ATI RN
ATI Med Surg Woolery Final Exam 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. Pressure has not subsided with rest. Provider updated, orders received.
1010:
Nitroglycerin sublingual tablet administered x2 doses, 5 min apart. Updated provider on diagnostic results.
1025:
Client states relief from discomfort after 2nd nitroglycerin tab, no current shortness of breath, dizziness, or feelings of pressure, continues to deny chest pain.
Provider updated, orders received.
Vital Signs
1000:
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
SaO2 96% on oxygen @ 2L/min via nasal cannula
Provider Orders
1005:
12 Lead EKG
Serum cardiac enzymes
Nitroglycerin 0.3 mg sublingual now, may repeat every 5 min for 2 additional doses for continued chest pain
Oxygen at 2 L/minute via nasal cannula for O2 saturation less than 95%
1030:
Schedule cardiac stress test Consult cardiology
Diagnostic Results
1010:
12 Lead EKG: Sinus tachycardia with ST depression Troponin I: 0.01 ng/mL
Troponin T: 0.03 ng/mL
Question 1 of 5
For each of the following findings in the client's medical record, click to specify if they are consistent with unstable angina or a myocardial infarction (MI). Each finding may support more than one disease process.
| Options | Unstable Angina | Myocardial Infarction |
|---|---|---|
| Client's response to nitroglycerin therapy (Unstable Angina) | ||
| Client's initial report of manifestations (Unstable Angina, Myocardial Infarction) | ||
| 12 Lead EKG report (Unstable Angina) | ||
| Troponin results (Unstable Angina) |
Correct Answer: A,B,C,D
Rationale: Nitroglycerin relief and normal troponins support unstable angina; symptoms and EKG findings can indicate both conditions.
Extract:
Question 2 of 5
The patient is admitted with upper GI bleeding following an episode of forceful vomiting due to excessive alcohol intake. The nurse suspects a Mallory-Weiss tear. Which of the following is true of a Mallory-Weiss tear?
Correct Answer: D
Rationale: A Mallory-Weiss tear is a laceration in the mucosal lining at the gastroesophageal junction, typically caused by severe vomiting or retching.
Question 3 of 5
A client with end-stage renal disease who is on hemodialysis is preparing to receive a treatment. Which of the following medication administration techniques should the nurse use to prevent complications?
Correct Answer: B
Rationale: Holding medications until after hemodialysis prevents potential removal of medications during the treatment.
Question 4 of 5
A nursing student preparing for his first clinical rotation must receive a hepatitis B vaccination series prior to attending clinicals. The nursing student understands that this is
Correct Answer: B
Rationale: The hepatitis B vaccination is primary prevention, aimed at preventing the disease.
Question 5 of 5
A client with type 1 diabetes mellitus is admitted to the hospital with diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: Positive urine ketones are expected in DKA due to fat breakdown and ketone production.