ATI RN
ATI Med Surg 2 Respiratory exam Questions
Extract:
History and Physical
The client was brought to the ED by a family member due to mental status changes. The family member reports that they visit the client every other day, and today the client did not initially recognize them until several minutes into the conversation. The client has diabetes mellitus and takes insulin daily. A wound is noted on the right foot.
Vital Signs
• Temperature: 38.5° C (101.3° F)
• Pulse: 110/min
• Blood pressure: 98/60 mm Hg
• Respiratory rate: 26/min
• Oxygen saturation: 93% on 2 L nasal cannula
Nurses Notes
The client, who was brought to the ED by a family member, exhibited mental status changes today, not recognizing the family member at first. The client has diabetes mellitus and takes insulin daily. They have a wound on the right foot. Initial vital signs upon admission showed a temperature of 38.5° C (101.3° F), pulse of 110/min, blood pressure of 98/60 mm Hg, respiratory rate of 26/min, and oxygen saturation of 93% on 2 L nasal cannula. Arterial blood gases were drawn and sent to the lab.
Diagnostic Results
• RBC Count: 5.0 million cells/mcL (Male: 4.7 to 6.1 million cells/mcL)
• WBC Count: 9,500/mm³ (5,000 to 10,000/mm³)
• Platelets: 57,000/mm³ (150,000 to 400,000/mm³)
• Hemoglobin: 15 g/dL (Male: 14 to 18 g/dL)
• Hematocrit: 45% (Male: 42% to 52%)
• Glucose: 186 mg/dL (74 to 106 mg/dL)
Question 1 of 5
A nurse is caring for a 73-year-old male client in the emergency department (ED). It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.
Correct Answer: A,B,D,E
Rationale: Obtaining wound and blood cultures identifies the infection source. Administering saline and antibiotics addresses hemodynamic instability and infection promptly.
Extract:
Question 2 of 5
A nurse is caring for a client who has pleural effusion and has undergone thoracentesis. The nurse should identify which of the following findings as indicative of an infection?
Correct Answer: D
Rationale: Purulent fluid is indicative of an infection as it contains pus, which is a collection of dead white blood cells, bacteria, and tissue debris.
Question 3 of 5
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Obtaining an influenza vaccine annually is crucial for individuals with type 1 diabetes to reduce the risk of infections that can exacerbate their condition.
Extract:
History and Physical
The client was brought to the ED by a family member due to mental status changes. The family member reports that they visit the client every other day, and today the client did not initially recognize them until several minutes into the conversation. The client has diabetes mellitus and takes insulin daily. A wound is noted on the right foot.
Vital Signs
• Temperature: 38.5° C (101.3° F)
• Pulse: 110/min
• Blood pressure: 98/60 mm Hg
• Respiratory rate: 26/min
• Oxygen saturation: 93% on 2 L nasal cannula
Nurses Notes
The client, who was brought to the ED by a family member, exhibited mental status changes today, not recognizing the family member at first. The client has diabetes mellitus and takes insulin daily. They have a wound on the right foot. Initial vital signs upon admission showed a temperature of 38.5° C (101.3° F), pulse of 110/min, blood pressure of 98/60 mm Hg, respiratory rate of 26/min, and oxygen saturation of 93% on 2 L nasal cannula. Arterial blood gases were drawn and sent to the lab.
Diagnostic Results
• RBC Count: 5.0 million cells/mcL (Male: 4.7 to 6.1 million cells/mcL)
• WBC Count: 9,500/mm³ (5,000 to 10,000/mm³)
• Platelets: 57,000/mm³ (150,000 to 400,000/mm³)
• Hemoglobin: 15 g/dL (Male: 14 to 18 g/dL)
• Hematocrit: 45% (Male: 42% to 52%)
• Glucose: 186 mg/dL (74 to 106 mg/dL)
Question 4 of 5
A nurse is caring for a 73-year-old male client in the emergency department (ED). It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.
Correct Answer: A,B,D,E
Rationale: Obtaining wound and blood cultures identifies the infection source. Administering saline and antibiotics addresses hemodynamic instability and infection promptly.
Extract:
Question 5 of 5
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Agitation is a common manifestation of hypoxemia due to insufficient oxygen reaching the brain and other vital organs.