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.
Correct Answer:
Rationale: Specific answers not provided; D, E, F indicate worsening cirrhosis complications.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0900:
Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin.
Peripheral IV established and labs drawn.
Question 2 of 5
A nurse is caring for a client in the emergency department. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.
Correct Answer: A,D,E,F
Rationale: DKA can lead to hypotension, arrhythmias, renal failure, and cerebral edema due to dehydration and metabolic imbalances.
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:
Prepared by Purity
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 3 of 5
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 |
|---|---|---|---|
| Metoprolol 15 mg IV bolus | |||
| Oxygen at 2 L/min via nasal cannula | |||
| Draw electrolytes along with Hgb and Hct | |||
| Morphine 6 mg IV bolus every 3 hr as needed for pain | |||
| Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses | |||
| Obtain daily weight | |||
| Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60 |
Correct Answer: A, D, E likely anticipated for chest pain management.
Rationale:
Extract:
Question 4 of 5
A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 69
Rationale: Convert 190 lb to kg (86.18 kg), multiply by 0.8 g/kg = 68.94, round to 69 g.
Question 5 of 5
A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Padding side rails prevents injury during seizures; tongue blades are not recommended.