ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
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 1 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.
Action to Take
Potential Condition
Parameter to Monitor
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.
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 2 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 3 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 4 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 5 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.