ATI RN Adult Medical
Surgical 2023 latest
update and final 2024
graded A+
ALS and pneumonia assessment - ✔✔✔ANSWER-Recognize
increased respiratory secretions as the priority finding in a
client with ALS and pneumonia.
TPN infusion rate calculation - ✔✔✔ANSWER-Set the IV
pump at 167 mL/hr to deliver 2000 kcal/day with a TPN
solution concentration of 500 kcal/L.
,DKA laboratory findings - ✔✔✔ANSWER-Expect elevated
BUN levels in a client with diabetic ketoacidosis.
Seizure precautions - ✔✔✔ANSWER-Ensure client has IV
access for seizure medication administration.
Postoperative lab values - ✔✔✔ANSWER-Report Hgb level of
8 g/dL to provider as an indicator of postoperative
hemorrhage or anemia.
ESWL procedure - ✔✔✔ANSWER-Expect stone fragments in
the urine after extracorporeal shock wave lithotripsy.
Airborne precautions - ✔✔✔ANSWER-Initiate airborne
precautions for a client with anorexia, low-grade fever, night
sweats, and productive cough, as these are manifestations
of tuberculosis.
TPN administration - ✔✔✔ANSWER-Administer dextrose
10% in water until new TPN bag arrives to avoid drop in blood
glucose level.
, Levothyroxine interaction - ✔✔✔ANSWER-Instruct client to
avoid taking calcium within 4 hr of levothyroxine
administration, as calcium can interfere with the
effectiveness of the medication.
Mechanical ventilation anxiety - ✔✔✔ANSWER-Instruct
client to allow the machine to breathe for them to reduce
anxiety and restlessness associated with fighting the
ventilator.
Adverse effect of enalapril - ✔✔✔ANSWER-Identify
orthostatic hypotension as an adverse effect of enalapril.
Delayed wound healing - ✔✔✔ANSWER-Identify urine
output of 25 mL/hr as a finding that contributes to delayed
wound healing.
Hypothyroidism and opioid analgesic - ✔✔✔ANSWER-
Instruct client to void every 4 hours to decrease the risk of
urinary retention, which is an adverse effect of opioid
analgesics.
Surgical 2023 latest
update and final 2024
graded A+
ALS and pneumonia assessment - ✔✔✔ANSWER-Recognize
increased respiratory secretions as the priority finding in a
client with ALS and pneumonia.
TPN infusion rate calculation - ✔✔✔ANSWER-Set the IV
pump at 167 mL/hr to deliver 2000 kcal/day with a TPN
solution concentration of 500 kcal/L.
,DKA laboratory findings - ✔✔✔ANSWER-Expect elevated
BUN levels in a client with diabetic ketoacidosis.
Seizure precautions - ✔✔✔ANSWER-Ensure client has IV
access for seizure medication administration.
Postoperative lab values - ✔✔✔ANSWER-Report Hgb level of
8 g/dL to provider as an indicator of postoperative
hemorrhage or anemia.
ESWL procedure - ✔✔✔ANSWER-Expect stone fragments in
the urine after extracorporeal shock wave lithotripsy.
Airborne precautions - ✔✔✔ANSWER-Initiate airborne
precautions for a client with anorexia, low-grade fever, night
sweats, and productive cough, as these are manifestations
of tuberculosis.
TPN administration - ✔✔✔ANSWER-Administer dextrose
10% in water until new TPN bag arrives to avoid drop in blood
glucose level.
, Levothyroxine interaction - ✔✔✔ANSWER-Instruct client to
avoid taking calcium within 4 hr of levothyroxine
administration, as calcium can interfere with the
effectiveness of the medication.
Mechanical ventilation anxiety - ✔✔✔ANSWER-Instruct
client to allow the machine to breathe for them to reduce
anxiety and restlessness associated with fighting the
ventilator.
Adverse effect of enalapril - ✔✔✔ANSWER-Identify
orthostatic hypotension as an adverse effect of enalapril.
Delayed wound healing - ✔✔✔ANSWER-Identify urine
output of 25 mL/hr as a finding that contributes to delayed
wound healing.
Hypothyroidism and opioid analgesic - ✔✔✔ANSWER-
Instruct client to void every 4 hours to decrease the risk of
urinary retention, which is an adverse effect of opioid
analgesics.
