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.
| Options | Unrelated to diagnosis | Indication of Potential Improvement | Indication of Potential Worsening Condition |
|---|---|---|---|
| Spontaneous bruising | |||
| Ascites | |||
| Increased albumin level | |||
| Hematemesis | |||
| Elevated iron levels |
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 teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A calendar aids orientation in Alzheimer's disease.
Extract:
Findings upon admission:
Vital Signs
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O, at 3 L/min via nasal cannula
Question 3 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.
| Options | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening condition |
|---|---|---|---|
| Disoriented to person, place, and time | |||
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Hct 45% | |||
| Butterfly rash | |||
| Blood pressure 100/50 mm Hg |
Correct Answer:
Rationale: Disorientation and low BP worsen UTI; improved O2 is a sign of improvement; Hct is normal; rash is unrelated.
Extract:
Question 4 of 5
A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?
Correct Answer: D
Rationale: Egg allergies are linked to potential propofol reactions due to its egg-based emulsion.
Question 5 of 5
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Intermittent irrigation relieves bladder spasms by clearing clots or obstructions.