ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a resection of an abdominal aortic aneurysm yesterday. The client has an IV infusion of maintenance fluid at a rate of 150 mL/hr, unchanged from the last 10 hours. The client's urine output for the last 3 hours has been 90ml, 50mL, and 24mL. Which nursing action is the priority?
Correct Answer: B
Rationale: A significant drop in urine output post-AAA resection may indicate acute renal failure, requiring immediate provider notification. Monitoring, specific gravity, and albumin checks are secondary.
Question 2 of 5
A patient has been diagnosed with a 4cm abdominal aortic aneurysm. Which of the following conditions would indicate surgical intervention may be necessary?
Correct Answer: B
Rationale: Marfan's syndrome increases AAA rupture risk due to weakened connective tissue, often necessitating surgery. Young age, controlled hypertension, or patient concerns do not directly indicate surgery.
Question 3 of 5
A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?
Correct Answer: B
Rationale: Dyspnea may indicate heart failure or pulmonary embolism in endocarditis, both life-threatening. Fever, anorexia, and malaise are less urgent.
Extract:
History and Physical
0900:
History of present illness:
Client presents to the emergency department reporting acute onset of back pain that started this morning. Client reports pain as 8 on a scale of Oto 10. Client also reports feeling dizzy and weak.
Past medical history: Diabetes mellitus type 2, hypertension
Surgical history: Appendectomy at age 23 years
Family history:
Father: History of prostate cancer Mother: Died of "old age"
Social history: Smokes 1 pack of cigarette
Vital Signs
0900:
Blood pressure 136/84 mm Hg
Heart rate 111/min
Respiratory rate 20/min
Temperature 37° C (98.6" F)
0920:
Blood pressure 150/86 mm Hg
Heart rate 120/min
Respiratory rate 24/min
Temperature 37° C (98.6° F)
Provider Prescriptions
Metoprolol succinate ER 100 mg PO x 1 dose
Diagnostic results
0915:
CT scan of the abdomen and pelvis: 4 cm infrarenal abdominal aortic aneurysm (AAA) Hemoglobin 11 g/dL (14 to 18 g/dL)
Hematocrit 40% (42% to 52%)
Question 4 of 5
A nurse is caring for a client in the emergency department. Which of the following interventions should the nurse expect when planning care for this client? (Select All that Apply)
Correct Answer: B,C,E,F
Rationale: Analyzing CBC monitors for bleeding, preparing for surgery addresses symptomatic AAA, antihypertensives control rupture risk, and arterial line aids monitoring. Back pain monitoring, transfusion, and education are secondary in the acute phase.
Extract:
Question 5 of 5
The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy. Which information obtained by the nurse is most important in planning care?
Correct Answer: C
Rationale: A family history of sudden cardiac death indicates a high risk for similar outcomes in hypertrophic cardiomyopathy, critical for care planning. Infections, CAD, and past cocaine use are less directly relevant.