ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,E
Rationale: Placing a pillow under the client's head prevents head injury during a seizure. Loosening restrictive clothing helps prevent injury and allows for easier breathing.
Extract:
Vital signs
Blood pressure 180/90 mm Hg
Heart rate 105/min
Temperature 37.1° C (98.8° F)
Respirations 18min; labored
Pulse oximetry 94 on 2L nasal cannula%
Nurses notes
The client reports worsening fatigue over the last 3 days. The client also reports loss of appetite, denies nausea or vomiting.
On assessment, the client appears pale, lung and heart sounds within defined limits. Abdomen is tender in area of incision from transplant. Bowel sounds are hypoactive in all 4 quadrants. Bilateral pedal pulses +2. +1 edema in bilateral lower extremities. Client reports that for the last 2 days they have only urinated twice per 24-hour period.
Medical history
History of coronary artery disease
Type 2 diabetes mellitus
Renal failure
Renal transplant 6 weeks ago
Diagnostic Results
BUN 25 mg/dL (10 to 20 mg/dL)
Creatine 2.0 mg/dL (0.5 to 1.3 mg/dL)
Hemoglobin 15 mmol/L (12 to 18 mmol/L)
Hematocrit 45% (37% to 52%)
Potassium 5.2 mEq/L (3.5 to 5.0 mEq/L)
Sodium 145 mEq/L (136 to 145 mEq/L)
Question 2 of 5
Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply.)
Correct Answer: D,E
Rationale: Elevated creatinine and signs at the incision site indicate possible kidney transplant rejection.
Extract:
Question 3 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: B
Rationale: Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.
Question 4 of 5
A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Homonymous hemianopsia involves loss of vision in one half of the visual field; reminding the client to look to the left side of the tray helps them find food in their impaired visual field.
Question 5 of 5
A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Aging increases the risk for osteoporosis due to natural bone density loss over time. Secondhand smoke contributes to bone loss and increases the risk for osteoporosis. Caffeine intake is associated with increased calcium loss, which can contribute to osteoporosis.