ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Vital Signs
Nurses’ Notes
Diagnostic Results
Provider’s Prescriptions
Postoperative day 1, 0600:
Temperature: 36.4 C (97.5 F)
Heart rate: 84/min
Respiratory rate: 18/min
Blood pressure: 106/74 mm Hg
Oxygen saturation: 97% on room air
2330:
Temperature: 36.3 C(97.3 F)
Heart rate: 104/min
Respiratory rate: 24/min
Blood pressure: 88/54 mm Hg
Oxygen saturation: 96% on room air
The nurse is continuing to assist in the care of the client.
Question 1 of 5
For each data collection finding, specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than one disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Respiratory effort | ||
| Heart rate | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer: B,D
Rationale: Tachycardia (heart rate 104/min) and hypotension (88/54 mm Hg) on day 1 at 2330 are consistent with hypovolemic shock due to fluid loss post-surgery.
Extract:
Provider’s Prescriptions
Laboratory Results
A nurse is caring for a client who has a new prescription for cefazolin. The client is also taking the following medications:
Lisinopril 20 mg PO daily
Furosemide 40 mg PO twice daily
Allopurinol 200 mg PO three times daily
Question 2 of 5
Which of the following findings should the nurse identify as a contraindication to the administration of cefazolin? Select all that apply
Correct Answer: B,E
Rationale: Allergy history is a contraindication to cefazolin (a cephalosporin) due to potential anaphylaxis. Furosemide may interact, increasing nephrotoxicity risk.
Extract:
Question 3 of 5
Which of the following observations should the nurse report to the healthcare provider?
Correct Answer: D
Rationale: Facial edema post-bronchoscopy suggests an allergic reaction or complication, requiring immediate reporting.
Question 4 of 5
After reviewing the medical data, which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Without specific data, seizure precautions are inferred as a priority action, possibly due to neurological risk suggested by context.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Alendronate requires sitting upright for 30-60 minutes to prevent esophageal irritation, a standard instruction.