ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Medical History
HIV
Diagnostic Results
On Diagnosis:
• Total WBC 6,000/mm3 (5,000 to 10,000/mm3)
• Platelet count 154,000/mm3 (150,000 to 400,000/mm3) Sodium 139 mEq/L (136 to 145 mEq/L)
• Potassium 4.2 mEq/L (3.5 to 5 mEq/L)
• BUN 16 mg/dL (10 to 20 mg/dL)
3 Month Visit:
• Total WBC 5,500/mm3 (5,000 to 10,000/mm3)
• Platelet count 112,000/mm3 (150,000 to 400,000/mm3)
• Sodium 136 mEq/L (136 to 145 mEq/L)
• Potassium 3.8 mEq/L (3.5 to 5 mEq/L)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 1 of 5
A nurse in a health clinic is caring for a client. Drag 1 condition and 1 client finding to fill in the following sentence. The client is at risk for developing....... due to....
Correct Answer: B,F
Rationale: Low platelet count (112,000/mm³) increases bleeding risk, a concern in HIV due to bone marrow suppression.
Extract:
Question 2 of 5
A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A surgical mask protects against droplet transmission of pertussis during close contact.
Extract:
Medical History
• Type 2 diabetes mellitus
• Hypertension, controlled by diuretic and ace-inhibitor therapy Osteoarthritis
Medication Administration Record
• Home medications:
• Metformin 1,000 mg PO BID
• Lisinopril 20 mg PO daily
• Celecoxib 100 mg PO BID
Diagnostic Results
Preoperative laboratory results: Basic Metabolic Profile (BMP):
• Glucose 190 mg/dL (74 to 106 mg/dL)
• BUN 16 mg/dL (10 to 20 mg/dL)
• Creatinine 0.8 mg/dL (0.5 to 1 mg/dL)
• Hemoglobin A1C 9.5% (Poor diabetic control: greater than 99%)
Current laboratory results:
Basic Metabolic Profile (BMP):
• Glucose 280 mg/dl (74 to 106 mg/dl)
• BUN 15 mg/dL (10 to 20 mg/dL)
• Creatinine 0.7 mg/dL (0.5 to 1 mg/dl)
Vital Signs
Preoperative:
• Temperature 36.4° C (97.6° F)
• Heart rate 82/min
• Respiratory rate 20/min
• Blood pressure 126/74 mm Hg
• Oxygen saturation 95% on room air
Current:
• Temperature 37 2 C (99° F)
• Heart rate 92/min
• Respiratory rate 22/min
• Blood pressure 136/85 mm Hg
• Oxygen saturation 98% on 2 L/min nasal cannula
Question 3 of 5
A nurse is caring for a client who is postoperative following a total knee arthroplasty. Complete the following sentence by using the lists of options. The client in a higher pick for..... as evidenced by the client's......
Correct Answer: A,F
Rationale: Elevated blood glucose (280 mg/dL) increases infection risk post-surgery, as hyperglycemia impairs wound healing and immune response.
Extract:
Question 4 of 5
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Informing the provider respects the client's autonomy and ensures the care plan is adjusted appropriately, promoting client-centered care.
Question 5 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line?
Correct Answer: A
Rationale: Flushing with saline after use maintains PICC patency and prevents occlusion.