ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Medical History
Conditions:
• Dehydration
• Hyperlipidemia
• Hypertension
• Coronary artery disease (CAD)
Diagnostic Results
• WBC Count: 14,000/mm³ (Normal: 5,000 to 10,000/mm³)
• Hemoglobin (Hgb): 14 g/dL (Normal: 12 to 16 g/dL)
• Hematocrit (Hct): 40% (Normal: 34 to 47%)
• Sodium: 132 mEq/L (Normal: 136 to 146 mEq/L)
• Potassium: 6.2 mEq/L (Normal: 3.5 to 5 mEq/L)
• Calcium: 10 mg/dL (Normal: 9 to 10.5 mg/dL)
• BUN: 20 mg/dL (Normal: 10 to 20 mg/dL)
• Albumin: 2.8 g/dL (Normal: 3.5 to 5 g/dL)
• Fasting Blood Glucose: 140 mg/dL (Normal: 74 to 106 mg/dL)
• Triglycerides: 134 mg/dL (Normal: 34 to 160 mg/dL)
Nurses' Notes
Client is lying in bed. Awake, alert, and oriented to time, place, and person. Client is febrile and reports weakness. Receiving TPN via central line in left antecubital. Client is NPO and has had diarrhea x3 in past 4 hr. Crackles auscultated in posterior lobes.
Client has a productive cough and sputum is yellow in color. Client receiving 2 L/min oxygen via nasal cannula with an oxygen saturation of 90%. Abdomen is distended and tender. Active range of motion to all extremities. Denies pain at this time.
Question 1 of 5
Which of the following actions should the nurse take? For each potential nursing intervention, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Obtain client weight twice daily. | |||
| Have 3 nurses verify the TPN solution prescription. | |||
| Request a prescription for insulin. | |||
| Request an antibiotic to be administered. | |||
| Decrease the client's oxygen to 1.5 L/min oxygen via nasal cannula. | |||
| Notify provider to increase TPN rate/hr. |
Correct Answer: (See rationale)
Rationale: Weight monitoring and insulin are anticipated for CAD and dehydration; TPN verification is nonessential; antibiotics and oxygen reduction are contraindicated without indication.
Extract:
Question 2 of 5
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Rationale:
Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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Rationale: