ATI RN
ATI RN Adult Medical Surgical 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: B
Rationale: Decreasing protein intake reduces proteinuria in nephrotic syndrome.
Question 2 of 5
A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?
Correct Answer: B
Rationale: Foot circumduction promotes venous return, preventing thromboembolism.
Question 3 of 5
A nurse is assessing a client who is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessment should be the nurse's priority?
Correct Answer: A
Rationale: Neurovascular assessment is the priority to detect complications like compartment syndrome.
Extract:
Nurses' Notes
0900:
Client came to the ED 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. A nurse is caring for a client in the emergency department.
Question 4 of 5
A nurse is caring for a client in the emergency department. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.
Correct Answer: C,D,E,F
Rationale: High blood glucose and dehydration in type 1 diabetes can lead to hypotension, arrhythmias, renal failure, and cerebral edema.
Extract:
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,C,F,
Rationale: These prescriptions address DKA with fluid resuscitation, insulin, monitoring, and potassium management.