ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is caring for a client following an insertion of a chest tube drainage system for a pneumothorax. Which of the following manifestations should the nurse expect the client to demonstrate?

Correct Answer: A

Rationale: Gentle bubbling in the water seal chamber indicates the chest tube is functioning properly.

Question 2 of 5

A nurse is planning care for a client who has a cervical spine injury and has a halo traction device in place. Which of the following actions should the nurse plan to take?

A. Move the client up and down in bed by holding onto the halo traction device. B. Ensure that there is space for one finger to fit between the vest and the client's skin. C. Apply medicated powder under the vest to reduce itching. D. Loosen or tighten the screws on the device as needed for the client's comfort.

Correct Answer: B

Rationale: Space for one finger ensures the vest fits properly without excessive pressure.

Extract:

Diagnostic Results
1000:

Myoglobin 100 mcg/L (less than 90 mcg/L) Creatine kinase 180 units/L (55 to 170 units/L) Troponin T

0.40 ng/mL (less than 0.1 ng/mL) Troponin I 0.35 ng/mL (less than 0.03 ng/mL) Cholesterol 244 mg/dL (less than 200 mg/dL) Triglycerides 180 mg/dL (40 to 160 mg/dL) LDL cholesterol 148 mg/dL (less than

130 mg/dL) HDL cholesterol 42 mg/dL (greater than 45 mg/dL) C-reactive protein 2 mg/mL (less than 1.0 mg/mL) Blood glucose 103 mg/dL (74 to 106 mg/dL)

12-lead electrocardiogram: tachycardia with ST segment elevation and T wave changes Chest x-ray: lungs are clear in all lobes

Question 3 of 5

The nurse is reviewing the client's medical record. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

A. Metoprolol 15 mg IV bolus B. Oxygen at 2 L/min via nasal cannula C. Draw electrolytes along with Hgb and Hct D. Morphine 6 mg IV bolus every 3 hr as needed for pain E. Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses F. Obtain daily weight G. Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60

Correct Answer: A,B,C,D,E,F,G

Rationale: Metoprolol, oxygen, labs, morphine, nitroglycerin, and weight are anticipated; atropine is conditional based on heart rate.

Extract:

Question 4 of 5

A nurse is reviewing providers' prescriptions for four clients. Which of the following prescriptions should the nurse verify with the provider?

A. Apply mitten restraints to prevent the client from disconnecting their tube feeding. B. Apply a vest restraint daily at bedtime to prevent nighttime wandering. C. Apply an abduction pillow between the client's knees while they are in bed to prevent hip dislocation. D. Apply soft heel protectors bilaterally while client is in bed.

Correct Answer: B

Rationale: Vest restraints daily at bedtime require verification due to safety and legal implications.

Question 5 of 5

A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?

A. Decreased coagulation B. Proteinuria C. Hyperalbuminemia D. Decreased serum lipid levels

Correct Answer: B

Rationale: Proteinuria is a hallmark of nephrotic syndrome due to glomerular damage.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN