ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
History and Physical
Diabetes mellitus type 2 for 15 years
Hypertension for 25 years
Hyperlipidemia for 20 years
History of smoking 40 packs per year
Cerebrovascular accident (CVA) 5 days ago
Nurses' Notes
Day 1, Medical-Surgical Unit (5 days post-CVA):
Client transferred from ICU via gurney, hand-off report received. Client asleep, respirations eupneic, heart rate regular. Abdomen soft, nondistended, active bowel sounds x4 quadrants. No edema noted, compression stockings present. Indwelling urinary catheter draining clear yellow urine. 14 French NG tube noted in right nares, clamped.
Day 2, Medical-Surgical Unit (6 days post-CVA):
Assessment completed. Client awakens for short periods of time, unable to speak, occasional moans noted. Client incontinent of stool, cleaned skin and barrier ointment applied. Skin intact without any areas of erythema. Client unable to reposition self. Occasional movement of left arm and leg noted, right side without movement. Physical therapists in to see client for morning exercises. NG tube noted in right nares, clamped.
Provider Prescriptions
Day 1, Medical-Surgical Unit (5 days post-CVA):
Begin clopidogrel 75 mg via NG tube daily
Diagnostic Results
Day 1, Medical-Surgical Unit (5 days post-CVA):
WBC count 6,900/mm3 (5,000 to 10,000/mm3)
Hgb 16 g/dL (12 g/dL to 16 g/dL)
Hct 41% (37% to 47%)
Platelet count 310,000/mm3 (150,000 to 400,000/mm3)
Day 2, Medical-Surgical Unit (6 days post-CVA):
WBC count 7,200/mm3 (5,000 to 10,000/mm3)
Hgb 16.5 g/dL (12 g/dL to 16 g/dL)
Hct 42% (37% to 47%)
Day 1, Medical-Surgical Unit (5 days post-CVA):
WBC count 6,900/mm3 (5,000 to 10,000/mm3)
Hgb 16 g/dL (12 g/dL to 16 g/dL)
Hct 41% (37% to 47%)
Platelet count 310,000/mm3 (150,000 to 400,000/mm3)
Day 2, Medical-Surgical Unit (6 days post-CVA):
WBC count 7,200/mm3 (5,000 to 10,000/mm3)
Hgb 16.5 g/dL (12 g/dL to 16 g/dL)
Hct 42% (37% to 47%)
Question 1 of 5
The client is at risk for developing _ and _
Correct Answer: A,B
Rationale: The client is at risk for developing pressure injury and foot drop. Given the client's history of a recent cerebrovascular accident (CV
A) and the inability to reposition themselves, there is a heightened risk for pressure injuries due to prolonged periods of immobility. Additionally, the observed occasional movement of the left arm and leg with the right side without movement suggests a potential for muscle weakness or paralysis, which can lead to foot drop.
Extract:
Question 2 of 5
A nurse who is off duty finds a woman who has collapsed and has right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Calling emergency services is the correct action to ensure the woman receives timely medical care for stroke symptoms.
Question 3 of 5
A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspect which of the following types of anemia?
Correct Answer: D
Rationale: Iron-deficiency anemia commonly presents with weakness, fatigue, and heavy menstrual bleeding due to inadequate iron for red blood cell production.
Question 4 of 5
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: B
Rationale: An abnormally prominent U wave is a classic sign of hypokalemia on an EKG.
Question 5 of 5
A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Tremor is a common finding in acute cocaine toxicity due to increased sympathetic nervous system activity. Agitation is common in acute cocaine toxicity as a result of CNS stimulation. Fever can occur as a symptom of acute cocaine toxicity.