ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Vital Signs
Diagnostic Results
Physical Examination
Medical History
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O2 at 3 L/min via nasal cannula
Question 1 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
Correct Answer:
Rationale: Specific answers not provided; A likely indicates improvement, B and C suggest worsening.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 2 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Complete the following sentence by using the lists of options. The nurse should first address the client's…... followed by the client's…….
Correct Answer: B,D
Rationale: Pain level is the priority, followed by ECG to assess for cardiac ischemia.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0900:
Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin.
Peripheral IV established and labs drawn. 1400:
Client admitted to the medical-surgical unit at 1200 today. Alert and orientated x4, heart and lung sounds clear. Client urinating 100 mL/hour. Client is tolerating soft diet and oral fluids. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 2+, Blood glucose 310 mg/dl. (74 to 106 mg/dL)
1400:
Temperature 36.8° C (98.2° F) Pulse rate 84/min
Respiratory rate 16/min
Blood pressure 106/76 mm Hg
Question 3 of 5
A nurse is caring for a client in the emergency department. Select the findings that indicate that the client's condition is improving.
Correct Answer: A, B, C, E, G
Rationale: The choices indicate improvement; F shows persistent hyperglycemia.
Extract:
Question 4 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: An elastic bandage reduces edema and shapes the residual limb for prosthetic fitting.
Extract:
Medical history
Vital Signs
Physical Examination
Diagnostic Results
Hemochromatosis
Question 5 of 5
A nurse is admitting a middle adult client who has cirrhosis. The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Findings 12 hr later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of condition |
|---|---|---|---|
| Elevated iron levels | |||
| Increased albumin level | |||
| Productive cough | |||
| Ascites | |||
| Hematemesis | |||
| Spontaneous bruising |
Correct Answer:
Rationale: Specific answers not provided; D, E, F indicate worsening cirrhosis complications.