ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Keeping the leg straight prevents bleeding or hematoma at the femoral puncture site, a critical post-catheterization precaution.
Question 2 of 5
A nurse is caring for a client who has rheumatoid arthritis and reports stiffness in their hands. After reviewing the client's medical record, which of the following actions should the nurse take?
Correct Answer: C
Rationale: Paraffin treatment reduces stiffness and pain in rheumatoid arthritis, improving hand mobility.
Question 3 of 5
A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Gentle flossing helps maintain oral hygiene without aggravating mucositis, unlike hydrogen peroxide, which can irritate, or inadequate brushing time.
Extract:
Nurses' Notes
0900:
Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite.
Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin. Peripheral IV established and labs drawn.
Vital Signs
0900:
• Temperature 36.8° C (98.2° F)
• Pulse rate 110/min
• Respiratory rate 18/min
• Blood pressure 96/65 mm Hg
• Oxygen saturation 96% on room air
Laboratory Results
0915:
• Blood glucose 468 mg/dL (74 to 106 mg/dL)
• pH 7.30 (7.35 to 7.45)
• Potassium 5.5 mEq/L (3.5 to 5 mEq/L)
• Sodium 138 mEq/L (136 to 145 mEq/L)
• Chloride 101 mEq/L (98 to 106 mEq/L) BUN 21 mg/dL (10 to 20 mg/dL)
• Creatinine 1.7 mg/dL (0.5 to 1.1 mg/dL)
• Urine dipstick positive for ketones (negative)
Question 4 of 5
A nurse is caring for a client in the emergency department. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.
| Options | DKA | HHS |
|---|---|---|
| Hypotension | ||
| Respiratory alkalosis | ||
| Septic shock | ||
| Cardiac arrhythmias | ||
| Renal failure | ||
| Cerebral edema |
Correct Answer: A,D,E,F
Rationale: Hypotension, arrhythmias (from hyperkalemia), renal failure (from dehydration), and cerebral edema are DKA risks.
Extract:
Question 5 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: D
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, indicating long-term control.