ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A large-face clock helps clients with Alzheimer's maintain orientation to time.
Question 2 of 5
A nurse working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?
Correct Answer: D
Rationale: Painless vaginal bleeding is a common early sign of cervical cancer.
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:
Vital Signs
Diagnostic Results
Physical Examination
Medical History
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O2 at 3 L/min via nasal cannula
Question 4 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 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 |
|---|---|---|---|
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Disoriented to person, place, and time | |||
| Blood pressure 100/50 mm Hg | |||
| Hct 45% | |||
| Pink-tinged urine | |||
| Butterfly rash |
Correct Answer:
Rationale: Specific answers not provided; A likely indicates improvement, B and C suggest worsening.
Extract:
Question 5 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.