ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Medical History
Caesarean sections in 2005 & 2008.
Hypertension. Takes amlodipine 5 mg PO daily.
Obesity
Transfuse 1 unit of packed red blood cells.
Allergies: Morphine
Nurse's Notes
1200:
Client presents to the emergency department with complaints of abdominal pain rated 9/10 with nausea. Pain is localized to the right upper quadrant, radiates to right shoulder. Client reports vomiting yesterday. Abdomen soft, non-distended, tender to palpation in RUQ with guarding. Client is alert and oriented to person, place, time, and situation. 2+ peripheral pulses in all extremities. Lungs clear to auscultation. Urine sample sent to lab, awaiting results, urine noted to be dark amber on collection.
Client diaphoretic, mild jaundice noted. 18 g peripheral IV catheter inserted to right antecubital with 0.9% sodium chloride infusing at 125 mL/hr continuous via pump. Awaiting orders. Will continue to monitor.
SWAT Diagnostic Results
1210
Sodium: 140 mEq/L
Potassium: 3.8 mEq/L
BUN: 18 mg/dL
Creatinine: 1.1 mg/dL
White Blood Cell Count: 14,000/mm3 Red Blood Cell Count 5.1 million/mm3 Hemoglobin: 15.1 g/dL
Platelet Count: 250,000/mm3
Vital Signs
1200:
Temperature 37.9°C (100.3°F)
Heart rate 120/min (Sinus Tachycardia) Respiratory rate 22/min
Blood pressure 149/86 mmHg SaO2 96% on room air
Question 1 of 5
For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for this client.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Begin broad spectrum IV antibiotics (Anticipated) | ||
| Transfuse 1 unit of packed red blood cells (Contraindicated) | ||
| Prepare client for endoscopic retrograde cholangiopancreatography (Anticipated) | ||
| Administer morphine sulfate IV push for pain (Contraindicated) |
Correct Answer: A,C
Rationale: Antibiotics and ERCP are appropriate for suspected biliary infection; blood transfusion is not indicated, and morphine is contraindicated due to allergy.
Extract:
Question 2 of 5
A client with diabetes and hypertension describes seeing 'floaters' and flashes of light in their field of vision. The nurse understands that this description is indicative of which disorder?
Correct Answer: A
Rationale: Floaters and flashes of light are classic symptoms of retinal detachment.
Question 3 of 5
A nurse is caring for a client who is postoperative following a right radical mastectomy. The client has a Jackson-Pratt (JP) drain in the surgical site. Which of the following assessment findings indicates the JP drain is functioning correctly?
Correct Answer: B
Rationale: A half-full, expanded bulb reservoir with serosanguinous fluid indicates the JP drain is functioning to remove excess fluid from the surgical site.
Question 4 of 5
A client in the emergency department is experiencing an acute asthma exacerbation, which has not improved with albuterol nebulizer treatments. The client is obviously struggling to breathe. The nurse anticipates that intubation and mechanical ventilation will be needed based on which of the following assessment findings?
Correct Answer: C
Rationale: Hypotension in an asthma exacerbation can indicate severe respiratory distress, suggesting the need for intubation.
Question 5 of 5
A client with a history of atrial fibrillation is prescribed amiodarone. The nurse should monitor for which of the following adverse effects?
Correct Answer: A
Rationale: Amiodarone can cause pulmonary toxicity, a serious adverse effect requiring monitoring.