ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Findings upon admission:
Vital Signs
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O, 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.
| Options | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening condition |
|---|---|---|---|
| Disoriented to person, place, and time | |||
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Hct 45% | |||
| Butterfly rash | |||
| Blood pressure 100/50 mm Hg |
Correct Answer:
Rationale: Disorientation and low BP worsen UTI; improved O2 is a sign of improvement; Hct is normal; rash is unrelated.
Extract:
Question 2 of 5
A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?
Correct Answer: D
Rationale: Egg allergies are linked to potential propofol reactions due to its egg-based emulsion.
Question 3 of 5
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Intermittent irrigation relieves bladder spasms by clearing clots or obstructions.
Question 4 of 5
A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Obtaining an ECG first assesses for cardiac arrhythmias caused by electrical injury.
Question 5 of 5
A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?
Correct Answer: C
Rationale: Bilateral coarse crackles are hallmark signs of pulmonary edema, caused by fluid leaking into alveoli from increased left heart pressure. Furosemide, a loop diuretic, reduces this fluid by enhancing renal excretion, relieving lung congestion. This finding directly correlates with the drug's purpose—removing excess fluid to improve oxygenation and reduce respiratory distress. A. Blood pressure of 100/70 mm Hg may suggest fluid overload but is not specific. B. Vesicular sounds indicate healthy lungs, not requiring diuretics. D. Low potassium is a side effect, not an indication.