ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Turning off the CPM machine during eating prevents discomfort and ensures safety, allowing the client to focus on nutrition.
Extract:
Medical History
• Dehydration
• Hyperlipidemia
• Hypertension
• Coronary artery disease (CAD)
Diagnostic Results
• WBC count 14,000/mm3 (5,000 to 10,000/mm3)
• Hgb 14 g/dL (12 to 16 g/dL)
• Hct 40% (34 to 47%)
• Sodium 132 mEq/L (136 to 146 mEq/L)
• Potassium 6.2 mEq/L (3.5 to 5 mEq/L)
• Calcium 10 mg/dL (9 to 10.5 mg/dL)
• BUN 20 mg/dL (10 to 20 mg/dL)
• Albumin 2.8 g/dL (3.5 to 5 g/dL)
• Fasting blood glucose 140 mg/dL (74 to 106 mg/dL)
• Triglycerides 134 mg/dL (34 to 160 mg/dL)
Nurses' Notes
Client is lying in bed. Awake, alert, and oriented to time, place, and person. Client is febrile and reports weakness. Receiving TPN via central line in left antecubital. Client is NPO and has had diarrhea x3 in past 4 hr. Crackles auscultated in posterior lobes. Client has a productive cough and sputum is yellow in color. Client receiving 2 U/min oxygen via nasal cannula with an oxygen saturation of 90%. Abdomen is distended and tender. Active range of motion to all extremities. Denies pain at this time.
Question 2 of 5
A nurse is caring for a client who is receiving TPN. Which of the following actions should the nurse take? For each potential nursing intervention, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Notify provider to increase TPN rate/hr. | |||
| Decrease the client's oxygen to 1.5 L/min oxygen via nasal cannula. | |||
| Obtain client weight twice daily. | |||
| Request a prescription for insulin. | |||
| Request an antibiotic to be administered. | |||
| Have 3 nurses verify the TPN solution prescription. |
Correct Answer: C,D,E
Rationale: Weight monitoring ensures nutritional adequacy, insulin corrects hyperglycemia, and antibiotics address infection signs (crackles, yellow sputum).
Extract:
Question 3 of 5
A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Wearing gloves when handling cat litter prevents toxoplasmosis, a critical precaution for AIDS patients.
Question 4 of 5
A nurse is providing discharge teaching to a client who has osteomyelitis in their left leg. Which of the following findings should the nurse identify as requiring a referral?
Correct Answer: A
Rationale: Elevated WBC (20,000/mm³) suggests persistent infection, requiring referral for further evaluation.
Question 5 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a common symptom of meningitis due to meningeal irritation affecting the eyes.