ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: C
Rationale: CD4-T-cell count is crucial for monitoring HIV progression and immune function. A low count indicates immunosuppression and increased risk of opportunistic infections.
Question 2 of 5
The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.
Correct Answer: A,B,C,D,E,F,G
Rationale: A complete blood count is commonly ordered to assess overall health and detect conditions like anemia or infection. Electrolytes are checked to evaluate fluid and electrolyte balance. BUN and creatinine are used to assess kidney function. Coagulation studies are important to evaluate bleeding risk. Blood cultures may be ordered if infection is suspected. Blood glucose is relevant for metabolic assessment.
Question 3 of 5
A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?
Correct Answer: D
Rationale: Performing the final check at the client's bedside before administration ensures the correct medication is given to the correct client, preventing medication errors.
Extract:
Nurses Notes
Hospital Day 1
1700:
Client admitted to the medical surgical unit for reports of right leg swelling and pain. Area of redness and swelling noted to right thigh with small white pustule in center. Area is warm and tender to touch. Area marked with an indelible marker. Morphine and first dose of cefuroxime administered in the emergency department. Client resting comfortably.
0800:
Client alert and oriented to person, place, and time. Reports right leg pain interrupted sleeping: rates pain as 8on 0 to 10 scale. Lungs clear bilaterally, respirations unlabored. Heart rhythm regular. Abdomen soft and non-distended, bowel sounds present all 4 quadrants.
Vital Signs
0800:
Temperature 37.1 °C (98.8 °F)
Heart rate 48/min
Respiratory rate 14/min
Blood pressure 122/84 mm Hg
0815:
Heart rate 42/min
Respiratory rate 10/min
Blood pressure 108/62 mm Hg
Medication Administration Record
Provider Prescriptions
Admission: Cefuroxime 250 mg po q12h (0800, 1600)
Lovastatin 20 mg po qd with dinner (1800)
Pantoprazole 40 mg po qd (0800)
Morphine 30 mg po q4h prn for pain
Propranolol 40 mg po bid, hold for apical pulse < 50/min (0800, 1600)
Question 4 of 5
The nurse reviews the medication administration record following the 0815 assessment findings. Which of the following administered medications would require an incident report?
Correct Answer: A
Rationale: Propranolol is a beta-blocker used to control blood pressure and heart rate. However, the nurse has a hold order for propranolol if the apical pulse (heart rate) is less than 50 beats per minute. The nurse documented a heart rate of 42 bpm at 0815, which falls below the hold parameter for propranolol. Administering propranolol in this case could worsen the client's bradycardia (slow heart rate) and therefore requires an incident report.
Extract:
Question 5 of 5
A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?
Correct Answer: C
Rationale: Aspartate aminotransferase (AST) is a liver enzyme that can be elevated in alcohol-induced liver damage and acetaminophen toxicity.