ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Vital Signs (Day 1)
Nurses’ Notes (Day 1)
Diagnostic Results (Day 1)
Vital Signs (Day 2)
Diagnostic Results (Day 2)
Nurses’ Notes (Day 2)
• Postoperative day 1: Temperature 36.4°C (97.5°F), Respiratory rate 18/min
Question 1 of 5
Based on the exhibits and findings, which findings indicate that the client's condition is improving? Select all that apply
Correct Answer: C,E
Rationale: Stable oxygen saturation (e.g., postoperative day 1 at 97%) indicates respiratory stability, a sign of improvement post-surgery. Other parameters lack specific trends in the provided data.
Extract:
Diagnostic Results at 0700hrs
Vital Signs at 0700hrs
Nurse’s Notes at 0700hrs
Fasting blood glucose: 90 mg/dL (Normal range: 74 to 106 mg/dL)
Sodium: 142 mEq/L (Normal range: 136 to 145 mEq/L)
Total calcium: 10.1 mg/dL (Normal range: 9.0 to 10.5 mg/dL)
Magnesium: 1.9 mEq/L (Normal range: 1.3 to 2.1 mEq/L)
Phosphate: 4.1 mg/dL (Normal range: 3 to 4.5 mg/dL)
Hematocrit (Hct): 42% (Normal range: 42% to 52%)
Question 2 of 5
After reviewing the client's electronic medical record, which of the following actions should the nurse recommend to take? Select the 3 actions the nurse should recommend.
Correct Answer: B,C,F
Rationale: Chest pain and anxiety suggest a cardiac event. Oxygen improves oxygenation, frequent vital signs monitor stability, and high-Fowler's position reduces cardiac workload.
Extract:
Nurse’s Notes (0700hrs)
Diagnostic Results
Vital Signs
Laboratory Results
Intake and Output
The client is alert and oriented to person, place, and time.
The client reports mild discomfort in the abdominal area.
The client’s skin is warm and dry to touch.
The client’s surgical wound appears clean with no signs of infection.
The client’s bowel sounds are present in all four quadrants.
The client’s peripheral pulses are palpable and equal bilaterally.
The client’s respiratory effort appears unlabored.
Question 3 of 5
A nurse is assisting in the care of a 68-year-old male client in the postoperative unit. The client underwent a major abdominal surgery. The nurse should anticipate a provider prescription for a certain medication. Please drag words from the choices below to fill in each blank in the following sentence: The nurse should anticipate a provider prescription for......... and.......
Correct Answer: C,G
Rationale: Postoperative stability (clean wound, normal bowel sounds) suggests fluid maintenance with 0.9% sodium chloride is appropriate, with no immediate need for other medications based on findings.
Extract:
Medical History (0700hrs)
Nurse’s Notes (Postoperative Day 1, 0900hrs)
Nurse’s Notes (Postoperative Day 1, 2345hrs)
The client has a history of hypertension and type 2 diabetes. He is a non-smoker and does not consume alcohol. He has no known allergies. His medications include Metformin and Lisinopril.
A 45-year-old male client was admitted to the hospital following the surgical removal of an abdominal abscess.
Question 4 of 5
Complete the following sentence by using the lists of options. The client is at highest risk for developing hypovolemic shock as evidenced by the client’s……..and………
Correct Answer: D,E
Rationale: Post-surgical risk of bleeding or fluid loss increases hypovolemic shock risk, evidenced by low blood pressure and tachycardia, common indicators.
Extract:
Vital Signs
Nurses’ Notes
Diagnostic Results
Provider’s Prescriptions
Postoperative day 1, 0600:
Temperature: 36.4 C (97.5 F)
Heart rate: 84/min
Respiratory rate: 18/min
Blood pressure: 106/74 mm Hg
Oxygen saturation: 97% on room air
2330:
Temperature: 36.3 C(97.3 F)
Heart rate: 104/min
Respiratory rate: 24/min
Blood pressure: 88/54 mm Hg
Oxygen saturation: 96% on room air
The nurse is continuing to assist in the care of the client.
Question 5 of 5
For each data collection finding, specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than one disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Respiratory effort | ||
| Heart rate | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer: B,D
Rationale: Tachycardia (heart rate 104/min) and hypotension (88/54 mm Hg) on day 1 at 2330 are consistent with hypovolemic shock due to fluid loss post-surgery.