ADULT ATI CME FINAL EXAM UPDATED FOR 2025 QUESTIONS WITH 100%
VERIFIED SOLUTIONS 2023-2025
Clients who receive frequent/many blood transfusions are at risk for developing
Iron toxicity
What is a late manifestation of fluid overload?
Pitting edema
What is an early manifestation that a client is retaining fluid?
Weight gain of 1 kg in 1 day
What is the name of the procedure that dilates an obstructed coronary artery with a catheter
and an inflatable balloon?
PTCA
Flaxseed oil contains...
Omega 3 fatty acids
Precursor to vitamin A
Beta-carotene
A defect in the mitral valve will cause a backup of blood into the
pulmonary vein
In a patient with a known AAA, what manifestation may lead the nurse to suspect the AAA is
growing?
Back and abdominal pain
What 2 solutions are used for volume expansion?
NS and LR
What manifestations would the nurse expect for a patient that has fluid volume excess?
JVD, decreased hct, increased HR
Fever is common in a patient experiencing....
dehydration
Pernicious anemia is caused by a lack of
,intrinsic factor
Treatment for pernicious anemia?
Monthly B12 injections
Client with aplastic anemia may require
Blood transfusion
A decrease in the RBCs caused by folate deficiency is what type of anemia?
Megaloblastic
Client is experiencing allergic reaction to blood product, what should the nurse do first?
Stop the infusion
Blunt chest trauma usually results in damage to which ventricle of the heart?
Right ventricle
Which medication should the nurse anticipate administering for the client with anemia
secondary to kidney disease?
Epoetin alfa
How long does it take for epoetin alfa to take effect?
2 to 4 weeks
A nurse is caring for a client who has aplastic anemia, what symptoms should the nurse expect?
Pancytopenia, fatigue, and pale mucus membranes
A nurse is caring for a client who has vascular occlusions, fatigue, and joint pain, what is the
clients likely diagnosis?
Sickle cell anemia
A client has just been diagnosed with pernicious anemia, what should the nurse tell the client
about manifestations to expect?
Macrocytosis, low levels of vitamin B12, and SOB
A nurse is caring for a client that has a MI 2 days ago. the nurse knows that the client is at risk
for??
Congestive heart failure
,A disease of the blood vessels characterized by narrowing of the arteries in the legs and feet
Arteriosclerosis obliterans
A nurse is caring for a client with Arteriosclerosis obliterans, the nurse knows that the client may
experience common symptoms, such as....
Intermittent claudication, cold or numb feet at rest, loss of hair on lower legs, and weakened
pulses
A client is admitted with a suspected dissecting aortic aneurysm, what key manifestation should
the nurse be monitoring for?
Back pain, hypotension, and tachycardia
A hereditary bleeding disorder in which it takes a long time for the blood to clot and abnormal
bleeding occurs
Hemophilia
Hemophilia is characterized by a deficiency in which clotting factor?
Factor III
Client with hemophilia is actively bleeding into a joint, what should the nurse do?
prepare for replacement of the clotting factor, elevate the bleeding joint to allow brain to drain
away
Universal blood type donor??
O Neg
Fresh frozen plasma is rich in....
clotting factors
A nurse is caring for a client who had a MI 24 hours ago. What should the nurse be monitoring
for at this time?
Ventricular dysrhythmias
A clients EKG revels a flattened T wave. The nurse draws STAT labs. What should she expect to
see when the results come back?
Low potassium
Therapeutic range of digoxin
, 0.8 to 2
Right sided HF manifestations
Systemic
What should the nurse monitor for when a client is having an acute angina attack?
Transient abnormal PMI
Following varicose vein stripping and vein ligation, what position should the nurse place the
client in?
Supine with legs elevated at a 15 degree angle
A client is admitted with extensive full thickness burns. He asks why a biological dressing is
being used. How does the nurse respond?
Promote healing
A small, solid, elevated lesion with distinct borders. usually smaller than 10 mm in diameter.
Papule
A flat, variabbly shaped, discolored, and small area on the skin are known as...
Macules
A client has a large wound that is healing by secondary intention. A diet high in _____________
and ______________ should be incourage.
Protein and vitamin C
Client comes in with a snakebite, what should the nurse do?
Immobilize the limb below the level of the heart
The nurse is teaching a group of college students how to prevent skin cancer. What should the
nurse tell them?
Avoid exposure between 1000 and 1500
What is a common adverse effect of silver sulfadiazine cream?
Leukopenia
Silver nitrate causes....
