ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?
Correct Answer: A
Rationale: Decreasing protein intake reduces kidney workload in nephrotic syndrome.
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: B
Rationale: Propofol contains egg lecithin, posing a risk for clients with egg allergies.
Extract:
A nurse is caring for a client.
Medical History
Nurses' Notes
Vital Signs
Cerebrovascular accident 2 years ago
Coronary artery disease
Hypertension
Hyperlipidemia
Question 3 of 5
A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Potential Prescription | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Encourage the client to cough. | |||
| Keep the client's head in a midline position. | |||
| Elevate the head of the bed. | |||
| Assist the client to the bathroom. | |||
| Initiate seizure precautions. | |||
| Decrease oxygen to 1.5 L/min via nasal cannula. |
Correct Answer:
Rationale: Specific answers not provided; anticipated actions likely include B and C due to history of cerebrovascular accident.
Extract:
History and Physical
Nurses' Notes
Vital Signs
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 4 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem.
Correct Answer: A, C, G
Rationale: The choices indicate a cardiac issue; symptoms suggest acute coronary syndrome.
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.
Question 5 of 5
A nurse is caring for a client in the emergency department. Which of the following provider prescriptions does the nurse anticipate?
Correct Answer: D,E,
Rationale: DKA treatment includes insulin infusion, fluid resuscitation with saline, and monitoring urine output.