ATI RN
ATI RN Adult Med-Surg 2023 Questions
Question 1 of 5
A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?
Correct Answer: C
Rationale: Syphilis requires follow-up blood tests to monitor treatment efficacy over time.
Question 2 of 5
A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: A catheter bag next to the client increases infection risk due to potential urine backflow and contamination.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0900:
Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin.
Peripheral IV established and labs drawn.
Question 3 of 5
A nurse is caring for a client in the emergency department. For each assessment finding, click to specify if the assessment finding is consistent with diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar state (HHS). Each finding may support more than 1 disease process.
Correct Answer:
Rationale: Specific answers not provided; B is specific to DKA, D applies to both DKA and HHS.
Extract:
Question 4 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dyspnea and fluid imbalance suggest fluid overload; slowing the infusion and notifying the provider are appropriate.
Extract:
Vital Signs
Diagnostic Results
Physical Examination
Medical History
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O2 at 3 L/min via nasal cannula
Question 5 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Findings 12 hr later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of condition |
|---|---|---|---|
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Disoriented to person, place, and time | |||
| Blood pressure 100/50 mm Hg | |||
| Hct 45% | |||
| Pink-tinged urine | |||
| Butterfly rash |
Correct Answer:
Rationale: Specific answers not provided; A likely indicates improvement, B and C suggest worsening.