ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Vital Signs
Nurse’s Notes
Diagnostic Results
• Temperature: 39.1 C (102.4° F)
A nurse is reviewing prescriptions from the provider. The prescriptions include:
Provider’s Prescriptions
Obtain daily weight
Obtain blood cultures x2
Swab culture at AVF site
Oxygen at 2 to 4 L nasal cannula for saturation less than 95%
Initiate peripheral venous access
Vancomycin 1 gram by intermittent IV bolus every 12 hr, infuse over 90 minutes
Nutritional consult
Acetaminophen 325 mg PO every 6 hr for temperature greater than 38.3 C (101° F)
Diphenhydramine 25 mg PO every 6 hr
Question 1 of 5
The nurse should first:
Correct Answer: F
Rationale: Obtaining blood cultures first ensures an accurate diagnosis of infection (e.g., from the AVF site) before antibiotics are administered, which could alter culture results.
Extract:
Question 2 of 5
What advice should the nurse provide?
Correct Answer: D
Rationale: A diary correlates activities with heart rhythms, essential for Holter monitor interpretation.
Question 3 of 5
What information should the nurse include in the transfer documentation? (Select all that apply.)
Correct Answer: B,D
Rationale: Primary health problem and current medications are critical for ICU transfer continuity.
Question 4 of 5
The nurse should recognize that which of the following findings indicates fluid overload?
Correct Answer: B
Rationale: Dyspnea during transfusion suggests fluid overload affecting the lungs.
Question 5 of 5
Which client statement indicates understanding of the teaching?
Correct Answer: B
Rationale: Weight loss reduces stroke risk by improving cardiovascular health, aligning with diabetes management.