ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has COPD and reports dyspnea. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: Fowler's position (semi-upright) eases breathing in COPD by reducing pressure on the diaphragm.
Question 3 of 5
A nurse is planning care for a client who has GERD and reports regurgitation after eating. Which of the following tests should the nurse anticipate the provider to prescribe for the client?
Correct Answer: B
Rationale: A barium swallow visualizes the esophagus, helping diagnose GERD by showing reflux or structural issues.
Question 4 of 5
A nurse is assessing a client who is 4 hr postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Pallor suggests compromised blood flow, a critical complication post-revascularization requiring immediate reporting.
Extract:
Nurses' Notes
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.
Vital Signs
0900:
• Temperature 36.8° C (98.2° F)
• Pulse rate 110/min
• Respiratory rate 18/min
• Blood pressure 96/65 mm Hg
• Oxygen saturation 96% on room air
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?
Correct Answer: B,D,E
Rationale: Cardiac monitoring, IV insulin infusion, and saline rehydration are standard DKA treatments.