ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with rheumatoid arthritis (RA). The nurse is assessing the client to determine the effectiveness of the current treatment regimen. Which finding would be the best indicator that the client's RA management is effective?
Correct Answer: D
Rationale: No progression of joint erosion on radiographic images directly indicates that the treatment is preventing further joint damage, a primary goal in RA management.
Extract:
Nurses' Notes
1500:
Client presents to the ED and reports dyspnea, chest pain, and tachycardia. Client returned home from a vacation out of the country 24 hr ago.
1515:
The client has become diaphoretic, increasingly dyspneic, and states that their chest pain is sharp and increasing. The client states. "I feel like I'm going to die." Crackles auscultated in bilateral lower lobes, s3 and S4 heart sounds noted. Petechiae noted on the client's chest. Pulmonary embolism protocol initiated.
Vital signs
1500
T 38.1 (100.6 F),
HR 110/min, RR 24/min.
BP 138/52 (02)92% at 2L nasal canula 1515:
T 100.6 F,
HR 135/min, RR 32/min,
BP 120/50 mmHg,
02 90% at 4L nasal canula
Question 2 of 5
A nurse is caring for a client in the emergency department (ED). The nurse should first followed by
Correct Answer: A, E
Rationale: High Fowler's position improves breathing, and IV access prepares for medication administration in suspected pulmonary embolism.
Extract:
Question 3 of 5
The nurses in the emergency department have presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need, to implement the suggestion?
Correct Answer: C
Rationale: Initiative is required to proactively implement new processes and drive improvement.
Question 4 of 5
A nurse is caring for a client following a left lobectomy for lung cancer. The nurse should prioritize which of the following interventions to prevent atelectasis?
Correct Answer: B
Rationale: Incentive spirometry promotes deep breathing and lung expansion, preventing atelectasis post-lobectomy.
Extract:
Diagnostic Result
HbA1C 6.2% (less than 7%)
Blood glucose 102 mg/dL (82 to 115 mg/dL)
Hemoglobin 14.2 g/dL (14.2 to 18 g/dL)
Hematocrit 42.6% (42% to 52%)
Total WBC count 6,000/mm3 (5,000 to 10,000/mm3)
HDL 35 mg/dL (greater than 45 mg/dL)
LDL 142 mg/dL (less than 130 mg/dL)
Brain natriuretic peptide (BNP) 352 pg/mL (less than 100 pg/mL)
Chest x-ray: Shows cardiomegaly and bibasilar pleural congestion.
Medication Administration Record
Metformin 850 mg PO q am
Digoxin 0.25 mg PO q am
Carvedilol 25 mg PO bid
Furosemide 40 mg IV bolus once now
Vital Signs
BP 146/98 mm Hg
Temperature 36.8º C (98.2º F)
Pulse rate 106/min
Respirations 24/min
O2 saturation 94% on 2 L/min nasal cannula
Question 5 of 5
A nurse is preparing to care for an 84-year-old male client who is being admitted to a medical unit from a provider's office. The nurse reviews the client's medical records to prepare the client's plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Elevated BNP, cardiomegaly, and pleural congestion indicate heart failure. Elevating the bed and a low-sodium diet manage symptoms, while monitoring urinary output and blood pressure assesses treatment efficacy.