ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse on a telemetry unit is caring for a client who has a history of premature ventricular contractions (PVCs). The client reports feeling lightheaded and feeling heart beats in their chest. In a client having PVCs, which of the following findings would the nurse expect when auscultating the client's apical pulse?
Correct Answer: A
Rationale: PVCs cause irregular pulsations due to premature ventricular beats disrupting normal rhythm.
Question 2 of 5
A nurse is caring for a client diagnosed with rheumatoid arthritis (RA). The nurse is assessing the client to determine the effectiveness of the current treatment regimen. Which finding would be the best indicator that the client's RA management is effective?
Correct Answer: D
Rationale: No progression of joint erosion on radiographic images directly indicates that the treatment is preventing further joint damage, a primary goal in RA management.
Extract:
Nurses' Notes
Client admitted to medical-surgical floor from the emergency department (ED). Client has a history of HIV, first diagnosed 15 years ago, that has recently progressed to AIDS. Client presents with headache, diarrhea, night sweats, and weight loss for approximately 1 week.
Vital signs
Day 1:
Temperature: 37.3° C (99.1° F) Heart rate: 98/min
Respiratory rate: 16/min BP: 104/74 mm Hg
Oxygen saturation: 96% on room air Day 2:
Temperature 38.4 C (101.1 F) Heart rate 100/min Respiratory rate 18/min
BP 98/54 mm Hg
Oxygen saturation 95% on room air
A nurse is caring for a client who has AIDS.
Diagnostic Results
Day 1:
WBC count 3.500/mm3 (5,000-10,000 mm3)
Hemoglobin 16 g/dL (12 to 18 g/dL)
Hematocrit 48% (37% to 52%)
Potassium 3.7 mEq/L (3.5 to 5 mEq/L)
Sodium 141 mEq/L (136 to 145 mEq/L)
CD4 t-cell count 200 mm3 (800 to 1,000 mm3)
Day 2
WBC count 3,100/mm3 (5,000 to 10,000 mm3)
Hemoglobin 17 g/dL (12 to 18 g/dL)
Hematocrit 51% (37% to 52%)
Potassium 3.9 mEq/L (3.5 to 5 mEq/L)
Question 3 of 5
A nurse is caring for a client who has AIDS. The client is at highest risk for developing due to their
Correct Answer: B, D
Rationale: A CD4 T-cell count below 200/mm3 increases the risk of opportunistic infections like Pneumocystis pneumonia.
Extract:
Question 4 of 5
A nurse is reviewing the EKG strip of a client who has End Stage Renal Disease (ESRD) and has missed hemodialysis. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hyperkalemia?
Correct Answer: B
Rationale: Peaked T waves are a classic EKG sign of hyperkalemia due to altered cardiac repolarization.
Question 5 of 5
A nurse is planning care for a client diagnosed with systemic scleroderma. The nurse recognizes that an appropriate nursing diagnosis for systemic scleroderma is altered tissue perfusion secondary to which of the following?
Correct Answer: C
Rationale: Raynaud's phenomenon causes vasospasm, leading to impaired tissue perfusion in systemic scleroderma.