ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Administering oxygen therapy is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.
Extract:
Nurses Notes
The client reports nausea, vomiting, diarrhea, and weakness over the past 4 days. Skin warm, dry, and scaly. Skin turgor poor. Dark circles noted under eyes. Oral mucosa dry with thick, white coating on tongue. Alert and oriented at present but states has "been foggy last couple of days and vision has been blurry." Heart sounds distant with frequent early beat. Lungs clear to auscultation. No peripheral edema noted. Abdomen soft and flat with hypoactive bowel sounds. Generalized abdominal tenderness with palpation. Voids small amount dark yellow odorous urine. History of congestive heart failure, recurrent UTIs, and benign prostate hypertrophy.
Current medications
Furosemide 20 mg PO daily
Digoxin 0.125 mg PO daily
Finasteride 5 mg PO daily
Diagnostic Results
Electrolytes
Sodium: 136 mEq/L (136 to 145 mEq/L)
Potassium: 3.1 mEq/L (3.5 to 5 mEq/L)
Chloride: 110 mEq/L (98 to 106 mEq/L) Magnesium: 1.2 mEq/L (1.3 to 2.1 mEq/L) Digoxin 3 ng/L (0.5 to 2 ng/L)
Vital Signs
Temperature: 38° C (100.4° F)
Pulse rate: 54/min
Respiratory rate: 22/min
BP: 102/64 mm Hg
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A,B,D,E
Rationale: The client's symptoms and high digoxin level indicate digoxin toxicity. Cardiac monitoring, checking for icterus, and monitoring fever and electrolytes are critical actions and parameters.
Extract:
Question 3 of 5
A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Performing neurovascular checks with vital signs is essential to monitor for complications such as bleeding, hematoma, or compromised circulation to the extremity.
Question 4 of 5
A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: If the ET tube has moved into the right main bronchus, it will cause more air to enter the right lung and less to the left, leading to decreased left-sided chest wall expansion.
Question 5 of 5
A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: An epidural hematoma often presents with a brief period of lucidity followed by a rapid decline in consciousness due to arterial bleeding.