ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
1000:
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 states, "I had scrambled eggs and bacon like I do every morning." Client is diaphoretic and short of breath. Heart rate irregular and tachycardic. Alert and oriented to person, place, and time. Lungs clear to auscultation in all lobes. Bowel sounds are present in all 4 quadrants. +1 pedal pulses. Skin is cool to touch. Capillary refill less than 2 seconds.
Question 1 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.
Correct Answer: C,D,E,G
Rationale: Chest pain with radiation suggests a cardiac event; BP, pain, ECG, and troponin are critical.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
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.
Question 2 of 5
A nurse is caring for a client in the emergency department. For each assessment finding, click to specify if the assessment finding is consistent with diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar state (HHS). Each finding may support more than 1 disease process.
Correct Answer:
Rationale: Specific answers not provided; B is specific to DKA, D applies to both DKA and HHS.
Extract:
Question 3 of 5
A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A social worker can assist with financial resources for medications.
Question 4 of 5
A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?
Correct Answer: C
Rationale: Bilateral orchiectomy reduces testosterone, leading to hot flashes similar to menopause.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Daily weight, glucose monitoring, and verification ensure safe TPN administration.