ATI RN
ATI RN Adult Medical Surgical 2023 Questions Correct Answers Questions
Extract:
Question 1 of 4
A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should wear goggles when irrigating a wound." This indicates an understanding of the teaching as goggles protect the eyes from splashes and sprays. Wearing goggles during wound irrigation helps prevent potential eye exposure to contaminated fluids, reducing the risk of infection.
Choice A is incorrect because wearing a gown to remove linens is unnecessary for personal protective equipment during this task.
Choice B is incorrect as sterile gloves are required for clean procedures like wound care, not for administering IM injections.
Choice D is incorrect because using both hands to recap a needle increases the risk of needle-stick injuries.
Extract:
A client reports after eating breakfast this morning 0630hrs that they began feeling a tightness in the chest that radiates to the left arm. History: Hyperlipidemea, Hpertension, type 2 diabetes mellitus, Non- smoker, Denies use of alcohol or recreational drug abuse.
Time: 1000hrs Temperature, Heart Rate, Respiratory Rate, Blood Pressure, Oxygen Saturation 1000 37.1°C (98.8°F) 110/min (irregular) 24/min 164/80 mmHg 93% on room air 1015 36.7°C (98.2°F) 120/min (irregular) 22/min 176/82 mmHg 89% on room air. Time: 1015hrs Temperature, Heart Rate, Respiratory Rate, Blood Pressure,Oxygen Saturation 1000 37.1°C (98.8°F) 110/min (irregular) 24/min 164/80 mmHg 1015 36.7°C (98.2°F) 120/min (irregular) 22/min 176/82 mmHg 89% on room air 1200 36.7°C (98.2°F)
Question 2 of 4
Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: A, B, D,E
Rationale: The correct actions for the nurse to take are A, B, D, and E. A - anticipating client prep for cardiac catheterization is important for timely intervention. B - assisting with a continuous heparin infusion helps prevent blood clot formation during the procedure. D - anticipating an increase in metoprolol dosage is necessary to manage cardiac workload during the procedure. E - obtaining a prescription for NPO status is crucial to prevent complications during the procedure.
Choices C (encouraging ambulation) and F (requesting an antibiotic prescription) are not directly related to preparing for cardiac catheterization and may not be necessary in this context.
Question 3 of 4
For each potential provider's prescription, click to specify if the potential prescription is anticipated, Non-essential or contraindicated for the client.
| Potential Prescription | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Metoprolol 15 mg IV bolus | |||
| Oxygen at 2 L/min via nasal cannula | |||
| Draw electrolytes along with Hgb and Hct | |||
| Morphine 6 mg IV bolus every 3 hrs as needed for pain | |||
| Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses | |||
| Obtain daily weight |
Correct Answer: A,B,C,D E, F
Rationale: [1,1,1,1,1,1]
- Metoprolol 15 mg IV bolus: Anticipated for managing hypertension or tachycardia.
- Oxygen at 2 L/min via nasal cannula: Anticipated for hypoxemia.
- Draw electrolytes along with Hgb and Hct: Anticipated for baseline assessment.
- Morphine 6 mg IV bolus every 3 hrs: Anticipated for pain management.
- Nitroglycerin 0.5 mg SL: Not included in the options.
- Obtain daily weight: Important for monitoring fluid status.
Extract:
Client reports tightness in chest radiating to the left arm. Pain level: 7/10. Feels nauseous after breakfast. Client states: 'I had scrambled eggs and bacon like I do every morning.' Symptoms: Diaphoresis, shortness of breath, irregular and tachycardic heart rate. Neurological Status: Alert and oriented to person, place, and time. Lung Sounds: Clear in all lobes. Bowel Sounds: Present in all 4 quadrants. Peripheral Circulation: +1 pedal pulses, skin cool to touch, capillary refill <2 seconds.
Question 4 of 4
Which actions should the nurse take? (Select all that apply)
Correct Answer: A, B, D,E
Rationale: The nurse should anticipate cardiac catheterization prep (
A) to ensure client readiness. Continuous heparin infusion (
B) prevents clot formation during the procedure. Increased metoprolol dosage (
D) may be needed for cardiac stability. NPO status (E) is crucial to prevent complications during the procedure. Ambulation (
C) may be contraindicated due to the invasive nature of the procedure. Antibiotics (F) are not routinely needed for cardiac catheterization prep.
Extract:
Client reports tightness in chest radiating to the left arm.
Pain level: 7/10. Feels nauseous after breakfast.
Client states: 'I had scrambled eggs and bacon like I do every morning.'
Symptoms: Diaphoresis, shortness of breath, irregular and tachycardic heart rate.
Neurological Status: Alert and oriented to person, place, and time.
Lung Sounds: Clear in all lobes.
Bowel Sounds: Present in all 4 quadrants.
Peripheral Circulation: +1 pedal pulses, skin cool to touch, capillary refill <2 seconds.
Vital Signs (1000 Hours)
Temperature: 37.1°C (98.8°F). Heart Rate: 110/min, irregular. Respiratory Rate: 24/min. Blood Pressure: 164/80 mmHg. Oxygen Saturation: 93% on room air
Vital Signs (1015 Hours)
Temperature: 36.7°C (98.2°F). Heart Rate: 120/min, irregular. Respiratory Rate: 22/min. Blood Pressure: 176/82 mmHg. Oxygen Saturation: 89% on room air.
Diagnostic Results
Myoglobin: 100 mcg/L (high, normal <90 mcg/L), Creatine kinase: 180 units/L (normal, 55-170 units/L), Troponin T: 0.40 ng/mL (high, normal <0.1 ng/mL), Troponin I: 0.35 ng/mL (high, normal <0.03 ng/mL), Cholesterol: 244 mg/dL (high, normal <200 mg/dL), Triglycerides: 180 mg/dL (normal, 40-160 mg/dL), LDL: 148 mg/dL (high, normal <130 mg/dL), HDL: 42 mg/dL (good, normal >45 mg/dL), C-reactive protein: 2 mg/L (high, normal <1.0 mg/L), Blood glucose: 103 mg/dL (normal, 74-106 mg/dL), EKG: Tachycardia with ST segment elevation & T wave changes, Chest X-ray: Lungs clear in all lobes.
Provider's Prescriptions - 1020:
Nitroglycerin 0.5 mg SL every 5 min up to 3 doses for chest pain
Aspirin 160 mg PO daily - Morphine 6 mg IV bolus every 3 hr PRN pain
Metoprolol 25 mg PO every 6 hrs x 48 hrs, then 100 mg PO twice daily
Initiate IV site - 0.9% saline at 50 mL/hr IV infusion
Oxygen at 2 L/min via nasal cannula if oxygen saturation <90%
Schedule stat echocardiogram
Follow-up (1200 Hours)
Pain now 5/10 after two doses of nitroglycerin. Breathing easier with oxygen at 2L/min via nasal cannula.
Question 5 of 4
Which findings indicate the client's condition has improved? (Select all that apply)
Correct Answer: A, B
Rationale: The correct answers are A and B. Pain level indicates the client's subjective improvement, while respiratory rate reflects their physiological status. Pain reduction suggests improved comfort and possibly better overall health, while a decrease in respiratory rate may indicate improved oxygenation and reduced stress.
Choices C, D, E, F, and G are not directly linked to the client's overall condition improvement as they can vary for several reasons, independent of the client's actual health status.