ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Nurses Notes
The client reports nausea, vomiting, diarrhea, and weakness over the past 4 days. Skin warm, dry, and scaly. Skin turgor poor. Dark circles noted under eyes. Oral mucosa dry with thick, white coating on tongue. Alert and oriented at present but states has "been foggy last couple of days and vision has been blurry." Heart sounds distant with frequent early beat. Lungs clear to auscultation. No peripheral edema noted. Abdomen soft and flat with hypoactive bowel sounds. Generalized abdominal tenderness with palpation. Voids small amount dark yellow odorous urine. History of congestive heart failure, recurrent UTIs, and benign prostate hypertrophy.
Current medications
Furosemide 20 mg PO daily
Digoxin 0.125 mg PO daily
Finasteride 5 mg PO daily
Diagnostic Results
Electrolytes
Sodium: 136 mEq/L (136 to 145 mEq/L)
Potassium: 3.1 mEq/L (3.5 to 5 mEq/L)
Chloride: 110 mEq/L (98 to 106 mEq/L) Magnesium: 1.2 mEq/L (1.3 to 2.1 mEq/L) Digoxin 3 ng/L (0.5 to 2 ng/L)
Vital Signs
Temperature: 38° C (100.4° F)
Pulse rate: 54/min
Respiratory rate: 22/min
BP: 102/64 mm Hg
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A,B,D,E
Rationale: The client's symptoms and high digoxin level indicate digoxin toxicity. Cardiac monitoring, checking for icterus, and monitoring fever and electrolytes are critical actions and parameters.
Extract:
Question 2 of 5
The healthcare provider prescribes regular insulin 8 units/hr intravenously (IV). The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)
Correct Answer: B
Rationale: The solution is 100 units in 100 mL, or 1 unit/mL. For 8 units/hr, the pump should be set to 8 mL/hr.
Question 3 of 5
A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Paradoxical blood pressure refers to a decrease in systolic blood pressure of more than 10 mm Hg during inspiration, which can occur in constrictive pericarditis due to impaired filling of the heart during diastole.
Question 4 of 5
A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy (DIC). Which of the following values should the nurse report to the provider?
Correct Answer: B
Rationale: A fibrinogen level of 85 mg/dL is low. In DIC, fibrinogen levels decrease due to increased clotting and subsequent consumption of clotting factors.
Question 5 of 5
A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
Correct Answer: A
Rationale: Nosebleeds (epistaxis) are a common adverse effect of bevacizumab, as it can cause bleeding due to its anti-angiogenic properties.