ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Nurses Notes
Diagnostic Results
Medical History
Vital Signs
Provider’s Prescriptions
Over the past 2 months, the client has noticed a significant decrease in his ability to perform daily activities due to fatigue. He also reports a 24-hour history of fever, chills, and weakness. There is erythema around the arteriovenous fistula (AVF) site on his right arm. The client states, “I’ve been having difficulty breathing.” On examination, his breath sounds are clear. He reports no cough. Bowel sounds are active in all four quadrants. He reports no diarrhea and had his last bowel movement yesterday. The client also reports anuria.
A nurse in a provider’s office is caring for a 68-year-old male client who reports changes in activity tolerance, feeling tired all the time, and difficulty remembering things. The client also states they bruise easily.
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, what actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: D,E,F
Rationale: The client's symptoms of fever, chills, weakness, erythema around the AVF site, and anuria suggest sepsis, likely related to an infection at the fistula site. The nurse should administer IV fluids to maintain circulation and monitor oxygen saturation to ensure adequate oxygenation, addressing potential septic shock. Monitoring blood pressure and temperature assesses hemodynamic stability and infection control progress.
Extract:
Question 2 of 5
Which of the following values should the nurse report to the provider?
Correct Answer: A
Rationale: Low platelets (60,000/mm) increase bleeding risk during a liver biopsy, necessitating reporting.
Question 3 of 5
What should the nurse anticipate as a possible outcome?
Correct Answer: D
Rationale: Metoprolol, a beta-blocker, lowers heart rate as its primary effect.
Question 4 of 5
Which statement from the client suggests they have overflow incontinence?
Correct Answer: D
Rationale: Dribbling indicates overflow incontinence due to incomplete bladder emptying.
Question 5 of 5
Which of the following actions should the nurse perform first when providing tracheostomy care?
Correct Answer: C
Rationale: Auscultating lungs first assesses the need for suctioning or other tracheostomy care steps.