ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A client with type 1 diabetes mellitus is admitted to the hospital with diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: Positive urine ketones are expected in DKA due to fat breakdown and ketone production.
Question 2 of 5
A client with a history of chronic kidney disease is admitted to the hospital with a pulmonary embolism. Which of the following medications should the nurse anticipate administering to this client?
Correct Answer: B
Rationale: Heparin is commonly used as an anticoagulant to treat pulmonary embolism, especially in clients with chronic kidney disease where renal function needs to be considered.
Question 3 of 5
Which of the following clients is at a higher risk of developing osteoarthritis?
Correct Answer: B
Rationale: Long-term prednisone use can contribute to joint issues and osteoarthritis risk.
Question 4 of 5
A client with asthma is exposed to a trigger and has an asthma attack within 30 minutes of the exposure. The client uses their albuterol inhaler as prescribed and experiences relief of symptoms. Six hours later, the client's asthma symptoms return. Which of the following is true about the late-phase response of asthma?
Correct Answer: A
Rationale: The late-phase response involves additional inflammatory cells causing prolonged airway inflammation.
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 5 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.