ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Medical history
Vital Signs
Physical Examination
Diagnostic Results
Hemochromatosis
Question 1 of 5
A nurse is admitting a middle adult client who has cirrhosis. 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.
| Findings 12 hr later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of condition |
|---|---|---|---|
| Elevated iron levels | |||
| Increased albumin level | |||
| Productive cough | |||
| Ascites | |||
| Hematemesis | |||
| Spontaneous bruising |
Correct Answer:
Rationale: Specific answers not provided; D, E, F indicate worsening cirrhosis complications.
Extract:
Question 2 of 5
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Fresh frozen plasma must be administered immediately after thawing to maintain efficacy.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
1000:
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 states, "I had scrambled eggs and bacon like I do every morning." Client is diaphoretic and short of breath. Heart rate irregular and tachycardic. Alert and oriented to person, place, and time. Lungs clear to auscultation in all lobes. Bowel sounds are present in all 4 quadrants. +1 pedal pulses. Skin is cool to touch. Capillary refill less than 2 seconds.
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: Chest pain with radiation suggests a cardiac event; BP, pain, ECG, and troponin are critical.
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 4 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:
Medical history
Vital Signs
Physical Examination
Diagnostic Results
Hemochromatosis
Question 5 of 5
A nurse is admitting a middle adult client who has cirrhosis. 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.
| Findings 12 hr later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of condition |
|---|---|---|---|
| Elevated iron levels | |||
| Increased albumin level | |||
| Productive cough | |||
| Ascites | |||
| Hematemesis | |||
| Spontaneous bruising |
Correct Answer:
Rationale: Specific answers not provided; D, E, F indicate worsening cirrhosis complications.