ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A client with chronic renal disease is experiencing manifestations of anemia. Based on this data, which treatment should the nurse anticipate for this client?
Correct Answer: A
Rationale: Erythropoietin stimulates red blood cell production, addressing anemia caused by reduced erythropoietin in chronic renal disease.
Extract:
Diagnostic Result
HbA1C 6.2% (less than 7%)
Blood glucose 102 mg/dL (82 to 115 mg/dL)
Hemoglobin 14.2 g/dL (14.2 to 18 g/dL)
Hematocrit 42.6% (42% to 52%)
Total WBC count 6,000/mm3 (5,000 to 10,000/mm3)
HDL 35 mg/dL (greater than 45 mg/dL)
LDL 142 mg/dL (less than 130 mg/dL)
Brain natriuretic peptide (BNP) 352 pg/mL (less than 100 pg/mL)
Chest x-ray: Shows cardiomegaly and bibasilar pleural congestion.
Medication Administration Record
Metformin 850 mg PO q am
Digoxin 0.25 mg PO q am
Carvedilol 25 mg PO bid
Furosemide 40 mg IV bolus once now
Vital Signs
BP 146/98 mm Hg
Temperature 36.8º C (98.2º F)
Pulse rate 106/min
Respirations 24/min
O2 saturation 94% on 2 L/min nasal cannula
Question 2 of 5
A nurse is preparing to care for an 84-year-old male client who is being admitted to a medical unit from a provider's office. The nurse reviews the client's medical records to prepare the client's plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Elevated BNP, cardiomegaly, and pleural congestion indicate heart failure. Elevating the bed and a low-sodium diet manage symptoms, while monitoring urinary output and blood pressure assesses treatment efficacy.
Extract:
Question 3 of 5
A nurse is caring for a client diagnosed with infective endocarditis. Which of the following manifestations indicate that the client's condition is worsening?
Correct Answer: A
Rationale: Worsening dyspnea may indicate complications like heart failure or pulmonary embolism, suggesting a deteriorating condition.
Question 4 of 5
A nurse is providing discharge instructions to a client who is severely immunocompromised by HIV. Which of the following should the nurse include in the discharge instructions? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Maintaining good hygiene, cooking meats and fish well, avoiding raw foods, and frequent handwashing are critical for preventing infections in immunocompromised clients. Sterilizing dishes is not typically necessary as washing with hot water and soap or using a dishwasher is sufficient.
Question 5 of 5
A nurse is caring for a client who is scheduled for chemotherapy due to bone metastasis of prostate cancer. Which of the following statements about chemotherapy made by the nurse is correct?
Correct Answer: C
Rationale: Chemotherapy is often combined with hormone therapy or radiation for prostate cancer with bone metastasis.