ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for chemotherapy due to bone metastasis of prostate cancer. Which of the following statements about chemotherapy made by the nurse is correct?
Correct Answer: C
Rationale: Chemotherapy is often combined with hormone therapy or radiation for prostate cancer with bone metastasis.
Extract:
Diagnostic Result
HbA1C 6.2% (less than 7%)
Blood glucose 102 mg/dL (82 to 115 mg/dL)
Hemoglobin 14.2 g/dL (14.2 to 18 g/dL)
Hematocrit 42.6% (42% to 52%)
Total WBC count 6,000/mm3 (5,000 to 10,000/mm3)
HDL 35 mg/dL (greater than 45 mg/dL)
LDL 142 mg/dL (less than 130 mg/dL)
Brain natriuretic peptide (BNP) 352 pg/mL (less than 100 pg/mL)
Chest x-ray: Shows cardiomegaly and bibasilar pleural congestion.
Medication Administration Record
Metformin 850 mg PO q am
Digoxin 0.25 mg PO q am
Carvedilol 25 mg PO bid
Furosemide 40 mg IV bolus once now
Vital Signs
BP 146/98 mm Hg
Temperature 36.8º C (98.2º F)
Pulse rate 106/min
Respirations 24/min
O2 saturation 94% on 2 L/min nasal cannula
Question 2 of 5
A nurse is preparing to care for an 84-year-old male client who is being admitted to a medical unit from a provider's office. The nurse reviews the client's medical records to prepare the client's plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Elevated BNP, cardiomegaly, and pleural congestion indicate heart failure. Elevating the bed and a low-sodium diet manage symptoms, while monitoring urinary output and blood pressure assesses treatment efficacy.
Extract:
Question 3 of 5
The nurses in the emergency department have presented the nurse leader with a suggestion for streamlining the triage process, cutting down on wait times. Which of the following qualities does the leader specifically need, to implement the suggestion?
Correct Answer: C
Rationale: Initiative is required to proactively implement new processes and drive improvement.
Question 4 of 5
The nurse is providing care to a client who sustained burns to 70% of the body 6 hours ago. Which of the following new assessment data requires the nurse to notify the healthcare provider?
Correct Answer: B
Rationale: Hypotension (96/50 mm Hg) indicates potential shock or inadequate perfusion, requiring immediate provider notification.
Question 5 of 5
A nurse is providing direction to a nursing assistant who will be caring for a client with human immunodeficiency virus (HIV) and receiving azidothymidine (AZT) antiretroviral therapy. The nurse should instruct the nursing assistant to implement which of the following actions?
Correct Answer: C
Rationale: Standard precautions are sufficient for HIV patients, as the virus is not transmitted through casual contact.