ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?
Correct Answer: B
Rationale: Pressing water from a sponge rather than wringing it is a good strategy to avoid straining the joints.
Question 2 of 5
A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Skin integrity, temperature, color, and sensation are all critical parameters for assessing neurovascular status to detect complications like impaired circulation or nerve damage.
Question 3 of 5
A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?
Correct Answer: C
Rationale: Hypoglycemia presents with symptoms including headache, restlessness, fatigue, and hunger.
Extract:
Nurses' Notes
1000:
Client presents with reports of shortness of breath, dizziness, and "feelings of pressure" in jaw, neck, and left arm. Was mowing the lawn when feelings of discomfort began.
Denies chest pain, nausea, palpitations.
Provider updated, prescriptions received.
1010:
Nitroglycerin sublingual tablet administered x 3, 5 min apart. Updated provider on diagnostic results. Prescriptions received.
1025:
Client states relief from discomfort, no further shortness of breath, dizziness, or feelings of pressure, continues to deny chest pain.
Provider updated, prescriptions received.
Vital signs
Temperature 36.4°C (97.6°F)
Heart rate 112/min
Respiratory rate 28/min
Blood pressure 146/74 mm Hg
SaO2 93% on room air
1015:
Temperature 36.4°C (97.6°F)
Heart rate 92/min
Respiratory rate 24/min
Blood pressure 126/64 mm Hg
SaO, 96% on oxygen @ 2L/min via nasal cannula
Provider Prescriptions
1005:
12 Lead EKG
Serum cardiac enzymes
Nitroglycerin 0.3 mg sublingual now, may repeat every 5 min for 2 additional doses
Diagnostic Results
1010:
12 Lead EKG:
ST depression and T-wave inversion
Question 4 of 5
For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.
| Options | Angina | Myocardial infarction |
|---|---|---|
| Provider consult | ||
| Client's initial report of manifestations | ||
| Treadmill stress test | ||
| Result of nitroglycerin therapy | ||
| 12 Lead EKG report |
Correct Answer: B,D,E
Rationale: Client's initial manifestations, nitroglycerin relief, and EKG changes are consistent with both angina and MI, though MI requires further confirmation.
Extract:
Question 5 of 5
A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?
Correct Answer: D
Rationale: Incorporating periods of rest helps manage fatigue, a common symptom in MS, and prevents exacerbation of symptoms.