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:
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 2 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 3 of 5
A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: A social worker can assist with financial resources for medication affordability.
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 4 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Client reports tightness in chest that radiates to left arm. | |||
| States pain as 7 on a scale of 0 to 10. | |||
| Started to feel nauseous after breakfast. | |||
| Client is diaphoretic and short of breath. | |||
| Heart rate is irregular and tachycardic. | |||
| Lungs clear to auscultation in all lobes. | |||
| Skin is cool to touch. |
Correct Answer: A,B,C,D,E,G
Rationale: These findings suggest an acute cardiac event requiring immediate attention.
Extract:
Vital Signs
1000
Temperature 37.1° C (98.8° F)
Heart rate 110/min and irregular Respiratory rate 24/min Blood pressure 164/80 mm Hg
Oxygen saturation 93% on room air
Question 5 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.
Correct Answer: C,D,E,G
Rationale: Elevated BP, pain, ECG changes, and troponin levels indicate a potential myocardial infarction.