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.
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 providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the include?
Correct Answer: D
Rationale: Extremes in temperature can trigger a sickle cell crisis.
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?
Correct Answer: A
Rationale: Pancreatitis can cause referred pain to the left shoulder due to diaphragmatic irritation.
Question 4 of 5
A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: Poor medication adherence risks post-transplant graft failure from non-compliance with immunosuppressants, a life-threatening issue. A. Family diabetes history is less urgent. B. Resolved childhood asthma is low priority. D. Lack of family support is secondary to adherence.
Question 5 of 5
A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse, 'I am afraid to have this procedure.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Discussing concerns encourages open communication and addresses the client's fears.