ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A client who will be undergoing chemotherapy and internal radiation for cancer treatment asks the nurse why they are scheduled for the placement of a central venous access device (CVAD). Which of the following is a benefit of placing a CVAD for someone who will be undergoing cancer treatment?
Correct Answer: A
Rationale: A CVAD provides reliable access for long-term chemotherapy administration.
Extract:
Medical History
Caesarean sections in 2005 & 2008.
Hypertension. Takes amlodipine 5 mg PO daily.
Obesity
Transfuse 1 unit of packed red blood cells.
Allergies: Morphine
Nurse's Notes
1200:
Client presents to the emergency department with complaints of abdominal pain rated 9/10 with nausea. Pain is localized to the right upper quadrant, radiates to right shoulder. Client reports vomiting yesterday. Abdomen soft, non-distended, tender to palpation in RUQ with guarding. Client is alert and oriented to person, place, time, and situation. 2+ peripheral pulses in all extremities. Lungs clear to auscultation. Urine sample sent to lab, awaiting results, urine noted to be dark amber on collection.
Client diaphoretic, mild jaundice noted. 18 g peripheral IV catheter inserted to right antecubital with 0.9% sodium chloride infusing at 125 mL/hr continuous via pump. Awaiting orders. Will continue to monitor.
SWAT Diagnostic Results
1210
Sodium: 140 mEq/L
Potassium: 3.8 mEq/L
BUN: 18 mg/dL
Creatinine: 1.1 mg/dL
White Blood Cell Count: 14,000/mm3 Red Blood Cell Count 5.1 million/mm3 Hemoglobin: 15.1 g/dL
Platelet Count: 250,000/mm3
Vital Signs
1200:
Temperature 37.9°C (100.3°F)
Heart rate 120/min (Sinus Tachycardia) Respiratory rate 22/min
Blood pressure 149/86 mmHg SaO2 96% on room air
Question 2 of 5
For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Begin broad spectrum IV antibiotics (Anticipated) | ||
| Transfuse 1 unit of packed red blood cells (Contraindicated) | ||
| Prepare client for endoscopic retrograde cholangiopancreatography (Anticipated) | ||
| Administer morphine sulfate IV push for pain (Contraindicated) |
Correct Answer: A,C
Rationale: Antibiotics and ERCP are appropriate for suspected biliary infection; blood transfusion is not indicated, and morphine is contraindicated due to allergy.
Extract:
Question 3 of 5
A client who is receiving chemotherapy for breast cancer is experiencing myelosuppression as a side effect of the treatment. Which of the following is a manifestation directly related to myelosuppression?
Correct Answer: C
Rationale: Fever and chills result from reduced white blood cells due to myelosuppression.
Question 4 of 5
A nurse is assessing a client who is 12 hours postoperative following a thyroidectomy. Which of the following findings is indicative of thyrotoxic crisis?
Correct Answer: C
Rationale: Hyperthermia is a key sign of thyrotoxic crisis due to the hypermetabolic state.
Question 5 of 5
A client is seen in a primary care provider's office. The client has gradually developed a stooped posture, shuffling gait, and a lack of facial expressions. Which medication should the nurse anticipate will be prescribed to treat these symptoms?
Correct Answer: C
Rationale: Carbidopa-levodopa treats Parkinson's disease symptoms like stooped posture and shuffling gait.