ATI Clinical Exam | Nurselytic

Questions 108

ATI RN

Home > ATI RN > ATI Fundamentals > ATI Clinical Exam
ATI RN Test Bank

ATI Clinical Exam Questions

Extract:

Nurse's Notes & Physical Examination
• The client has been lying in bed and appears more fatigued than earlier. They complain of increased dizziness and a persistent headache. The nausea has worsened, and the client reports feeling faint upon sitting up. There is noticeable pallor, and the skin feels cool to touch. The client is breathing rapidly and appears anxious, stating that they feel something is not right. Heart rate has increased further, and rhythm remains regular but fast. Lung sounds are now clear bilaterally without diminished areas. The client still requires assistance for ambulation due to unsteadiness.
Vital Signs
• Blood Pressure: 110/68 mm Hg
• Temperature: 36.4° C (97.5° F)
• Pulse: 98/min
• Respirations: 24/min
Diagnostic Results
• Hemoglobin: 13.4 g/dL
• Hematocrit: 40.8%
• Blood Glucose: 245 mg/dL
• Serum Potassium: 4.8 mEq/L (Reference range: 3.5-5.0 mEq/L)
Provider's Prescriptions
• Administer IV fluids at 75 mL/hr.
• Recheck blood glucose level in 2 hours.
• Continue monitoring fluid intake and output.

Scenario :A nurse is caring for a client admitted to the medical-surgical unit. The exhibits below detail the client's condition at different time points throughout the day. Review the exhibits and determine how the client's condition evolves and whether it worsens or improves.
1500 hrs - Follow-Up Assessment


Question 1 of 5

Based on the 1500 hrs assessment, categorize the following actions for the client

OptionsEssentialNonessentialContraindicated
Increasing IV fluid rate
Encouraging the client to sit up without assistance
Administering antiemetic medication
Monitoring respiratory rate closely
Providing reassurance and calming interventions
Checking electrolyte levels regularly

Correct Answer:

Rationale: [1, 1, 0]

Increasing IV fluid rate and encouraging the client to sit up without assistance are essential actions based on the assessment. Increasing IV fluid rate helps maintain hydration and support physiological functions, while sitting up without assistance promotes lung expansion and aids in respiratory function. Administering antiemetic medication, monitoring respiratory rate closely, and providing reassurance are important but not essential at this time. Checking electrolyte levels regularly is not mentioned in the scenario and is therefore not relevant.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do? What should the nurse do for a protruding bowel?
A nurse is caring for a patient who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? Which lab value should the nurse report during chemotherapy?
A nurse is caring for a 45-year-old male client in the emergency department. The client was admitted at 0700hrs with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue.The nurse is preparing to administer an antibiotic to the client. Which of the following actions should the nurse take? (Select all that apply)
A nurse is providing teaching to a patient who has a new prescription for levothyroxine. Which of the following instructions should the nurse include? What instructions should the nurse include for levothyroxine?
A nurse is preparing to infuse ampicillin and gentamicin sulfate intravenously. Which resource should the nurse first consult for information on medication compatibility? Which resource should the nurse consult for compatibility?

Access More Questions!

ATI RN Basic

$89/ 30 days

 

ATI RN Premium

$150/ 90 days