ATI n269 Med Surg Comprehensive Exam | Nurselytic

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ATI n269 Med Surg Comprehensive Exam Questions

Extract:

Nurses notes
Laboratory
Diagnostic Results
Vital Signs
Two weeks ago
0900:
Received client alert and oriented. Lung sounds with crackles bilaterally, respirations with dyspnea observed on exertion. Heart sounds with S3 auscultated. 1+ jugular venous distention. Capillary refill in 3 seconds in bilateral upper and in 4 seconds in bilateral lower extremities. Pulses in bilateral upper extremities at +2; pulses in bilateral lower extremities +1 and cool to touch with +1 pitting edema.
Client reports worsening shortness of breath over the last couple of months. Client states "I thought I was just gaining weight, but I think my heart may not be working right." Client also reports that both their legs are swollen, and they get short of breath while walking or doing any type of activity. Denies chest pain or palpitations and reports blood pressure is controlled.
Today
0830:
Follow-up appointment with client who reports feeling a little better. Lung sounds clear bilaterally, respirations with dyspnea observed on exertion. Heart sounds with S3 auscultated. Jugular vein distention absent. Capillary refill in 3 seconds in bilateral upper extremities and in 4 seconds in bilateral lower extremities. Pulses in bilateral upper and lower extremities at +2 and no edema to extremities. Skin warm and dry to touch, color appropriate for genetic background. Client reports less shortness of breath, but admits they still get a "little winded when doing activities."


Question 1 of 5

The nurse is reviewing the client's assessment findings. Which of the following findings indicates that the client's condition has improved or has not changed since their two-week follow-up appointment?

OptionsImprovedNo change
Blood Pressure
Jugular Venous Distention
Lung sounds
Serum Potassium
Weight
Dyspnea
Oxygen saturation

Correct Answer: A,B,C,D,E

Rationale: Blood pressure, jugular venous distention, lung sounds, serum potassium, and weight have improved, indicating better heart failure management. Dyspnea and oxygen saturation remain unchanged, showing no worsening.

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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