ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Physical Examination
Jaundice
Orange-brown colored urine
Positive hemoccult blood
Abdominal distention
Lethargy
1+ edema
Oriented x4
Tachydysrhythmia
Dyspnea with exertion
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission:
Question 1 of 5
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission: The nurse is assessing the client 24 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.
Correct Answer:
Rationale: Spontaneous bruising and hematemesis worsen cirrhosis; ascites is related; increased albumin improves; iron is unrelated.
Extract:
Question 2 of 5
A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?
Correct Answer: D
Rationale: Muscle twitching may indicate hypocalcemia due to parathyroid gland damage during thyroidectomy.
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 3 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 4 of 5
A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Limiting visitor time reduces radiation exposure during brachytherapy.
Extract:
History and Physical
History
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
Question 5 of 5
A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Chest tightness radiating to the arm suggests an acute coronary event, requiring catheterization, heparin, metoprolol, and NPO status.