ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?
Correct Answer: D
Rationale: Tadalafil commonly causes facial flushing as a side effect. Reassuring the client is appropriate since he is not experiencing chest pain or other concerning symptoms.
Question 2 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Administering oxygen therapy is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.
Question 3 of 5
A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?
Correct Answer: B
Rationale: The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD's functioning.
Question 4 of 5
A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The client is vomiting and is diaphoretic. Which of the following laboratory tests are used to diagnose a myocardial infarction? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Myoglobin is an early biomarker for myocardial injury and can be used for initial detection of myocardial infarction. Troponin T and Troponin I are highly specific biomarkers for myocardial infarction and are used to confirm the diagnosis of an MI.
Extract:
Physical Examination
0800:
Alert and oriented to person and place
Skin pale and dry
Pupils equal, round, and reactive to light and accommodation Mucous
membranes moist and pink
Heart sounds regular and moderate
Peripheral pulses moderate
Capillary refill 3 seconds
Lungs sounds clear to auscultation bilaterally
Respirations labored at rest
Abdomen soft and nontender, active bowel sounds x 4 quadrants
No peripheral edema
Reports slight midsternal chest pain, rates pain as a 2 on a 0 to 10 pain scale
States they have been weak for the past 4 months with dizziness. Denies dizziness at this time.
1300
Returns to room after insertion of permanent pacemaker Alert and oriented to person, needs cues for time and place
Skin cool and dry
Heart sounds regular, heart rate 72/min
Lung sounds are coarse bilaterally
Hyperresonance noted upon percussion of chest wall
Respiratory rate 24/min and slightly labored
Oxygen saturation 2 U/min per nasal cannula 98%
Reports slight incisional pain left upper chest area
Small amount red drainage present on dressing over incisional site
Diagnostic Results
RBC count 5.2 million/mm3 (4.7 to 6.1 million/mm3) WBC count 7,000 mm (5,000 to 10,000 mm3)
Hemoglobin 15.4 g/dL (14 to 18 g/dL)
Hematocrit 48% (42% to 52%)
Platelets 250,000/mm3 (150,000 to 400,000/mm3)
Basic Metabolic Profile:
BUN 18 mg/dL (10 to 20 mg/dL)
Creatinine 1.0 mg/dL (0.6 to 1.3 mg/dL)
Total Calcium 9.5 mg/dL (9.0 to 10.5 mg/dL)
Carbon Dioxide 27 mEq/L (23 to 30 mEq/L) Chloride 101 mEq/L (98 to 106 mEq/L) Glucose 80 mg/dL (74 to 106 mg/dL) Potassium 5.1 mEq/L (3.5 to 5 mEq/L) Sodium 140 mEq/L (136 to 145 mEq/L)
Vital Signs
Temperature 36 Cm
Apical pulse 42min
Respiratory rate 25/min
Blood pressure 106/58 mm Hg
Oxygen saturation 54% on room air
Question 5 of 5
The nurse is caring for the client immediately following the insertion of the permanent pacemaker.Complete the following sentence by using the list of options. The nurse should monitor the client for __ and __ following permanent pacemaker placement.
Correct Answer: A,B
Rationale: Monitoring for incisional site bleeding ensures no complications like hematoma. Bradycardia monitoring ensures the pacemaker is functioning correctly.