ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
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 1 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 2 of 5
A nurse is teaching a client diagnosed with gout about the new prescription for colchicine. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Colchicine can cause myotoxicity, and monitoring for muscle pain is essential to detect this adverse effect.
Question 3 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.
Question 4 of 5
A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Correct Answer: C
Rationale: OSA increases sympathetic activity through repeated apnea episodes, contributing to elevated blood pressure.
Question 5 of 5
A nurse is caring for a client who has developed Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) from cancer. Which of the following nursing interventions should be included in the client's plan of care? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Low sodium diet, electrolyte monitoring, daily weights, and thirst management address SIADH's water retention and hyponatremia. Increasing IV fluids would worsen the condition.