ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A home health nurse is assessing a client who has pernicious anemia. Which of the following is an expected manifestation that poses a risk to the client's safety?
Correct Answer: C
Rationale: Paresthesia from vitamin B12 deficiency in pernicious anemia increases fall risk due to sensory impairment.
Extract:
Laboratory Results
0915:
Blood glucose 468 mg/dL (74 to 106 mg/dL)
pH 7.30 (7.35 to 7.45)
Potassium 5.5 mEq/L (3.5 to 5 mEq/L)
Sodium 138 mEq/L (136 to 145 mEq/L)
Chloride 101 mEq/L (98 to 106 mEq/L)
BUN 21 mg/dL (10 to 20 mg/dL)
Creatinine 1.7 mg/dL (0.5 to 1.1 mg/dL)
Urine dipstick positive for ketones (negative)
Question 2 of 5
A nurse is caring for a client in the emergency department. Which of the following 3 provider prescriptions does the nurse anticipate?
Correct Answer: B,C,F,
Rationale: These prescriptions address DKA with fluid resuscitation, insulin, monitoring, and potassium management.
Extract:
Question 3 of 5
A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?
Correct Answer: D
Rationale: Egg allergies are linked to potential propofol reactions due to its egg-based emulsion.
Question 4 of 5
A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 69
Rationale: Convert 190 lb to kg (86.18 kg), multiply by 0.8 g/kg = 68.94, rounded to 69 g.
Extract:
History and Physical
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. Select the findings below that would indicate that the client has a potential problem
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Client reports tightness in chest that radiates to left arm. | |||
| States pain as 7 on a scale of 0 to 10. | |||
| Started to feel nauseous after breakfast. | |||
| Client is diaphoretic and short of breath. | |||
| Heart rate is irregular and tachycardic. | |||
| Lungs clear to auscultation in all lobes. | |||
| Skin is cool to touch. |
Correct Answer: A,B,C,D,E,G
Rationale: These findings suggest an acute cardiac event requiring immediate attention.