ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A social worker can assist with financial resources for medications.
Question 2 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.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
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 3 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Complete the following sentence by using the lists of options. The nurse should first address the client's…... followed by the client's…….
Correct Answer: B,D
Rationale: Pain level is the priority, followed by ECG to assess for cardiac ischemia.
Extract:
Question 4 of 5
A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse, 'I am afraid to have this procedure.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Discussing concerns validates the client's feelings and encourages communication.
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. 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)
1400:
Temperature 36.8° C (98.2° F) Pulse rate 84/min
Respiratory rate 16/min
Blood pressure 106/76 mm Hg
Question 5 of 5
A nurse is caring for a client in the emergency department. Select the findings that indicate that the client's condition is improving.
Correct Answer: A, B, C, E, G
Rationale: The choices indicate improvement; F shows persistent hyperglycemia.