ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Teaching the client to use the PCA device ensures safe and effective pain management.
Question 2 of 5
A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Goggles protect the eyes during wound irrigation, a procedure with splash risk.
Extract:
Medical History
Type 2 Diabetes Mellitus
Hypertension: Controlled by diuretic and ACE-inhibitor therapy
Osteoarthritis
Diagnostic Results
Preoperative Laboratory Results:
Basic Metabolic Profile (BMP):
Glucose: 190 mg/dL (Normal: 74 to 106 mg/dL)
BUN: 16 mg/dL (Normal: 10 to 20 mg/dL)
Creatinine: 0.8 mg/dL (Normal: 0.5 to 1 mg/dL)
Hemoglobin A1C: 9.5% (Poor diabetic control: >9%)
Current Laboratory Results:
Basic Metabolic Profile (BMP):
Glucose: 280 mg/dL (Normal: 74 to 106 mg/dL)
BUN: 15 mg/dL (Normal: 10 to 20 mg/dL)
Creatinine: 0.7 mg/dL (Normal: 0.5 to 1 mg/dL)
Medication Administration Record
Home Medications:
Metformin: 1,000 mg PO BID
Lisinopril: 20 mg PO daily
Celecoxib: 100 mg PO BID
Vital Signs
Preoperative:
Temperature: 36.4°C (97.6°F)
Heart Rate: 82/min
Respiratory Rate: 20/min
Blood Pressure: 126/74 mm Hg
Oxygen Saturation: 95% on room air
Current:
Temperature: 37.2°C (99°F)
Heart Rate: 92/min
Respiratory Rate: 22/min
Blood Pressure: 136/85 mm Hg
Oxygen Saturation: 98% on 2 L/min nasal cannula
Question 3 of 5
The client is at highest risk for…... as evidenced by the....
Correct Answer: B,E
Rationale: Post-knee arthroplasty, elevated blood glucose increases infection risk due to impaired healing.
Extract:
Question 4 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: Muscle twitching suggests hypocalcemia, a life-threatening complication post-thyroidectomy due to parathyroid injury.
Question 5 of 5
A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Lowering the client to the floor prevents injury from falling during a seizure, making it the priority action.