RN ATI Comprehensive Assessment Exam Retake 2023 V2 -Nurselytic

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RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions

Extract:

Nurses Notes

Day 1, 0900:

Client is at 31 weeks of gestation and presents with a severe headache unrelieved by acetaminophen. Client also reports urinary frequency and decreased fetal movement. Client is a G3 P2 with one preterm birth.



Day 1, 0930:

Client reports a constant and throbbing headache and rates it as a 6 on a scale of 0 to 10. Denies visual disturbances. +3 pitting edema in bilateral lower extremities, Patellar reflex 4+ without the presence of clonus. Client reports occasional nighttime leg cramps. Reports three fetal movements within the last 30 min. External fetal monitor applied with a baseline FHR 140/min with occasional accelerations and moderate variability. No uterine contractions noted



Diagnostic Results

Day 1, 1000:

Appearance cloudy (clear)

Color yellow (yellow)

pH 5.9 (4.6 to 8)

Protein 3+ (negative)

Specific gravity 1.013 (1.005 to 1.03)

Leukocyte esterase negative (negative)

Nitrites negative (negative)

Ketones negative (negative)

Crystals negative (negative)

Casts negative (negative)

Glucose trace (negative)

WBC 5 (0 to 4)

WBC casts none (none)

RBC 1 (less than or equal to 2)

RBC casts none (none)



Day 1, 1030:

CBC:

Hemoglobin 18.0 g/dL (12 to 16 g/dL)

Hematocrit 35% (37 to 47%)

Platelets 98,000/mm³ (150,000 to 400,000/mm³)

BUN 19 mg/dL (10 to 20 mg/dL)

Creatinine 0.8 mg/dL (0.5 to 1 mg/dL)

WBC 8,000/mm³ (5,000 to 10,000/mm³)

Glucose 85 mg/dL (74 to 106 mg/dL)



Liver Enzymes:

Alanine aminotransferase (ALT) 40 units/L (4 to 36 units/L)

Aspartate aminotransferase (AST) 42 units/L (0 to 35 units/L)

Total bilirubin 1.2 mg/dL (0.3 to 1 mg/dL)


Question 1 of 5

The nurse is reviewing the assessment findings. For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process

Correct Answer: C: Preeclampsia; A, B, D: HELLP

Rationale: The correct answer is: C: Preeclampsia; A, B, D: HELLP.

1. Blood pressure is consistent with preeclampsia as elevated blood pressure is a key characteristic.
2. Hemoglobin, Alanine aminotransferase (ALT), and Platelet count are consistent with HELLP syndrome, as these markers are commonly affected in this condition.
3. Preeclampsia is characterized by hypertension and proteinuria, while HELLP syndrome involves hemolysis, elevated liver enzymes, and low platelet count.
4.
Therefore, based on the assessment findings provided, elevated blood pressure aligns with preeclampsia, while abnormalities in hemoglobin, ALT, and platelet count suggest HELLP syndrome.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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