ATI LPN
ATI PN Adult Medical Surgical 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
Question 1 of 5
The nurse is continuing to assist in the care of the client. For each data collection finding, click to specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than 1 disease process or none at all.
| Options | Hypovolemic Shock | Pulmonary Embolism |
|---|---|---|
| Heart rate | ||
| Respiratory effort | ||
| Pain | ||
| Blood pressure | ||
| Mentation |
Correct Answer:
Rationale: At 0900, findings are normal, not indicating hypovolemic shock or pulmonary embolism.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
Postoperative day 1, 2345:
Client is anxious and restless. Reports pain in chest. Lung sounds clear bilaterally. Respirations are rapid and shallow. Skin cool and moist. Capillary refill 4 seconds. Radial and pedal pulses 1+. Abdominal wound dressing dry and intact.
Question 2 of 5
The nurse should anticipate a provider prescription for.
Correct Answer: C,D
Rationale: Chest pain and poor perfusion suggest possible embolism or anemia; bumetanide addresses fluid overload, PRBCs treat anemia.
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
Postoperative day 1, 2345:
Client is anxious and restless. Reports pain in chest. Lung sounds clear bilaterally. Respirations are rapid and shallow. Skin cool and moist. Capillary refill 4 seconds. Radial and pedal pulses 1+. Abdominal wound dressing dry and intact.
Question 3 of 5
The nurse is continuing to assist in the care of the client. After reviewing the client's electronic medical record, which of the following actions should the nurse recommend to take? Select the 3 actions the nurse should recommend to take.
Correct Answer: A,E,F
Rationale: Frequent vital signs, additional IV access, and oxygen address deteriorating status and potential embolism.
Extract:
Question 4 of 5
A nurse is reinforcing teaching about home safety measures with a client who is visually impaired. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Marking the edges of steps helps a visually impaired client identify changes in elevation, reducing the risk of falls.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client regarding self-administration of regular insulin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Opened insulin vials can be stored at room temperature for up to 4 weeks to maintain stability and ease of use.