ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: Respiratory status is critical post-anesthesia to ensure airway patency and adequate oxygenation.
Question 2 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin relieves angina pain by dilating coronary arteries, improving blood flow, and is the priority to address acute symptoms.
Question 3 of 5
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?
Correct Answer: C
Rationale: Atropine treats symptomatic bradycardia, addressing the low heart rate and associated symptoms like dizziness and shortness of breath.
Question 4 of 5
A nurse is obtaining a blood sample from a client's central venous access device. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Cleaning with povidone-iodine prevents infection when accessing a central venous device.
Extract:
Nurses' Notes
0900:
Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite.
Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin. Peripheral IV established and labs drawn.
Vital Signs
0900:
• Temperature 36.8° C (98.2° F)
• Pulse rate 110/min
• Respiratory rate 18/min
• Blood pressure 96/65 mm Hg
• Oxygen saturation 96% on room air
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 5 of 5
A nurse is caring for a client in the emergency department. Complete the following sentence by using the lists of options. The nurse should administer a total of...... sodium chloride in the first hour, and then........ subsequent hour.
Correct Answer: A,E
Rationale: For 88 kg client, 15 mL/kg/hr = 1320 mL first hour, then 10 mL/kg/hr = 880 mL subsequent hours.