ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: Movement of the trachea toward the unaffected side can indicate tension pneumothorax or other significant issues requiring immediate intervention.
Question 2 of 5
A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack?
Correct Answer: B
Rationale: Alcohol, especially beer and spirits, can trigger gout attacks by increasing the level of uric acid in the blood. Alcohol consumption should be limited or avoided to reduce the risk of gout flare-ups.
Question 3 of 5
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).
Correct Answer: B,D,E
Rationale: Bone pain is common in ESRD due to disturbances in calcium and phosphate metabolism, leading to renal osteodystrophy. Slurred speech is a typical finding in ESRD. Pruritus is a common symptom in ESRD due to the buildup of uremic toxins and alterations in calcium and phosphate metabolism.
Extract:
Nurses' Notes
1000:
Client presents with reports of shortness of breath, dizziness, and "feelings of pressure" in jaw, neck, and left arm. Was mowing the lawn when feelings of discomfort began.
Denies chest pain, nausea, palpitations.
Provider updated, prescriptions received.
1010:
Nitroglycerin sublingual tablet administered x 3, 5 min apart. Updated provider on diagnostic results. Prescriptions received.
1025:
Client states relief from discomfort, no further shortness of breath, dizziness, or feelings of pressure, continues to deny chest pain.
Provider updated, prescriptions received.
Vital signs
Temperature 36.4°C (97.6°F)
Heart rate 112/min
Respiratory rate 28/min
Blood pressure 146/74 mm Hg
SaO2 93% on room air
1015:
Temperature 36.4°C (97.6°F)
Heart rate 92/min
Respiratory rate 24/min
Blood pressure 126/64 mm Hg
SaO, 96% on oxygen @ 2L/min via nasal cannula
Provider Prescriptions
1005:
12 Lead EKG
Serum cardiac enzymes
Nitroglycerin 0.3 mg sublingual now, may repeat every 5 min for 2 additional doses
Diagnostic Results
1010:
12 Lead EKG:
ST depression and T-wave inversion
Question 4 of 5
For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.
| Options | Angina | Myocardial infarction |
|---|---|---|
| Provider consult | ||
| Client's initial report of manifestations | ||
| Treadmill stress test | ||
| Result of nitroglycerin therapy | ||
| 12 Lead EKG report |
Correct Answer: B,D,E
Rationale: Client's initial manifestations, nitroglycerin relief, and EKG changes are consistent with both angina and MI, though MI requires further confirmation.
Extract:
Question 5 of 5
A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure?
Correct Answer: C
Rationale: High-Fowler's position helps pool the ascitic fluid in the lower abdomen, making it easier to access and drain during the procedure.