ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
History and Physical
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.
Question 1 of 5
The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.
Correct Answer: A,C,D,E,G
Rationale: Improved blood pressure, respiratory rate, pain, oxygen saturation, and heart rate indicate stabilization of a cardiac condition.
Extract:
Question 2 of 5
A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: Pillows between the knees prevent adduction and pressure ulcers in hemiplegia.
Question 3 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?
Correct Answer: D
Rationale: Dyspnea indicates decreased cardiac output due to pulmonary congestion in left-sided heart failure.
Extract:
History and Physical
History
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.
Question 4 of 5
A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Chest tightness radiating to the arm suggests an acute coronary event, requiring catheterization, heparin, metoprolol, and NPO status.
Extract:
Question 5 of 5
A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
Correct Answer: B
Rationale: The transverse colon stoma is typically located in the upper abdomen, corresponding to location B.