ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Nurse’s Notes
Vital Signs
Diagnostic Results
1300hrs
The client appears restless and complains of feeling weak. He reports difficulty in breathing and has a persistent cough. His skin is cool and clammy to touch. He is oriented to time, place, and person but appears anxious.
At 1300hrs, a nurse is preparing to administer medications to a 68-year-old male client in the cardiac unit. The client’s medications include Furosemide 40 mg PO daily, Potassium chloride 10 mEq/L PO twice daily, Lisinopril 10 mg PO daily, NPH insulin 26 units SUBQ daily, and Atorvastatin 20 mg PO daily.
Question 1 of 5
Based on the findings above, complete the following sentence by using the list of options. The nurse should clarify the prescription for...... due to the client's.......
Correct Answer: A,F
Rationale: The client's cool, clammy skin, weakness, and respiratory distress suggest potential fluid overload or worsening cardiac status. Furosemide, a diuretic, should be clarified due to the client's condition, as it may exacerbate dehydration or hypotension if not carefully monitored.
Extract:
Question 2 of 5
What interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Bed rest reduces oxygen demand during sickle cell crises, aiding recovery.
Extract:
Day 1, 1000
Day 1, 1100
Day 1, 1000 - Physical Exam
Day 1, 1030 - Diagnostic Results
• Blood pressure: 92/60 mm Hg
• Pulse: 106/min
• Temperature: 38.3 C (101F)
• Oxygen saturation: 95%
Question 3 of 5
The nurse is collecting data on the client. Which of the following findings require follow-up?
Correct Answer: A,B,C,F
Rationale: Blood pressure of 92/60 mm Hg (hypotension), elevated BUN, abdominal findings, and potassium levels require follow-up due to potential shock, renal dysfunction, or electrolyte imbalance, especially with fever and tachycardia.
Extract:
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Diltiazem sustained-release tablets must be swallowed whole for proper release.
Extract:
Vital Signs at 0905
Diagnostic Results at 0945
Medical History
Temperature: 37.1° C (98.7 F)
Heart rate: 110/min
Respiratory rate: 25/min
SpO2: 86%
Blood pressure: 118/76 mm Hg
A nurse is assisting with the care of a client in the emergency department. The client is alert and oriented x3. Wheezing is noted on exhalation with a prolonged breathing cycle. The cough is nonproductive. Use of accessory muscles is noted while breathing. The oral mucosa and lips are cyanotic. Nasal flaring is noted. The client experiences difficulty talking.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify: What condition the client is most likely experiencing. Two actions the nurse should take to address that condition. Two parameters the nurse should monitor to assess the client's progress.
Correct Answer: B,E,F
Rationale: Wheezing, cyanosis, and accessory muscle use suggest asthma. Albuterol relieves bronchospasm, and monitoring ABGs and breath sounds assesses respiratory improvement.