ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Diagnostic Results
1000:
Myoglobin 100 mcg/L (less than 90 mcg/L) Creatine kinase 180 units/L (55 to 170 units/L) Troponin T
0.40 ng/mL (less than 0.1 ng/mL) Troponin I 0.35 ng/mL (less than 0.03 ng/mL) Cholesterol 244 mg/dL (less than 200 mg/dL) Triglycerides 180 mg/dL (40 to 160 mg/dL) LDL cholesterol 148 mg/dL (less than
130 mg/dL) HDL cholesterol 42 mg/dL (greater than 45 mg/dL) C-reactive protein 2 mg/mL (less than 1.0 mg/mL) Blood glucose 103 mg/dL (74 to 106 mg/dL)
12-lead electrocardiogram: tachycardia with ST segment elevation and T wave changes Chest x-ray: lungs are clear in all lobes
Question 1 of 5
The nurse is reviewing the client's medical record. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
Correct Answer: A,B,C,D,E,F,G
Rationale: Metoprolol, oxygen, labs, morphine, nitroglycerin, and weight are anticipated; atropine is conditional based on heart rate.
Extract:
Question 2 of 5
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft?
Correct Answer: D
Rationale: A palpable thrill indicates adequate blood flow through the arteriovenous graft.
Question 3 of 5
A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Stopping the infusion is the first action to prevent further reaction in a suspected transfusion reaction.
Extract:
Findings upon admission:
Vital Signs
Blood pressure 106/64 mm Hg
Heart rate 95/min
Respiratory rate 20/min
Temperature 37.8° C (100° F)
Oxygen saturation 95% on O, at 3 L/min via nasal cannula
Question 4 of 5
A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.
| Options | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening condition |
|---|---|---|---|
| Disoriented to person, place, and time | |||
| Oxygen saturation 96% at 2 L/min via nasal cannula | |||
| Hct 45% | |||
| Butterfly rash | |||
| Blood pressure 100/50 mm Hg |
Correct Answer:
Rationale: Disorientation and low BP worsen UTI; improved O2 is a sign of improvement; Hct is normal; rash is unrelated.
Extract:
Question 5 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: C
Rationale: Acute gout is caused by elevated uric acid levels leading to crystal deposition in joints.