ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Notifying emergency management services ensures that the client receives professional medical evaluation and care immediately.
Question 2 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: B
Rationale: Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.
Extract:
Nurses Notes
The client reports nausea, vomiting, diarrhea, and weakness over the past 4 days. Skin warm, dry, and scaly. Skin turgor poor. Dark circles noted under eyes. Oral mucosa dry with thick, white coating on tongue. Alert and oriented at present but states has "been foggy last couple of days and vision has been blurry." Heart sounds distant with frequent early beat. Lungs clear to auscultation. No peripheral edema noted. Abdomen soft and flat with hypoactive bowel sounds. Generalized abdominal tenderness with palpation. Voids small amount dark yellow odorous urine. History of congestive heart failure, recurrent UTIs, and benign prostate hypertrophy.
Current medications
Furosemide 20 mg PO daily
Digoxin 0.125 mg PO daily
Finasteride 5 mg PO daily
Diagnostic Results
Electrolytes
Sodium: 136 mEq/L (136 to 145 mEq/L)
Potassium: 3.1 mEq/L (3.5 to 5 mEq/L)
Chloride: 110 mEq/L (98 to 106 mEq/L) Magnesium: 1.2 mEq/L (1.3 to 2.1 mEq/L) Digoxin 3 ng/L (0.5 to 2 ng/L)
Vital Signs
Temperature: 38° C (100.4° F)
Pulse rate: 54/min
Respiratory rate: 22/min
BP: 102/64 mm Hg
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A,B,D,E
Rationale: The client's symptoms and high digoxin level indicate digoxin toxicity. Cardiac monitoring, checking for icterus, and monitoring fever and electrolytes are critical actions and parameters.
Extract:
Question 4 of 5
A nurse is monitoring the cardiac output of a client who has left-sided heart failure using pulse pressure analysis. Which of the following findings can compromise the readings?
Correct Answer: A
Rationale: Premature atrial contractions can interfere with pulse pressure analysis and affect the accuracy of cardiac output measurements.
Question 5 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period?
Correct Answer: B
Rationale: Performing neurovascular checks of the extremities is the most important action to identify complications such as compartment syndrome or impaired circulation.