ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?
Correct Answer: D
Rationale: Dyspnea indicates decreased cardiac output due to pulmonary congestion in left-sided heart failure.
Question 2 of 5
A nurse working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?
Correct Answer: B
Rationale: Painless vaginal bleeding is a common early sign of cervical cancer.
Extract:
Diagnostic Results
1000:
Myoglobin 100 mcg/L (less than 90 mcg/L) Creatine kinase 180 units/L (55 to 170 units/L) Troponin T
0.40 ng/mL (less than 0.1 ng/mL) Troponin I 0.35 ng/mL (less than 0.03 ng/mL) Cholesterol 244 mg/dL (less than 200 mg/dL) Triglycerides 180 mg/dL (40 to 160 mg/dL) LDL cholesterol 148 mg/dL (less than
130 mg/dL) HDL cholesterol 42 mg/dL (greater than 45 mg/dL) C-reactive protein 2 mg/mL (less than 1.0 mg/mL) Blood glucose 103 mg/dL (74 to 106 mg/dL)
12-lead electrocardiogram: tachycardia with ST segment elevation and T wave changes Chest x-ray: lungs are clear in all lobes
Question 3 of 5
The nurse is reviewing the client's medical record. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
Correct Answer: A,B,C,D,E,F,G
Rationale: Metoprolol, oxygen, labs, morphine, nitroglycerin, and weight are anticipated; atropine is conditional based on heart rate.
Extract:
Physical Examination
Jaundice
Orange-brown colored urine
Positive hemoccult blood
Abdominal distention
Lethargy
1+ edema
Oriented x4
Tachydysrhythmia
Dyspnea with exertion
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission:
Question 4 of 5
A nurse is admitting a middle adult client who has cirrhosis. Findings upon admission: The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Options | Unrelated to diagnosis | Indication of Potential Improvement | Indication of Potential Worsening Condition |
|---|---|---|---|
| Spontaneous bruising | |||
| Ascites | |||
| Increased albumin level | |||
| Hematemesis | |||
| Elevated iron levels |
Correct Answer:
Rationale: Spontaneous bruising and hematemesis worsen cirrhosis; ascites is related; increased albumin improves; iron is unrelated.
Extract:
Question 5 of 5
A nurse is performing a fall risk assessment on a client. Which of the following findings indicates the client has an increased fall risk?
Correct Answer: B
Rationale: Urinary incontinence increases fall risk due to urgency and potential slips.