ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Question 1 of 5
A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?
Correct Answer: C
Rationale: Syphilis requires follow-up blood tests to monitor treatment efficacy over time.
Question 2 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dyspnea and fluid imbalance suggest fluid overload; slowing the infusion and notifying the provider are appropriate.
Extract:
History and Physical
Nurses' Notes
Vital Signs
Diagnostic Results
Provider prescriptions
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
The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Improvement in pain, vital signs, and oxygenation suggests stabilization of a cardiac event.
Extract:
Medical history
Vital Signs
Physical Examination
Diagnostic Results
Hemochromatosis
Question 4 of 5
A nurse is admitting a middle adult client who has cirrhosis. The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Findings 12 hr later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of condition |
|---|---|---|---|
| Elevated iron levels | |||
| Increased albumin level | |||
| Productive cough | |||
| Ascites | |||
| Hematemesis | |||
| Spontaneous bruising |
Correct Answer:
Rationale: Specific answers not provided; D, E, F indicate worsening cirrhosis complications.
Extract:
Question 5 of 5
A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A low pressure alarm often indicates a cuff leak, requiring assessment.