ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Nurses' Notes
Client admitted to medical-surgical floor from the emergency department (ED). Client has a history of HIV, first diagnosed 15 years ago, that has recently progressed to AIDS. Client presents with headache, diarrhea, night sweats, and weight loss for approximately 1 week.
Vital signs
Day 1:
Temperature: 37.3° C (99.1° F) Heart rate: 98/min
Respiratory rate: 16/min BP: 104/74 mm Hg
Oxygen saturation: 96% on room air Day 2:
Temperature 38.4 C (101.1 F) Heart rate 100/min Respiratory rate 18/min
BP 98/54 mm Hg
Oxygen saturation 95% on room air
A nurse is caring for a client who has AIDS.
Diagnostic Results
Day 1:
WBC count 3.500/mm3 (5,000-10,000 mm3)
Hemoglobin 16 g/dL (12 to 18 g/dL)
Hematocrit 48% (37% to 52%)
Potassium 3.7 mEq/L (3.5 to 5 mEq/L)
Sodium 141 mEq/L (136 to 145 mEq/L)
CD4 t-cell count 200 mm3 (800 to 1,000 mm3)
Day 2
WBC count 3,100/mm3 (5,000 to 10,000 mm3)
Hemoglobin 17 g/dL (12 to 18 g/dL)
Hematocrit 51% (37% to 52%)
Potassium 3.9 mEq/L (3.5 to 5 mEq/L)
Question 1 of 5
A nurse is caring for a client who has AIDS. The client is at highest risk for developing due to their
Correct Answer: B, D
Rationale: A CD4 T-cell count below 200/mm3 increases the risk of opportunistic infections like Pneumocystis pneumonia.
Extract:
Question 2 of 5
A nurse is preparing a lecture about cancer prevention strategies for clients seeking to engage in health promotion. The nurse should include which of the following risk factors for the development of laryngeal cancer? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Chewing tobacco, secondhand smoke, and occupational chemical exposure (e.g., painting) are risk factors for laryngeal cancer.
Question 3 of 5
A nurse is caring for a client who is receiving hospice care in the home. The family asks, 'how will we know when death is near?' The nurse should inform the family that which of the following signs indicates that death is approaching? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Confusion, increased fatigue and sleep, and excess throat secretions with decreased swallow reflex are common signs of approaching death.
Question 4 of 5
A nurse is caring for a client diagnosed with HIV and receiving antiretroviral therapy. The nurse should assess for which potential adverse effects of long-term antiretroviral therapy?
Correct Answer: A
Rationale: GI intolerance and neutropenia are common adverse effects of long-term antiretroviral therapy.
Question 5 of 5
The nurses in the emergency department have presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need, to implement the suggestion?
Correct Answer: C
Rationale: Initiative is required to proactively implement new processes and drive improvement.