ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor?
Correct Answer: D
Rationale: Ecchymosis (bruising) is a hallmark manifestation of ITP due to low platelet counts and increased bleeding tendencies.
Extract:
Diagnostic Results
0900:
Hct 27% (37% to 47%)
Hgb 8 g/dL (12 g/dL to 16 g/dL)
WBC 7,000/mm3 (5000 to 10,000/mm3)
Potassium 4.2 mEq/L (3.5 mEq/L to 5 mEq/L)
Nurses' Notes
1000:
1 unit of packed RBCs started through a #18 g IV in right hand as prescribed. Unit of blood infusing well. IV site dry and intact, without redness or swelling.
1015:
Client appears anxious and reports a headache and low back pain. Client voided 100 mL of brown-colored urine. Bilateral breath sounds clear and present throughout.
Vital Signs
1000:
Temperature 37.2° C (99° F)
Blood pressure 106/56 mm Hg Heart rate 104/min
Respiratory rate 20/min
Pulse oximetry 96% on room air
1015:
Temperature 39.6" C(103.3° F)
Blood pressure 74/50 mm Hg
Heart rate 124/min
Respiratory rate 28/min
Pulse oximetry 95% on room air
Question 2 of 5
Which of the following findings at 1015 requires further action? (Select all that apply.)
Correct Answer: C,D
Rationale: Brown-colored urine can sometimes indicate dehydration or certain medical conditions, requiring follow-up. A significant drop in blood pressure (74/50 mmHg) indicates hypotension and requires immediate attention.
Extract:
Question 3 of 5
A nurse is caring for a client who has a fractured ulna and a new prescription for cyclobenzaprine. Before administering, which of the following explanations should the nurse provide to explain the purpose of the medication?
Correct Answer: C
Rationale: Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms, which can occur with fractures.
Question 4 of 5
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
Correct Answer: D
Rationale: Smoking cessation is the most effective method for preventing chronic bronchitis as smoking is the leading cause of the condition.
Question 5 of 5
A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?
Correct Answer: B
Rationale: Yogurt is not typically included on a clear liquid diet because it is not a clear liquid; it is a semi-solid food.