ATI RN
ATI RN Adult Med-Surg 2023 Questions
Extract:
History and Physical
Nurses' Notes
Vital Signs
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
History:
Prepared by Purity
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 1 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Potential Prescription | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Metoprolol 15 mg IV bolus | |||
| Oxygen at 2 L/min via nasal cannula | |||
| Draw electrolytes along with Hgb and Hct | |||
| Morphine 6 mg IV bolus every 3 hr as needed for pain | |||
| Nitroglycerin 0.5 mg SL now may repeat every 5 min up to 3 doses | |||
| Obtain daily weight | |||
| Atropine 0.5 mg IV bolus every 5 min up to 2 mg if heart rate drops below 60 |
Correct Answer: A, D, E likely anticipated for chest pain management.
Rationale:
Extract:
Question 2 of 5
A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?
Correct Answer: C
Rationale: Bilateral orchiectomy reduces testosterone, leading to hot flashes similar to menopause.
Question 3 of 5
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Bladder spasms and scant drainage suggest a blockage; irrigating with 0.9% sodium chloride clears the catheter.
Question 4 of 5
A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?
Correct Answer: B
Rationale: Positive-pressure airflow prevents airborne pathogens from entering the room.
Question 5 of 5
A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Padding side rails prevents injury during seizures; tongue blades are not recommended.