ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Nurses' Notes
1000:
Client presents with reports of shortness of breath, dizziness, and "feelings of pressure" in jaw, neck, and left arm. Was mowing the lawn when feelings of discomfort began.
Denies chest pain, nausea, palpitations.
Provider updated, prescriptions received.
1010:
Nitroglycerin sublingual tablet administered x 3, 5 min apart. Updated provider on diagnostic results. Prescriptions received.
1025:
Client states relief from discomfort, no further shortness of breath, dizziness, or feelings of pressure, continues to deny chest pain.
Provider updated, prescriptions received.
Vital signs
Temperature 36.4°C (97.6°F)
Heart rate 112/min
Respiratory rate 28/min
Blood pressure 146/74 mm Hg
SaO2 93% on room air
1015:
Temperature 36.4°C (97.6°F)
Heart rate 92/min
Respiratory rate 24/min
Blood pressure 126/64 mm Hg
SaO, 96% on oxygen @ 2L/min via nasal cannula
Provider Prescriptions
1005:
12 Lead EKG
Serum cardiac enzymes
Nitroglycerin 0.3 mg sublingual now, may repeat every 5 min for 2 additional doses
Diagnostic Results
1010:
12 Lead EKG:
ST depression and T-wave inversion
Question 1 of 5
For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.
| Options | Angina | Myocardial infarction |
|---|---|---|
| Provider consult | ||
| Client's initial report of manifestations | ||
| Treadmill stress test | ||
| Result of nitroglycerin therapy | ||
| 12 Lead EKG report |
Correct Answer: B,D,E
Rationale: Client's initial manifestations, nitroglycerin relief, and EKG changes are consistent with both angina and MI, though MI requires further confirmation.
Extract:
Question 2 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: B
Rationale: Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.
Question 3 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Slow, steady bubbling in the suction control chamber may indicate that the suction control pressure needs adjustment.
Question 4 of 5
A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
Correct Answer: B
Rationale: Defibrillation is used for pulseless ventricular tachycardia or ventricular fibrillation to restore a normal heart rhythm.
Question 5 of 5
A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Homonymous hemianopsia involves loss of vision in one half of the visual field; reminding the client to look to the left side of the tray helps them find food in their impaired visual field.