ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A client with a history of heart failure is being discharged from the hospital. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Taking diuretics in the evening can increase nighttime urination, disrupting sleep; they should be taken in the morning.
Extract:
Vital signs
0900:
Temperature 36.7° C (98° F)
Heart rate 119/min
Respiratory rate 26/min
Blood pressure 149/95 mm Hg
Oxygen saturation 92% on room air
Nurses' Notes
0900:
Client is a 45-year-old male brought to ED by family member due to new- onset chest pain and shortness of breath. Client describes pain as 10/10, substernal, and radiating to the left scapula.
Oriented to person, place, time, and situation.
Skin pale, cool, and diaphoretic, peripheral pulses weak.
$152 heard upon auscultation. Lungs clear bilaterally.
Client denies medical history and states no home medications.
Diagnostic results
0915:
12 Lead EKG:
ST-Elevation in leads V2-V6, rate 119 Point of Care Troponin:
1,40 ng/mL
Question 2 of 5
Select the 3 orders that the nurse should expect for this client.
Correct Answer: A,E,F
Rationale: Cardiac catheterization, supplemental oxygen, and nitroglycerin are standard for acute myocardial infarction management.
Extract:
Question 3 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. The client reports pain at the incision site and has a temperature of 38.5°C (101.3°F). Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assessing the incision site first helps determine if the fever and pain are due to infection.
Extract:
Nurses' Notes
0600:
Client was brought to the emergency department by her husband for complaints of abdominal pain 8/10 in all quadrants. Client is alert and oriented x4, states she has had a fever, nausea, and vomiting "off and on" for 2 days. Existing medical conditions include insulin-dependent type-2 diabetes, hypertension, and end-stage renal disease. Abdomen assessed, found to be rigid and distended. Rebound tenderness noted on palpation. Bowel sounds auscultated, hyperactive in all quadrants. Catheter present in abdominal wall, currently clamped. Client states "I do my own dialysis every day. Yesterday the effluent was cloudy. I haven't done an exchange yet today." STAT BMP and CBC have resulted. Physician notified. Awaiting orders.
Vital Signs
0600:
Temperature: 39.1°C (102.3°F)
Pulse rate: 110/min
Respiratory rate: 24/min
Blood pressure: 123/70 mmHg
Oxygen saturation: 95% room air
Laboratory results
0600:
BMP:
Creatinine: 3.8 mg/dL
Glucose: 180 mg/dL
Potassium: 5.4 mEq/L
Sodium: 134 mEq/L
BUN: 68 mg/dL CBC:
WBC: 15,000/mm3
RBC: 4.3 x 10/μL
Platelets: 250,000/μL
Hemoglobin: 12 g/dL
Hematocrit: 39%
Question 4 of 5
The client is experiencing...... caused by.....
Correct Answer: A,B
Rationale: Peritonitis is indicated by abdominal pain, fever, and cloudy dialysis effluent, caused by peritoneal dialysis.
Extract:
Question 5 of 5
A miotic medication has been prescribed for a client with acute angle-closure glaucoma. The client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client?
Correct Answer: C
Rationale: Miotic medications constrict the pupil, opening the angle to facilitate fluid drainage in angle-closure glaucoma.