ATI LPN
ATI PN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
Which of the following statements, if made by a patient, would indicate an understanding of the teaching?
Correct Answer: A
Rationale: Fortified foods with vitamins (e.g., B2) support older adults' nutritional needs.
Extract:
Vital Signs
Nurses’ Notes
Diagnostic Results
Provider’s Prescriptions
Postoperative day 1, 0600:
Temperature: 36.4 C (97.5 F)
Heart rate: 84/min
Respiratory rate: 18/min
Blood pressure: 106/74 mm Hg
Oxygen saturation: 97% on room air
2330:
Temperature: 36.3 C(97.3 F)
Heart rate: 104/min
Respiratory rate: 24/min
Blood pressure: 88/54 mm Hg
Oxygen saturation: 96% on room air
The nurse is continuing to assist in the care of the client.
Question 2 of 5
For each data collection finding, specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than one disease process or none at all.
Options | Hypovolemic Shock | Pulmonary Embolism |
---|---|---|
Respiratory effort | ||
Heart rate | ||
Pain | ||
Blood pressure | ||
Mentation |
Correct Answer: B,D
Rationale: Tachycardia (heart rate 104/min) and hypotension (88/54 mm Hg) on day 1 at 2330 are consistent with hypovolemic shock due to fluid loss post-surgery.
Extract:
Question 3 of 5
What action should the nurse take?
Correct Answer: B
Rationale: Scheduled voiding is a key component of bladder training to manage incontinence.
Question 4 of 5
Which piece of information in the patient's history increases their risk for osteoporosis?
Correct Answer: C
Rationale: Lactose intolerance reduces calcium intake, increasing osteoporosis risk.
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 5 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.