ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has shortness of breath and a chronic cough. The client has smoked one pack of cigarettes per day for the last 20 years. Which finding on the client's chest x-ray would be consistent with a diagnosis of advanced COPD?
Correct Answer: B
Rationale: Hyperinflation is a hallmark of advanced COPD due to air trapping.
Question 2 of 5
A client with a history of hypertension is prescribed spironolactone. The nurse should instruct the client to avoid which of the following foods?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic; bananas are high in potassium, which can lead to hyperkalemia.
Question 3 of 5
The nurse is providing care for a geriatric patient with loss of hearing acuity over the past several years. Which statement by the nurse is most accurate?
Correct Answer: A
Rationale: Age-related hearing loss, also known as presbycusis, is a common condition among older adults. It typically involves a gradual decline in hearing ability due to changes in the inner ear or auditory nerve as people age.
Question 4 of 5
A nurse in a clinic is reviewing the home medications of client who has a history of asthma, and who is at the clinic to have a routine annual physical. Which statement made by the patient would indicate a need for further action by the nurse?
Correct Answer: D
Rationale: Beta-blockers like metoprolol can worsen asthma symptoms in some patients. The nurse should discuss this with the patient's doctor to determine if the benefits of metoprolol outweigh the risks for this individual.
Extract:
Medical History
Caesarean sections in 2005 & 2008.
Hypertension. Takes amlodipine 5 mg PO daily.
Obesity
Transfuse 1 unit of packed red blood cells.
Allergies: Morphine
Nurse's Notes
1200:
Client presents to the emergency department with complaints of abdominal pain rated 9/10 with nausea. Pain is localized to the right upper quadrant, radiates to right shoulder. Client reports vomiting yesterday. Abdomen soft, non-distended, tender to palpation in RUQ with guarding. Client is alert and oriented to person, place, time, and situation. 2+ peripheral pulses in all extremities. Lungs clear to auscultation. Urine sample sent to lab, awaiting results, urine noted to be dark amber on collection.
Client diaphoretic, mild jaundice noted. 18 g peripheral IV catheter inserted to right antecubital with 0.9% sodium chloride infusing at 125 mL/hr continuous via pump. Awaiting orders. Will continue to monitor.
SWAT Diagnostic Results
1210
Sodium: 140 mEq/L
Potassium: 3.8 mEq/L
BUN: 18 mg/dL
Creatinine: 1.1 mg/dL
White Blood Cell Count: 14,000/mm3 Red Blood Cell Count 5.1 million/mm3 Hemoglobin: 15.1 g/dL
Platelet Count: 250,000/mm3
Vital Signs
1200:
Temperature 37.9°C (100.3°F)
Heart rate 120/min (Sinus Tachycardia) Respiratory rate 22/min
Blood pressure 149/86 mmHg SaO2 96% on room air
Question 5 of 5
For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Begin broad spectrum IV antibiotics (Anticipated) | ||
| Transfuse 1 unit of packed red blood cells (Contraindicated) | ||
| Prepare client for endoscopic retrograde cholangiopancreatography (Anticipated) | ||
| Administer morphine sulfate IV push for pain (Contraindicated) |
Correct Answer: A,C
Rationale: Antibiotics and ERCP are appropriate for suspected biliary infection; blood transfusion is not indicated, and morphine is contraindicated due to allergy.