ATI RN Adult Medical Surgical 2023 V | Nurselytic

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ATI RN Adult Medical Surgical 2023 V Questions

Extract:


Question 1 of 5

A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?

Correct Answer: D

Rationale: Low blood pressure (90/50 mm Hg) indicates persistent shock, necessitating an increased dopamine dose to improve perfusion.

Question 2 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.

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:

Medical History
• Dehydration
• Hyperlipidemia
• Hypertension
• Coronary artery disease (CAD)

Diagnostic Results

• WBC count 14,000/mm3 (5,000 to 10,000/mm3)
• Hgb 14 g/dL (12 to 16 g/dL)
• Hct 40% (34 to 47%)
• Sodium 132 mEq/L (136 to 146 mEq/L)
• Potassium 6.2 mEq/L (3.5 to 5 mEq/L)
• Calcium 10 mg/dL (9 to 10.5 mg/dL)
• BUN 20 mg/dL (10 to 20 mg/dL)
• Albumin 2.8 g/dL (3.5 to 5 g/dL)
• Fasting blood glucose 140 mg/dL (74 to 106 mg/dL)
• Triglycerides 134 mg/dL (34 to 160 mg/dL)

Nurses' Notes
Client is lying in bed. Awake, alert, and oriented to time, place, and person. Client is febrile and reports weakness. Receiving TPN via central line in left antecubital. Client is NPO and has had diarrhea x3 in past 4 hr. Crackles auscultated in posterior lobes. Client has a productive cough and sputum is yellow in color. Client receiving 2 U/min oxygen via nasal cannula with an oxygen saturation of 90%. Abdomen is distended and tender. Active range of motion to all extremities. Denies pain at this time.


Question 4 of 5

A nurse is caring for a client who is receiving TPN. Which of the following actions should the nurse take? For each potential nursing intervention, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client.

Options Anticipated Nonessential Contraindicated
Notify provider to increase TPN rate/hr.
Decrease the client's oxygen to 1.5 L/min oxygen via nasal cannula.
Obtain client weight twice daily.
Request a prescription for insulin.
Request an antibiotic to be administered.
Have 3 nurses verify the TPN solution prescription.

Correct Answer: C,D,E

Rationale: Weight monitoring tracks fluid balance, insulin addresses hyperglycemia, and antibiotics treat suspected infection (fever, elevated WB
C).

Extract:


Question 5 of 5

A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A low pressure alarm suggests a cuff leak, allowing air to escape, requiring immediate evaluation.

Similar Questions

A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?
A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
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.
A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?
A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?

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