ATI RN Adult Medical Surgical 2023

Extract:

History and Physical
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.

History:

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.

Question 1 of 5

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

Options	Anticipated	Nonessential	Contraindicated
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 is diaphoretic and short of breath.
Heart rate is irregular and tachycardic.
Lungs clear to auscultation in all lobes.
Skin is cool to touch.

Correct Answer: A,B,C,D,E,G

Rationale: These findings suggest an acute cardiac event requiring immediate attention.

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 2 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.

A. Blood glucose level B. Bowel sounds C. Blood pressure D. Pain level E. Electrocardiogram findings F. Lung sounds G. Troponin T level

Correct Answer: C,D,E,G

Rationale: Elevated BP, pain, ECG changes, and troponin levels indicate a potential myocardial infarction.

Extract:

Question 3 of 5

A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Your Answer:

Correct Answer: 69

Rationale: Convert 190 lb to kg (86.18 kg), multiply by 0.8 g/kg = 68.94, rounded to 69 g.

Question 4 of 5

A nurse is preparing to administer fresh frozen plasma to a client. Which of the following is correct?

A. Administer the transfusion through a 25-gauge saline lock. B. Transfuse the plasma over 4 hr. C. Hold the transfusion if the client is actively bleeding. D. Administer the plasma immediately after thawing.

Correct Answer: D

Rationale: Plasma must be administered immediately after thawing to maintain efficacy.

Question 5 of 5

A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?

A. Use moisturizing lotion while massaging the client's bony prominences. B. Instruct the client to sit on a rubber ring when seated in a chair. C. Place pillows between the client's knees when in a side-lying position. D. Raise the head of the client's bed to a 90° angle.

Correct Answer: C

Rationale: Pillows between the knees prevent adduction and pressure ulcers in hemiplegia.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN