ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Medical History
Day 1:
Client has a history of emphysema and reports smoking 21 packs of cigarettes per year.
Vital Signs
Day 1:
Temperature 37.6° C (99.7° F)
Blood pressure 114/56 mm Hg
Heart rate 78/min
Respiratory rate 20/min
Pulse oximetry 93% on room air
Day 2:
1000
Temperature 36.9° C (98.4° F)
Blood pressure 88/56 mm Hg
Heart rate 118/min
Respiratory rate 32/min
Pulse oximetry 85% on room air
Diagnostic Results
Day 1:
Chest x-ray shows lung hyperinflation.
Day 2
1000:
Chest x-ray shows right upper lobe pneumothorax.
Nurses' Notes
Day 2:
0800:
Voided 350 mL of clear yellow urine in a bedpan.
1000:
Client reports sudden, sharp, right upper chest pain.
Client appears anxious and states pain increases with deep breathing.
Respirations labored with use of accessory muscles noted.
Crepitus palpated on right upper chest.
Trachea midline, breath sounds decreased in right upper lobe.
Question 1 of 5
For each potential nursing action, click to specify if the action is essential, non-essential, or contraindicated for the client.
| Action | essential | non-essential | contraindicated |
|---|---|---|---|
| Administer an analgesic | |||
| Initiate a weight-based continuous heparin infusion | |||
| Initiate supplemental oxygen | |||
| Prepare client for a chest tube insertion | |||
| Insert an indwelling urinary catheter |
Correct Answer: A,C,D
Rationale: Administer an analgesic is essential for pain management. Initiate supplemental oxygen is essential due to low pulse oximetry. Prepare client for a chest tube insertion is essential to treat the pneumothorax.
Extract:
Question 2 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Applying ice to the affected area is recommended to reduce swelling and pain after arthroscopic knee surgery.
Question 3 of 5
A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Skin integrity, temperature, color, and sensation are all critical parameters for assessing neurovascular status to detect complications like impaired circulation or nerve damage.
Question 4 of 5
A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?
Correct Answer: B
Rationale: Pressing water from a sponge rather than wringing it is a good strategy to avoid straining the joints.
Question 5 of 5
A nurse is providing discharge teaching to a client who has an implantable cardioverter/defibrillator (ICD). Which of the following information should the nurse include?
Correct Answer: B
Rationale: The client should hold his cell phone on the side opposite the ICD to avoid interference with the ICD's functioning.