ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
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. Complete the following sentence by using the lists of options. The nurse should first address the client's…... followed by the client's…….
Correct Answer: B,D
Rationale: Pain level is the priority, followed by ECG to assess for cardiac ischemia.
Extract:
Question 2 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.
Extract:
History and Physical
Nurses' Notes
Vital Signs
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 3 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.
Correct Answer: A, C, G
Rationale: The choices indicate a cardiac issue; symptoms suggest acute coronary syndrome.
Extract:
Vital Signs
Diagnostic Results
Physical Examination
Medical History
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O2 at 3 L/min via nasal cannula
Question 4 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Findings 12 hr later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of condition |
|---|---|---|---|
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Disoriented to person, place, and time | |||
| Blood pressure 100/50 mm Hg | |||
| Hct 45% | |||
| Pink-tinged urine | |||
| Butterfly rash |
Correct Answer:
Rationale: Specific answers not provided; A likely indicates improvement, B and C suggest worsening.
Extract:
Question 5 of 5
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?
Correct Answer: C
Rationale: Decreased blood pressure indicates dehydration due to fluid loss.