ATI RN
ATI Advanced Med Surg Rn 46 Exam Questions
Extract:
Nurses Notes
1735:
Admitted for management of heart failure. Awake, alert, oriented x3. Skin warm and dry. Reports recent weight gain of 7 lb and increasing dyspnea on exertion. Lung sounds with rales in bilateral bases. Heart sounds regular. Bowel sounds normoactive in all 4 quadrants. 2+ pitting edema noted to bilateral lower extremities. Telemetry reveals normal sinus rhythm. Oxygen at 2 L/min per nasal cannula. Lab drawn for B-type natriuretic peptide (BNP).
1955:
Reports increasing shortness of breath. Lung sounds with rales throughout. Head of bed elevated to Fowler's position. Oxygen increased to 4 L/min per nasal cannula. Heart sounds diminished. 4+ pitting edema
Laboratory Results
1740:
BNP 360 pg/ml (less than 100 pg/mL)
2000:
BNP 900 pg/mL (less than 100 pg/mL)
A nurse is caring for a client who has heart failure.
Vital Signs
1735:
Temperature 37.1° C (98.8° F)
Heart rate 86/min
Respiratory rate 18/min
Blood pressure 126/88 mm Hg
Oxygen saturation 95%
1955:
Temperature 37° C (98.6° F)
Heart rate 118/min
A nurse is caring for a client who has heart failure.
Question 1 of 5
A nurse is caring for a client who has heart failure. For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.
Correct Answer: A,B,D,F
Rationale: Furosemide addresses fluid overload, echocardiogram assesses heart function, losartan manages chronic heart failure, and chest X-ray evaluates pulmonary congestion. Aspirin and cardiac catheterization are not essential for acute heart failure management.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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Rationale: