ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Nurse’s Notes (0700hrs)
Diagnostic Results
Vital Signs
Laboratory Results
Intake and Output
The client is alert and oriented to person, place, and time.
The client reports mild discomfort in the abdominal area.
The client’s skin is warm and dry to touch.
The client’s surgical wound appears clean with no signs of infection.
The client’s bowel sounds are present in all four quadrants.
The client’s peripheral pulses are palpable and equal bilaterally.
The client’s respiratory effort appears unlabored.
Question 1 of 5
A nurse is assisting in the care of a 68-year-old male client in the postoperative unit. The client underwent a major abdominal surgery. The nurse should anticipate a provider prescription for a certain medication. Please drag words from the choices below to fill in each blank in the following sentence: The nurse should anticipate a provider prescription for......... and.......
Correct Answer: C,G
Rationale: Postoperative stability (clean wound, normal bowel sounds) suggests fluid maintenance with 0.9% sodium chloride is appropriate, with no immediate need for other medications based on findings.
Extract:
Medical History (0700hrs)
Nurse’s Notes (Postoperative Day 1, 0900hrs)
Nurse’s Notes (Postoperative Day 1, 2345hrs)
The client has a history of hypertension and type 2 diabetes. He is a non-smoker and does not consume alcohol. He has no known allergies. His medications include Metformin and Lisinopril.
A 45-year-old male client was admitted to the hospital following the surgical removal of an abdominal abscess.
Question 2 of 5
Complete the following sentence by using the lists of options. The client is at highest risk for developing hypovolemic shock as evidenced by the client’s……..and………
Correct Answer: D,E
Rationale: Post-surgical risk of bleeding or fluid loss increases hypovolemic shock risk, evidenced by low blood pressure and tachycardia, common indicators.
Extract:
Vital Signs
Nurses’ Notes
Diagnostic Results
Provider’s Prescriptions
Postoperative day 1, 0600:
Temperature: 36.4 C (97.5 F)
Heart rate: 84/min
Respiratory rate: 18/min
Blood pressure: 106/74 mm Hg
Oxygen saturation: 97% on room air
2330:
Temperature: 36.3 C(97.3 F)
Heart rate: 104/min
Respiratory rate: 24/min
Blood pressure: 88/54 mm Hg
Oxygen saturation: 96% on room air
The nurse is continuing to assist in the care of the client.
Question 3 of 5
For each data collection finding, specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than one disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Respiratory effort | ||
| Heart rate | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer: B,D
Rationale: Tachycardia (heart rate 104/min) and hypotension (88/54 mm Hg) on day 1 at 2330 are consistent with hypovolemic shock due to fluid loss post-surgery.
Extract:
Provider’s Prescriptions
Laboratory Results
A nurse is caring for a client who has a new prescription for cefazolin. The client is also taking the following medications:
Lisinopril 20 mg PO daily
Furosemide 40 mg PO twice daily
Allopurinol 200 mg PO three times daily
Question 4 of 5
Which of the following findings should the nurse identify as a contraindication to the administration of cefazolin? Select all that apply
Correct Answer: B,E
Rationale: Allergy history is a contraindication to cefazolin (a cephalosporin) due to potential anaphylaxis. Furosemide may interact, increasing nephrotoxicity risk.
Extract:
Question 5 of 5
Which of the following observations should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Facial edema post-bronchoscopy suggests an allergic reaction or complication, requiring immediate reporting.