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:
Medical History
Vital Signs
Laboratory Findings
The client reports a 24-hour history of fever, chills, weakness, and feeling really bad. The client’s extremities follow simple commands. There is warmth and edema. The client reports pain when the arm is touched. Thrill and bruit are present. Radial pulses are palpable. The client reports no numbness and tingling to the right hand.
Question 2 of 5
The nurse is reviewing the client's findings. The client is at the highest risk for developing..... due to........
Correct Answer: A,G
Rationale: Fever, chills, weakness, and warmth/edema at the AVF site indicate a high risk for sepsis due to infection, a common complication of vascular access sites.
Extract:
Vital Signs at 0905
Diagnostic Results at 0945
Medical History
Temperature: 37.1° C (98.7 F)
Heart rate: 110/min
Respiratory rate: 25/min
SpO2: 86%
Blood pressure: 118/76 mm Hg
A nurse is assisting with the care of a client in the emergency department. The client is alert and oriented x3. Wheezing is noted on exhalation with a prolonged breathing cycle. The cough is nonproductive. Use of accessory muscles is noted while breathing. The oral mucosa and lips are cyanotic. Nasal flaring is noted. The client experiences difficulty talking.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify: What condition the client is most likely experiencing. Two actions the nurse should take to address that condition. Two parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: B,E,F
Rationale: Wheezing, cyanosis, and accessory muscle use suggest asthma. Albuterol relieves bronchospasm, and monitoring ABGs and breath sounds assesses respiratory improvement.
Extract:
Vital Signs (Day 1)
Nurses’ Notes (Day 1)
Diagnostic Results (Day 1)
Vital Signs (Day 2)
Diagnostic Results (Day 2)
Nurses’ Notes (Day 2)
• Postoperative day 1: Temperature 36.4°C (97.5°F), Respiratory rate 18/min
Question 4 of 5
Based on the exhibits and findings, which findings indicate that the client's condition is improving? Select all that apply
Correct Answer: C,E
Rationale: Stable oxygen saturation (e.g., postoperative day 1 at 97%) indicates respiratory stability, a sign of improvement post-surgery. Other parameters lack specific trends in the provided data.
Extract:
Diagnostic Results at 0700hrs
Vital Signs at 0700hrs
Nurse’s Notes at 0700hrs
Fasting blood glucose: 90 mg/dL (Normal range: 74 to 106 mg/dL)
Sodium: 142 mEq/L (Normal range: 136 to 145 mEq/L)
Total calcium: 10.1 mg/dL (Normal range: 9.0 to 10.5 mg/dL)
Magnesium: 1.9 mEq/L (Normal range: 1.3 to 2.1 mEq/L)
Phosphate: 4.1 mg/dL (Normal range: 3 to 4.5 mg/dL)
Hematocrit (Hct): 42% (Normal range: 42% to 52%)
Question 5 of 5
After reviewing the client's electronic medical record, which of the following actions should the nurse recommend to take? Select the 3 actions the nurse should recommend.
Correct Answer: B,C,F
Rationale: Chest pain and anxiety suggest a cardiac event. Oxygen improves oxygenation, frequent vital signs monitor stability, and high-Fowler's position reduces cardiac workload.