ATI Npro 2100 Med Surg Exam | Nurselytic

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ATI Npro 2100 Med Surg Exam Questions

Extract:

Nurses Notes
0800:
Client reports fatigue, muscle weakness, joint pain, and dyspnea. Sclerae is jaundiced. 2.5 cm (1 in) by 2.5 cm (1 in) open ulcer noted on inner left ankle.
Vital Signs
0800:
• Temperature 37.5° C (99.5° F)
• Blood pressure 122/68 mm Hg
• Heart rate 95/min
• Respiratory rate 28/min
• Oxygen saturation 95% on room air
1000:
• Temperature 37.5° C (99.5° F)
• Blood pressure 88/56 mm Hg
• Heart rate 112/min
• Respiratory rate 26/min. labored
• Oxygen saturation 90% on room air
Diagnostic Results
1000:
Hct 26% (37% to 47%)
Hgb 8 g/dL (12 to 16 g/dL)


Question 1 of 5

A nurse is caring for a client who has sickle cell disease. For each client finding, click to specify if the finding is consistent with sickle cell disease, iron deficiency anemia. or leukemia. Each finding may support more than 1 disease process.

Options Sickle Cell Disease Iron Deficiency Anemia Leukemia
A. Jaundice: Sickle Cell Disease
B. Respiratory status: Sickle Cell Disease, Leukemia
C. Ankle ulcer: Sickle Cell Disease
D. Joint pain: Sickle Cell Disease, Leukemia
E. Heart rate at 1000: Sickle Cell Disease, Iron Deficiency Anemia, Leukemia

Correct Answer: A,B,C,D,E

Rationale: Jaundice is due to hemolysis in sickle cell disease. Respiratory issues occur in sickle cell (acute chest syndrome) and leukemia (bone marrow infiltration). Ankle ulcers are common in sickle cell due to poor circulation. Joint pain occurs in sickle cell (vaso-occlusive crises) and leukemia (bone marrow infiltration). Tachycardia is seen in all three due to anemia or systemic effects.

Extract:


Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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