ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interacts with this medication?
Correct Answer: C
Rationale: Kale, high in vitamin K, can decrease warfarin's anticoagulant effect.
Question 2 of 5
A nurse is caring for an older adult client who reports vaginal dryness and itching. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Decreasing estrogen levels in older adults cause vaginal dryness and itching.
Question 3 of 5
A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?
Correct Answer: B
Rationale: Foot circumduction promotes venous return, preventing thromboembolism.
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 4 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:
Vital Signs
1000
Temperature 37.1° C (98.8° F)
Heart rate 110/min and irregular Respiratory rate 24/min Blood pressure 164/80 mm Hg
Oxygen saturation 93% on room air
Question 5 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.
Correct Answer: C,D,E,G
Rationale: Elevated BP, pain, ECG changes, and troponin levels indicate a potential myocardial infarction.