ATI RN
ATI RN Predictor Assessment Exit Questions
Extract:
Nurses Notes:
Graphic Record
Diagnostic Results
Medication Administration Record
Progress Report
Day 1, 1600:
Client admitted from provider's clinic reporting shortness of breath, dry hacking cough, dizziness, and "heart racing" States they are not able to sleep well on their back at night because of difficulty breathing.
Alert and oriented x3. Pupils equal, round, reactive to light. accommodation at 3 mm. Heart rate 130/min, ECG monitor showing sinus tachycardia, S, auscultated Lower extremity edema noted, 2+ bilaterally. Radial and pedal pulses 1+ bilaterally.
Breathing rapid and shallow. Crackles auscultated in oases bilaterally. Bowel sounds normoactive in all four quadrants Reports no difficulty urinating.
Client reports gaining 10 pounds in the past month.
Reports history of type 2 diabetes mellitus and hypertension.
Day 2, 0800:
Alert and oriented x3. Pupils equal, round, reactive to light. accommodation at 3 mm. Moves all extremities well. Capillary refill less than 3 seconds. Skin cool and cyanosis noted.
Question 1 of 5
A nurse is preparing the client for discharge. For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Take furosemide each night at bedtime. | ||
| Record daily weight. | ||
| Adhere to 2 g low-sodium diet. | ||
| Maintain bed rest for 1 week following discharge | ||
| Restrict fluid intake to 2 L/day |
Correct Answer: B,A,A,B,B
Rationale: Based on the client's symptoms of heart failure, anticipated instructions include monitoring weight and symptoms, while contraindicated actions include ignoring worsening symptoms.
Extract:
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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