ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Medical History
Type 2 Diabetes Mellitus
Hypertension: Controlled by diuretic and ACE-inhibitor therapy
Osteoarthritis
Diagnostic Results
Preoperative Laboratory Results:
Basic Metabolic Profile (BMP):
Glucose: 190 mg/dL (Normal: 74 to 106 mg/dL)
BUN: 16 mg/dL (Normal: 10 to 20 mg/dL)
Creatinine: 0.8 mg/dL (Normal: 0.5 to 1 mg/dL)
Hemoglobin A1C: 9.5% (Poor diabetic control: >9%)
Current Laboratory Results:
Basic Metabolic Profile (BMP):
Glucose: 280 mg/dL (Normal: 74 to 106 mg/dL)
BUN: 15 mg/dL (Normal: 10 to 20 mg/dL)
Creatinine: 0.7 mg/dL (Normal: 0.5 to 1 mg/dL)
Medication Administration Record
Home Medications:
Metformin: 1,000 mg PO BID
Lisinopril: 20 mg PO daily
Celecoxib: 100 mg PO BID
Vital Signs
Preoperative:
Temperature: 36.4°C (97.6°F)
Heart Rate: 82/min
Respiratory Rate: 20/min
Blood Pressure: 126/74 mm Hg
Oxygen Saturation: 95% on room air
Current:
Temperature: 37.2°C (99°F)
Heart Rate: 92/min
Respiratory Rate: 22/min
Blood Pressure: 136/85 mm Hg
Oxygen Saturation: 98% on 2 L/min nasal cannula
Question 1 of 5
The client is at highest risk for…... as evidenced by the....
Correct Answer: B,E
Rationale: Post-knee arthroplasty, elevated blood glucose increases infection risk due to impaired healing.
Extract:
Question 2 of 5
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Exercise can lower blood glucose, and not adjusting insulin may cause hypoglycemia, suggested by diaphoresis and palpitations.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: B
Rationale: Assisting the client to list preferred foods encourages active participation in their dietary plan, enhancing adherence.
Question 4 of 5
A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Diphenhydramine is an antihistamine used to treat allergic reactions, such as hives and urticaria caused by contrast dye.
Extract:
Diagnostic Results
Day of Admission:
Brain Natriuretic Peptide (BNP): 450 pg/mL (Normal: <100 pg/mL)
Potassium: 4.8 mEq/L (Normal: 3.5-5 mEq/L)
Sodium: 132 mEq/L (Normal: 136-145 mEq/L)
BUN: 10 mg/dL (Normal: 10-20 mg/dL)
Day 2 of Hospitalization:
Brain Natriuretic Peptide (BNP): 110 pg/mL (Normal: <100 pg/mL)
Potassium: 3.3 mEq/L (Normal: 3.5-5 mEq/L)
Sodium: 135 mEq/L (Normal: 136-145 mEq/L)
BUN: 20 mg/dL (Normal: 10-20 mg/dL)
Medical Administration Record
Day of Admission:
• Medication: Furosemide 80 mg IV, 3 times per day
Vital Signs
Day of Admission:
Temperature: 36.6°C (97.8°F)
Heart Rate: 112/min
Respiratory Rate: 24/min
Blood Pressure: 186/84 mmHg
Oxygen Saturation: 93% on room air
Weight: 97.5 kg (215 lb)
Day 2 of Hospitalization:
Temperature: 36.6°C (97.8°F)
Heart Rate: 78/min
Respiratory Rate: 18/min
Blood Pressure: 102/78 mmHg
Oxygen Saturation: 98% on 2 L/min oxygen via nasal cannula
Weight: 90.7 kg (200 lb)
Question 5 of 5
The client is at risk for developing……. and……...
Correct Answer: B,D
Rationale: Heart failure increases the risk of fluid volume deficit and dysrhythmias due to cardiac strain and electrolyte imbalances.