Fluid and electrolyte imbalances
VERIFIED SOLUTIONS 2023-2025
Clients who receive frequent/many blood transfusions are at risk for developing
Iron toxicity
What is a late manifestation of fluid overload?
Pitting edema
What is an early manifestation that a client is retaining fluid?
Weight gain of 1 kg in 1 day
What is the name of the procedure that dilates an obstructed coronary artery with a catheter
and an inflatable balloon?
PTCA
Flaxseed oil contains...
Omega 3 fatty acids
Precursor to vitamin A
Beta-carotene
A defect in the mitral valve will cause a backup of blood into the
pulmonary vein
In a patient with a known AAA, what manifestation may lead the nurse to suspect the AAA is
growing?
Back and abdominal pain
What 2 solutions are used for volume expansion?
NS and LR
What manifestations would the nurse expect for a patient that has fluid volume excess?
JVD, decreased hct, increased HR
Fever is common in a patient experiencing....
dehydration
Pernicious anemia is caused by a lack of
,intrinsic factor
Treatment for pernicious anemia?
Monthly B12 injections
Client with aplastic anemia may require
Blood transfusion
A decrease in the RBCs caused by folate deficiency is what type of anemia?
Megaloblastic
Client is experiencing allergic reaction to blood product, what should the nurse do first?
Stop the infusion
Blunt chest trauma usually results in damage to which ventricle of the heart?
Right ventricle
Which medication should the nurse anticipate administering for the client with anemia
secondary to kidney disease?
Epoetin alfa
How long does it take for epoetin alfa to take effect?
2 to 4 weeks
A nurse is caring for a client who has aplastic anemia, what symptoms should the nurse expect?
Pancytopenia, fatigue, and pale mucus membranes
A nurse is caring for a client who has vascular occlusions, fatigue, and joint pain, what is the
clients likely diagnosis?
Sickle cell anemia
A client has just been diagnosed with pernicious anemia, what should the nurse tell the client
about manifestations to expect?
Macrocytosis, low levels of vitamin B12, and SOB
A nurse is caring for a client that has a MI 2 days ago. the nurse knows that the client is at risk
for??
Congestive heart failure
,A disease of the blood vessels characterized by narrowing of the arteries in the legs and feet
Arteriosclerosis obliterans
A nurse is caring for a client with Arteriosclerosis obliterans, the nurse knows that the client may
experience common symptoms, such as....
Intermittent claudication, cold or numb feet at rest, loss of hair on lower legs, and weakened
pulses
A client is admitted with a suspected dissecting aortic aneurysm, what key manifestation should
the nurse be monitoring for?
Back pain, hypotension, and tachycardia
A hereditary bleeding disorder in which it takes a long time for the blood to clot and abnormal
bleeding occurs
Hemophilia
Hemophilia is characterized by a deficiency in which clotting factor?
Factor III
Client with hemophilia is actively bleeding into a joint, what should the nurse do?
prepare for replacement of the clotting factor, elevate the bleeding joint to allow brain to drain
away
Universal blood type donor??
O Neg
Fresh frozen plasma is rich in....
clotting factors
A nurse is caring for a client who had a MI 24 hours ago. What should the nurse be monitoring
for at this time?
Ventricular dysrhythmias
A clients EKG revels a flattened T wave. The nurse draws STAT labs. What should she expect to
see when the results come back?
Low potassium
Therapeutic range of digoxin
, 0.8 to 2
Right sided HF manifestations
Systemic
What should the nurse monitor for when a client is having an acute angina attack?
Transient abnormal PMI
Following varicose vein stripping and vein ligation, what position should the nurse place the
client in?
Supine with legs elevated at a 15 degree angle
A client is admitted with extensive full thickness burns. He asks why a biological dressing is
being used. How does the nurse respond?
Promote healing
A small, solid, elevated lesion with distinct borders. usually smaller than 10 mm in diameter.
Papule
A flat, variabbly shaped, discolored, and small area on the skin are known as...
Macules
A client has a large wound that is healing by secondary intention. A diet high in _____________
and ______________ should be incourage.
Protein and vitamin C
Client comes in with a snakebite, what should the nurse do?
Immobilize the limb below the level of the heart
The nurse is teaching a group of college students how to prevent skin cancer. What should the
nurse tell them?
Avoid exposure between 1000 and 1500
What is a common adverse effect of silver sulfadiazine cream?
Leukopenia
Silver nitrate causes....
Fluid and electrolyte imbalances
