ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Vital Signs
1000
Temperature 37.1° C (98.8° F)
Heart rate 110/min and irregular Respiratory rate 24/min Blood pressure 164/80 mm Hg
Oxygen saturation 93% on room air
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: Elevated BP, pain, ECG changes, and troponin levels indicate a potential myocardial infarction.
Extract:
Question 2 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: C
Rationale: Acute gout is caused by elevated uric acid levels leading to crystal deposition in joints.
Question 3 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Stopping the infusion is the first action to prevent further reaction in a suspected transfusion reaction.
Question 4 of 5
A nurse is caring for a client who has a new onset of hyperglycemic hyperosmolar state (HHS). Which of the following interventions by the nurse is the highest priority?
Correct Answer: A
Rationale: IV fluid replacement is the highest priority in HHS to correct severe dehydration and restore hemodynamic stability.
Question 5 of 5
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
Correct Answer: A
Rationale: Pancreatitis can cause referred pain to the left shoulder due to diaphragmatic irritation.