ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: A synthetic cast is lighter in weight compared to a plaster cast, making it more comfortable for the patient.
Question 2 of 5
A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?
Correct Answer: B
Rationale: The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD's functioning.
Question 3 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Using log rolling to reposition the client helps to maintain spinal alignment and prevent increases in ICP.
Question 4 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.
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 5 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.