ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
Which of the following information should the nurse include about the action of oxybutynin?
Correct Answer: A
Rationale: Oxybutynin reduces involuntary bladder contractions, decreasing urination frequency.
Extract:
Nurses Notes
Diagnostic Results
Medical History
Vital Signs
Provider’s Prescriptions
Over the past 2 months, the client has noticed a significant decrease in his ability to perform daily activities due to fatigue. He also reports a 24-hour history of fever, chills, and weakness. There is erythema around the arteriovenous fistula (AVF) site on his right arm. The client states, “I’ve been having difficulty breathing.” On examination, his breath sounds are clear. He reports no cough. Bowel sounds are active in all four quadrants. He reports no diarrhea and had his last bowel movement yesterday. The client also reports anuria.
A nurse in a provider’s office is caring for a 68-year-old male client who reports changes in activity tolerance, feeling tired all the time, and difficulty remembering things. The client also states they bruise easily.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, what actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: D,E,F
Rationale: The client's symptoms of fever, chills, weakness, erythema around the AVF site, and anuria suggest sepsis, likely related to an infection at the fistula site. The nurse should administer IV fluids to maintain circulation and monitor oxygen saturation to ensure adequate oxygenation, addressing potential septic shock. Monitoring blood pressure and temperature assesses hemodynamic stability and infection control progress.
Extract:
Provider’s Prescriptions
Laboratory Results
A nurse is caring for a client who has a new prescription for cefazolin. The client is also taking the following medications:
Lisinopril 20 mg PO daily
Furosemide 40 mg PO twice daily
Allopurinol 200 mg PO three times daily
Question 3 of 5
Which of the following findings should the nurse identify as a contraindication to the administration of cefazolin? Select all that apply
Correct Answer: B,E
Rationale: Allergy history is a contraindication to cefazolin (a cephalosporin) due to potential anaphylaxis. Furosemide may interact, increasing nephrotoxicity risk.
Extract:
Question 4 of 5
What steps should the nurse take?
Correct Answer: C
Rationale: Dependent position enhances blood flow for accurate glucose testing.
Extract:
Day 1, 1000
Day 1, 1100
Day 1, 1000 - Physical Exam
Day 1, 1030 - Diagnostic Results
• Blood pressure: 92/60 mm Hg
• Pulse: 106/min
• Temperature: 38.3 C (101F)
• Oxygen saturation: 95%
Question 5 of 5
The nurse is collecting data on the client. Which of the following findings require follow-up?
Correct Answer: A,B,C,F
Rationale: Blood pressure of 92/60 mm Hg (hypotension), elevated BUN, abdominal findings, and potassium levels require follow-up due to potential shock, renal dysfunction, or electrolyte imbalance, especially with fever and tachycardia.