount of blood in the urine.
  • D. The development of uremic pruritis.
Correct Answer: B

Rationale: Thicker, bright red output indicates potential bleeding requiring medical attention.

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