ATI RN Adult Med-Surg 2023 | Nurselytic

Questions 43

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ATI RN Adult Med-Surg 2023 Questions

Extract:

Medical history
Vital Signs
Physical Examination
Diagnostic Results
Hemochromatosis


Question 1 of 5

A nurse is admitting a middle adult client who has cirrhosis. The nurse is assessing the client 24 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
Elevated iron levels
Increased albumin level
Productive cough
Ascites
Hematemesis
Spontaneous bruising

Correct Answer:

Rationale: Specific answers not provided; D, E, F indicate worsening cirrhosis complications.

Extract:

A nurse is caring for a client.
Medical History
Nurses' Notes
Vital Signs
Cerebrovascular accident 2 years ago

Coronary artery disease

Hypertension

Hyperlipidemia


Question 2 of 5

A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Potential PrescriptionAnticipatedNonessentialContraindicated
Encourage the client to cough.
Keep the client's head in a midline position.
Elevate the head of the bed.
Assist the client to the bathroom.
Initiate seizure precautions.
Decrease oxygen to 1.5 L/min via nasal cannula.

Correct Answer:

Rationale: Specific answers not provided; anticipated actions likely include B and C due to history of cerebrovascular accident.

Extract:


Question 3 of 5

A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

Correct Answer: B

Rationale: Referred pain from pancreatitis often radiates to the left shoulder.

Question 4 of 5

A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: A social worker can assist with financial resources for medications.

Extract:

History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.


Question 5 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Complete the following sentence by using the lists of options. The nurse should first address the client's…... followed by the client's…….

Correct Answer: B,D

Rationale: Pain level is the priority, followed by ECG to assess for cardiac ischemia.

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