ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who is recovering from a sickle cell crisis. Which of the following instructions should the include?
Correct Answer: D
Rationale: Extremes in temperature can trigger a sickle cell crisis.
Question 2 of 5
A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An elevated toilet seat prevents hip flexion beyond 90 degrees, reducing dislocation risk.
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.
1400:
Client admitted to the medical-surgical unit at 1200 today. Alert and orientated x4, heart and lung sounds clear. Client urinating 100 mL/hour. Client is tolerating soft diet and oral fluids. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 2+. Blood glucose 310 mg/dL (74 to 106 mg/dL)
A nurse is caring for a client in the emergency department.
1400:
Client admitted to the medical-surgical unit at 1200 today. Alert and orientated x4, heart and lung sounds clear. Client urinating 100 mL/hour. Client is tolerating soft diet and oral fluids. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 2+. Blood glucose 310 mg/dL (74 to 106 mg/dL)
Question 3 of 5
Select the findings that indicate that the client's condition is improving.
Correct Answer: A,B,D
Rationale: Lower blood glucose, normal vital signs, and improved oxygenation suggest DKA improvement.
Extract:
Question 4 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply)
Correct Answer: A,B,E
Rationale: A. Verifying TPN with another RN ensures the solution matches the prescription, preventing errors. B. Monitoring glucose prevents hyperglycemia from TPN's dextrose content. E. Daily weights assess fluid balance and nutritional efficacy. C. Increasing the rate risks fluid overload and metabolic issues. D. Sodium chloride lacks nutrients, risking hypoglycemia.
Question 5 of 5
A nurse is assessing a female client who has pneumonia. The nurse should identify which of the following findings increases the client's risk of skin breakdown?
Correct Answer: B
Rationale: Weight loss increases skin breakdown risk due to reduced padding over bony prominences.