ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
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 1 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.
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 2 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 3 of 5
What action should the nurse take in preparation for the procedure?
Correct Answer: C
Rationale: Signed consent is a critical pre-procedure requirement for an esophagogastroduodenoscopy.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Jaw pain is a heart attack symptom, warranting emergency response in angina patients.
Question 5 of 5
Which of the following information should the nurse include about the action of oxybutynin?
Correct Answer: A
Rationale: Oxybutynin reduces involuntary bladder contractions, decreasing urination frequency.