ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
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. 1400:
Client admitted to the medical-surgical unit at 1200 today. Alert and orientated x4, heart and lung sounds clear. Client urinating 100 mL/hour. Client is tolerating soft diet and oral fluids. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 2+, Blood glucose 310 mg/dl. (74 to 106 mg/dL)
1400:
Temperature 36.8° C (98.2° F) Pulse rate 84/min
Respiratory rate 16/min
Blood pressure 106/76 mm Hg
Question 1 of 5
A nurse is caring for a client in the emergency department. Select the findings that indicate that the client's condition is improving.
Correct Answer: A, B, C, E, G
Rationale: The choices indicate improvement; F shows persistent hyperglycemia.
Extract:
Question 2 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: An elastic bandage reduces edema and shapes the residual limb for prosthetic fitting.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 3 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Complete the following sentence by using the lists of options. The nurse should first address the client's…... followed by the client's…….
Correct Answer: B,D
Rationale: Pain level is the priority, followed by ECG to assess for cardiac ischemia.
Extract:
History and Physical
Nurses' Notes
Vital Signs
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
History:
Prepared by Purity
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 4 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Potential Prescription | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Metoprolol 15 mg IV bolus | |||
| Oxygen at 2 L/min via nasal cannula | |||
| Draw electrolytes along with Hgb and Hct | |||
| Morphine 6 mg IV bolus every 3 hr as needed for pain | |||
| Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses | |||
| Obtain daily weight | |||
| Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60 |
Correct Answer: A, D, E likely anticipated for chest pain management.
Rationale:
Extract:
Question 5 of 5
A nurse is assessing a client who is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessment should be the nurse's priority?
Correct Answer: D
Rationale: Neurovascular assessment is critical post-ORIF to detect complications like compartment syndrome.