ATI RN
ATI RN Adult Med-Surg 2023 Questions
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 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.
Correct Answer: A, C, G
Rationale: The choices indicate a cardiac issue; symptoms suggest acute coronary syndrome.
Extract:
A nurse is caring for a client.
Medical History
Nurses' Notes
Vital Signs
Cerebrovascular accident 2 years ago
Coronary artery disease
Hypertension
Hyperlipidemia
Question 2 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Potential Prescription | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Encourage the client to cough. | |||
| Keep the client's head in a midline position. | |||
| Elevate the head of the bed. | |||
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Decrease oxygen to 1.5 L/min via nasal cannula. |
Correct Answer:
Rationale: Specific answers not provided; anticipated actions likely include B and C due to history of cerebrovascular accident.
Extract:
Question 3 of 5
A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interacts with this medication?
Correct Answer: C
Rationale: Kale, rich in vitamin K, can decrease warfarin's anticoagulant effect.
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 working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?
Correct Answer: D
Rationale: Painless vaginal bleeding is a common early sign of cervical cancer.