ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Medical History
HIV
Diagnostic Results
On Diagnosis:
Total WBC: 6,000/mm³ (Normal: 5,000 to 10,000/mm³)
Platelet Count: 154,000/mm³ (Normal: 150,000 to 400,000/mm³)
Sodium: 139 mEq/L (Normal: 136 to 145 mEq/L)
Potassium: 4.2 mEq/L (Normal: 3.5 to 5 mEq/L)
BUN: 16 mg/dL (Normal: 10 to 20 mg/dL)
3 Month Visit:
Total WBC: 5,500/mm³ (Normal: 5,000 to 10,000/mm³)
Platelet Count: 112,000/mm³ (Normal: 150,000 to 400,000/mm³)
Sodium: 136 mEq/L (Normal: 136 to 145 mEq/L)
Potassium: 3.8 mEq/L (Normal: 3.5 to 5 mEq/L)
BUN: 18 mg/dL (Normal: 10 to 20 mg/dL)
Question 1 of 5
The client is at risk for developing……. due to.....
Correct Answer: A,G
Rationale: Low platelet count in HIV increases bleeding risk due to impaired clotting.
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 2 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:
Nurses' Notes
Day 1:
1000:
Client is alert to person, place, and time. Client is short of breath and leans forward to breathe easier. Lung sounds are diminished in bilateral bases with occasional wheezes. Nonproductive cough. Heart rate is regular. +2 pulses in all extremities.
1500:
Client is tachypneic, cough is productive, and mucous is yellow in color. Wheezes and crackles heard upon auscultation. Heart rate is regular. +2 pulses in all extremities. Client is oriented to person, place and time. Client is restless. Pupils are reactive to light. Client is diaphoretic with cyanotic mucous membranes
Vital Signs
1000:
Temperature: 37.1°C (98.8°F)
Heart Rate: 100/min
Respiratory Rate: 22/min (irregular)
Blood Pressure: 164/80 mm Hg
Oxygen Saturation: 92% on room air
1500:
Temperature: 37.3°C (100.3°F)
Heart Rate: 110/min
Respiratory Rate: 26/min (irregular)
Blood Pressure: 110/58 mm Hg
Oxygen Saturation: 87% on room air
Question 3 of 5
A nurse is caring for a client who has COPD. Select the findings below that require immediate follow-up.
Correct Answer: B,C,E,F
Rationale: Restlessness, tachypnea, yellow mucous, and wheezes/crackles indicate worsening COPD requiring intervention.
Extract:
Question 4 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Limiting family member visits to 30 minutes per day reduces radiation exposure to others, which is a key safety measure for clients with sealed radiation implants.
Question 5 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: D
Rationale: Antithrombotic therapy is essential post-ischemic stroke to prevent further clot formation and reduce the risk of recurrent stroke.