ATI RN
ATI Comprehensive Predictor 2023 Exit exam A Questions
Extract:
Vital Signs
Nurses' Notes
Laboratory Results
0400:
57-year-old male client presents to the emergency department with severe abdominal and epigastric pain that began about 12 hr ago. Client rates pain as a 7 on a 0 to 10 pain scale. Client reports pain worsens after eating and radiates into his back. States is nauseous and has had several episodes of vomiting, i Reports some shortness of air and increased pain when lying । flat.
Client is alert and oriented x4 but appears ill. Sclera and palate noted to be yellow. Abdomen distended, rigid, and tender to palpation. Skin turgor poor.
Client reports consuming 3 to 4 alcoholic drinks per day, denies use of other substances. No known allergies.
0730:
Will admit to medical-surgical unit for treatment of pancreatitis. Treatment plan discussed with client
Question 1 of 5
For each potential provider prescription click to specify if the prescription is anticipated or contraindicated for the client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Insert an indwelling urinary catheter. | ||
| Insert a nasogastric tube and maintain low intermittent suction. | ||
| Administer lactated Ringer's 1 L via IV bolus. | ||
| Administer famotidine 20 mg via intermittent IV infusion twice daily. |
Correct Answer: A,B,C,D
Rationale: Inserting a urinary catheter is anticipated to monitor urine output and fluid status due to possible oliguria or anuria from pancreatitis-related dehydration or renal impairment. A nasogastric tube with suction is anticipated to decompress the stomach, reduce pancreatic stimulation, and prevent aspiration due to nausea and vomiting. Administering lactated Ringer's is anticipated to correct hypovolemia, hypotension, and electrolyte imbalances, improving perfusion and preventing shock. Famotidine is anticipated to reduce gastric acid production, protecting the mucosa and promoting ulcer healing in pancreatitis-associated gastric hypersecretion.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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