ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Nurse’s Notes
Vital Signs
Medical History
Provider’s Prescriptions
Physical Examination Results
The client reports that over the past 2 months they have noticed multiple changes with their body. They have a decrease in activity tolerance, feel tired all the time, and have had difficulty remembering things. The client also states they bruise easily, are experiencing constipation, and they no longer tolerate the cold like they used to. The client is concerned about exposure to seasonal viruses from other patrons. Reports that they are currently experiencing a headache with a pain of 3 on a scale of 0 to 10.
A nurse in a provider’s office is caring for a 68-year-old male client who reports changes in their health over the past 2 months. The client has been on medication for bipolar disorder and has been taking Lithium 300 mg PO three times daily, Levothyroxine 50 mcg PO daily, and Sumatriptan 25 mg PO PRN for migraine pain.
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.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A,E,F
Rationale: Symptoms of fatigue, cold intolerance, constipation, and bruising suggest hypothyroidism. Monitoring constipation and reinforcing levothyroxine education address symptoms and adherence. Blood pressure and weight changes monitor thyroid function improvement.
Extract:
Vital Signs
Nurse’s Notes
Diagnostic Results
• Temperature: 39.1 C (102.4° F)
A nurse is reviewing prescriptions from the provider. The prescriptions include:
Provider’s Prescriptions
Obtain daily weight
Obtain blood cultures x2
Swab culture at AVF site
Oxygen at 2 to 4 L nasal cannula for saturation less than 95%
Initiate peripheral venous access
Vancomycin 1 gram by intermittent IV bolus every 12 hr, infuse over 90 minutes
Nutritional consult
Acetaminophen 325 mg PO every 6 hr for temperature greater than 38.3 C (101° F)
Diphenhydramine 25 mg PO every 6 hr
Question 2 of 5
The nurse should first:
Correct Answer: F
Rationale: Obtaining blood cultures first ensures an accurate diagnosis of infection (e.g., from the AVF site) before antibiotics are administered, which could alter culture results.
Extract:
Medical History
Vital Signs
Laboratory Findings
The client reports a 24-hour history of fever, chills, weakness, and feeling really bad. The client’s extremities follow simple commands. There is warmth and edema. The client reports pain when the arm is touched. Thrill and bruit are present. Radial pulses are palpable. The client reports no numbness and tingling to the right hand.
Question 3 of 5
The nurse is reviewing the client's findings. The client is at the highest risk for developing..... due to........
Correct Answer: A,G
Rationale: Fever, chills, weakness, and warmth/edema at the AVF site indicate a high risk for sepsis due to infection, a common complication of vascular access sites.
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 4 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 5 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.