ATI RN ADULT MEDICAL SURGICAL KIDNEY DISEASE
QUESTIONS WITH CORRECT ANSWERS 2026-2027
Using the SBAR format, identify the info. Nurse Allyson received from report that will enable her t
o provide safe care to Mr. Jones. - CORRECT ANSWER -S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness. After treatment, he is transferring t
o the telemetry unit.
B - Background
60 year old African-
American male with a history of peripheral vascular disease, type 2 diabetes, chronic kidney diseas
e, coronary artery disease, and atrial fibrillation. A provider recently discharged him from the facilit
y after he treated Mr. Jones for atrial fibrillation and a type 2 diabetic ulcer of the right foot. Mr. J
ones did not complete prescribed antibiotics after his discharge. He is non compliant in managing
his diabetes. He smokes one pack of cigarettes a day and uses alcohol 3 to 5 times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are: BP 112/70, P: 158, R: 34, T: 99.1, a
nd O2 sat 91% on 2 L via nasal cannula. ECG indicates atrial fibrillation; placed on telemetry. Chest
x-
ray: opacities greater in the right lung than left lung. Altered lab values include: sodium 128, potas
sium 5.1, BUN 44, creatinine 3.0, and glomerular filtration rate 25. His total bilirubin was 2.8, calci
um 8.7, WBCs 16.1, hemoglobin 9.3, hematocrit 28.2, and blood glucose 71. We did a digoxin level
, which was 0.6. He has a soiled dressing on his right foot and is a stage III ulcer. A #20 gauge IV
catheter was inserted peripherally in his left forearm and a nurse gave him 1,000 mL of 0.9% sodiu
m chloride. Intake: 1,000 mL Output: None. No family present.
Nurse Allyson is preparing to perform a sterile dressing change to Mr. Jones's foot. After removing
the exam gloves, performing hand hygiene, and gathering the needed supplies, what are the next s
teps Nurse Allyson should take for the dressing change? - CORRECT ANSWER -
1. Apply clean gloves.
2. Remove dressing and place in moisture-proof bag.
3. Remove clean gloves.
4. Wash hands.
5. Apply sterile gloves.
6. Cover with sterile gauze.
7. Secure dressing.
QUESTIONS WITH CORRECT ANSWERS 2026-2027
Using the SBAR format, identify the info. Nurse Allyson received from report that will enable her t
o provide safe care to Mr. Jones. - CORRECT ANSWER -S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness. After treatment, he is transferring t
o the telemetry unit.
B - Background
60 year old African-
American male with a history of peripheral vascular disease, type 2 diabetes, chronic kidney diseas
e, coronary artery disease, and atrial fibrillation. A provider recently discharged him from the facilit
y after he treated Mr. Jones for atrial fibrillation and a type 2 diabetic ulcer of the right foot. Mr. J
ones did not complete prescribed antibiotics after his discharge. He is non compliant in managing
his diabetes. He smokes one pack of cigarettes a day and uses alcohol 3 to 5 times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are: BP 112/70, P: 158, R: 34, T: 99.1, a
nd O2 sat 91% on 2 L via nasal cannula. ECG indicates atrial fibrillation; placed on telemetry. Chest
x-
ray: opacities greater in the right lung than left lung. Altered lab values include: sodium 128, potas
sium 5.1, BUN 44, creatinine 3.0, and glomerular filtration rate 25. His total bilirubin was 2.8, calci
um 8.7, WBCs 16.1, hemoglobin 9.3, hematocrit 28.2, and blood glucose 71. We did a digoxin level
, which was 0.6. He has a soiled dressing on his right foot and is a stage III ulcer. A #20 gauge IV
catheter was inserted peripherally in his left forearm and a nurse gave him 1,000 mL of 0.9% sodiu
m chloride. Intake: 1,000 mL Output: None. No family present.
Nurse Allyson is preparing to perform a sterile dressing change to Mr. Jones's foot. After removing
the exam gloves, performing hand hygiene, and gathering the needed supplies, what are the next s
teps Nurse Allyson should take for the dressing change? - CORRECT ANSWER -
1. Apply clean gloves.
2. Remove dressing and place in moisture-proof bag.
3. Remove clean gloves.
4. Wash hands.
5. Apply sterile gloves.
6. Cover with sterile gauze.
7. Secure dressing.
