ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Nurses' Notes
0900:
Client came to the ED 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. A nurse is caring for a client in the emergency department.
Question 1 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.
Correct Answer: C,D,E,F
Rationale: High blood glucose and dehydration in type 1 diabetes can lead to hypotension, arrhythmias, renal failure, and cerebral edema.
Extract:
History and Physical
History
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
Question 2 of 5
A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Chest tightness radiating to the arm suggests an acute coronary event, requiring catheterization, heparin, metoprolol, and NPO status.
Extract:
Question 3 of 5
A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?
Correct Answer: D
Rationale: Hot flashes occur due to decreased testosterone after bilateral orchiectomy.
Question 4 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Left-sided heart failure leads to pulmonary congestion, which can cause daytime oliguria due to decreased renal perfusion.
Question 5 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: C
Rationale: Acute gout is caused by elevated uric acid levels leading to crystal deposition in joints.