ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Question 1 of 5
What actions should the nurse take?
Correct Answer: A
Rationale: Reminiscence therapy supports cognitive function in Alzheimer's patients.
Question 2 of 5
What interventions should the nurse recommend to include in the plan?
Correct Answer: C
Rationale: Restricting sodium corrects hypernatremia by reducing serum sodium levels.
Extract:
Vital Signs
Nurses’ Notes
Diagnostic Results
Provider’s Prescriptions
Postoperative day 1, 0600:
Temperature: 36.4 C (97.5 F)
Heart rate: 84/min
Respiratory rate: 18/min
Blood pressure: 106/74 mm Hg
Oxygen saturation: 97% on room air
2330:
Temperature: 36.3 C(97.3 F)
Heart rate: 104/min
Respiratory rate: 24/min
Blood pressure: 88/54 mm Hg
Oxygen saturation: 96% on room air
The nurse is continuing to assist in the care of the client.
Question 3 of 5
For each data collection finding, specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than one disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Respiratory effort | ||
| Heart rate | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer: B,D
Rationale: Tachycardia (heart rate 104/min) and hypotension (88/54 mm Hg) on day 1 at 2330 are consistent with hypovolemic shock due to fluid loss post-surgery.
Extract:
Question 4 of 5
What position should the nurse place the client in?
Correct Answer: C
Rationale: Fowler's position aids breathing by reducing diaphragm pressure in shortness of breath.
Extract:
Day 1, 1000
Day 1, 1100
Day 1, 1000 - Physical Exam
Day 1, 1030 - Diagnostic Results
• Blood pressure: 92/60 mm Hg
• Pulse: 106/min
• Temperature: 38.3 C (101F)
• Oxygen saturation: 95%
Question 5 of 5
The nurse is collecting data on the client. Which of the following findings require follow-up?
Correct Answer: A,B,C,F
Rationale: Blood pressure of 92/60 mm Hg (hypotension), elevated BUN, abdominal findings, and potassium levels require follow-up due to potential shock, renal dysfunction, or electrolyte imbalance, especially with fever and tachycardia.