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 after total hip replacement surgery. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An elevated toilet seat prevents hip flexion beyond 90 degrees, reducing dislocation risk.
Question 3 of 5
A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interacts with this medication?
Correct Answer: C
Rationale: Kale, high in vitamin K, can decrease warfarin's anticoagulant effect.
Question 4 of 5
A nurse is reviewing the health history of a client who is scheduled for exploratory surgery. Which of the following food allergies indicates a risk for an allergic reaction to latex?
Correct Answer: A
Rationale: A strawberry allergy is associated with a higher risk of latex-fruit syndrome, increasing the likelihood of a latex allergy.
Extract:
Nurses' Notes
0900:
Client came to the ED this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite.
Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants, Bilateral pedal pulses 1+. Slight tenting of skin. Peripheral IV established and labs drawn. A nurse is caring for a client in the emergency department.
Question 5 of 5
A nurse is caring for a client in the emergency department. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.
Correct Answer: C,D,E,F
Rationale: High blood glucose and dehydration in type 1 diabetes can lead to hypotension, arrhythmias, renal failure, and cerebral edema.