ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Vital signs
0900:
Temperature 36.7° C (98° F)
Heart rate 119/min
Respiratory rate 26/min
Blood pressure 149/95 mm Hg
Oxygen saturation 92% on room air
Nurses' Notes
0900:
Client is a 45-year-old male brought to ED by family member due to new- onset chest pain and shortness of breath. Client describes pain as 10/10, substernal, and radiating to the left scapula.
Oriented to person, place, time, and situation.
Skin pale, cool, and diaphoretic, peripheral pulses weak.
$152 heard upon auscultation. Lungs clear bilaterally.
Client denies medical history and states no home medications.
Diagnostic results
0915:
12 Lead EKG:
ST-Elevation in leads V2-V6, rate 119 Point of Care Troponin:
1,40 ng/mL
Question 1 of 5
Select the 3 orders that the nurse should expect for this client.
Correct Answer: A,E,F
Rationale: Cardiac catheterization, supplemental oxygen, and nitroglycerin are standard for acute myocardial infarction management.
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 is admitted for an elective transurethral resection of the prostate (TURP). The client is receiving continuous bladder irrigation (CBI) after the procedure. In the post-anesthesia care unit (PACU), the nurse takes the client's vital signs and checks the urinary drainage bag frequently. Which assessment finding should the nurse prioritize reporting to the provider as an indication of a possible complication?
Correct Answer: B
Rationale: Stopped Foley catheter output may indicate a blockage, requiring immediate reporting.
Question 4 of 5
A nurse is caring for a client who has a diagnosis of Cushing syndrome. After performing magnetic resonance imaging (MRI), the underlying cause of the condition is found to be hyperplasia of the adrenal glands. Which of the following lab results would the nurse anticipate with this condition?
Correct Answer: C
Rationale: Low ACTH and elevated cortisol is consistent with Cushing syndrome caused by adrenal gland hyperplasia, where the adrenal glands produce excess cortisol independently of ACTH stimulation.
Question 5 of 5
A nurse in an ophthalmology clinic is assessing a client who has suspected primary open-angle glaucoma (PAOG). Which assessment finding would support a diagnosis of this type of glaucoma?
Correct Answer: A
Rationale: Loss of peripheral vision is a hallmark of primary open-angle glaucoma.