ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is caring for an older adult client who reports vaginal dryness and itching. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: Decreasing estrogen levels in older adults cause vaginal dryness and itching.

Extract:

Diagnostic Results
1000:

Myoglobin 100 mcg/L (less than 90 mcg/L) Creatine kinase 180 units/L (55 to 170 units/L) Troponin T

0.40 ng/mL (less than 0.1 ng/mL) Troponin I 0.35 ng/mL (less than 0.03 ng/mL) Cholesterol 244 mg/dL (less than 200 mg/dL) Triglycerides 180 mg/dL (40 to 160 mg/dL) LDL cholesterol 148 mg/dL (less than

130 mg/dL) HDL cholesterol 42 mg/dL (greater than 45 mg/dL) C-reactive protein 2 mg/mL (less than 1.0 mg/mL) Blood glucose 103 mg/dL (74 to 106 mg/dL)

12-lead electrocardiogram: tachycardia with ST segment elevation and T wave changes Chest x-ray: lungs are clear in all lobes

Question 2 of 5

The nurse is reviewing the client's medical record. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

A. Metoprolol 15 mg IV bolus B. Oxygen at 2 L/min via nasal cannula C. Draw electrolytes along with Hgb and Hct D. Morphine 6 mg IV bolus every 3 hr as needed for pain E. Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses F. Obtain daily weight G. Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60

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

Rationale: Metoprolol, oxygen, labs, morphine, nitroglycerin, and weight are anticipated; atropine is conditional based on heart rate.

Extract:

Question 3 of 5

A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

A. A client who has pancreatitis reports pain in the left shoulder. B. A client who has peritonitis reports generalized abdominal pain. C. A client who is postoperative reports incisional pain. D. A client who has angina reports substernal chest pain.

Correct Answer: A

Rationale: Pancreatitis can cause referred pain to the left shoulder due to diaphragmatic irritation.

Extract:

Vital Signs
1000
Temperature 37.1° C (98.8° F)
Heart rate 110/min and irregular Respiratory rate 24/min Blood pressure 164/80 mm Hg
Oxygen saturation 93% on room air

Question 4 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.

A. Blood glucose level B. Bowel sounds C. Blood pressure D. Pain level E. Electrocardiogram findings F. Lung sounds G. Troponin T level

Correct Answer: C,D,E,G

Rationale: Elevated BP, pain, ECG changes, and troponin levels indicate a potential myocardial infarction.

Extract:

Laboratory Results
0915:
Blood glucose 468 mg/dL (74 to 106 mg/dL)
pH 7.30 (7.35 to 7.45)
Potassium 5.5 mEq/L (3.5 to 5 mEq/L)
Sodium 138 mEq/L (136 to 145 mEq/L)
Chloride 101 mEq/L (98 to 106 mEq/L)
BUN 21 mg/dL (10 to 20 mg/dL)
Creatinine 1.7 mg/dL (0.5 to 1.1 mg/dL)
Urine dipstick positive for ketones (negative)

Question 5 of 5

A nurse is caring for a client in the emergency department. Which of the following 3 provider prescriptions does the nurse anticipate?

A. Dextrose 5% in water (D5W) intravenous at 5 ml/kg/hr for 4 hr B. Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L C. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L D. Regular insulin 20 units subcutaneously E. Blood glucose checks every 4 hr F. Initiate cardiac monitoring G. Insert indwelling urinary catheter

Correct Answer: B,C,F,

Rationale: These prescriptions address DKA with fluid resuscitation, insulin, monitoring, and potassium management.

ATI RN Adult Medical Surgical 2023 | Nurselytic

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