ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Limiting visitor time reduces radiation exposure, a key safety measure for sealed implants.
Question 2 of 5
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?
Correct Answer: A
Rationale: Excessive thirst and high urine output suggest diabetes insipidus, treated with desmopressin to replace antidiuretic hormone.
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 3 of 5
A nurse is caring for a client in the emergency department. For each assessment finding, click to specify if the assessment finding is consistent with diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar state (HHS). Each finding may support more than 1 disease process.
Correct Answer: A,B,C,D
Rationale: Poor skin turgor, high glucose, and elevated creatinine are common in both DKA and HHS; ketones are specific to DKA.
Extract:
Question 4 of 5
A nurse is reviewing a client's ABG results and notes pH 7.3 (7.35 to 7.45), PaO2 81 mm Hg (80 to 100 mm Hg), PaCO2 50 mm Hg (35 to 45 mm Hg), and HCO3 26 mEq/L (21 to 28 mEq/L). Which of the following acid-base imbalances is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.3) and high PaCO2 (50 mm Hg) indicate respiratory acidosis, likely due to CO2 retention.
Question 5 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: B
Rationale: Laryngeal edema is a hallmark of anaphylaxis, indicating airway swelling that requires immediate intervention. Fever, hypertension, and arrhythmia are not typical anaphylactic responses.