Swift River- ATI Exam Questions with Correct Answers 100% Verified| Guaranteed Success
Arthur Thomason 56-year-old MVA victim, fourth day post op with a splenectomy and femur
repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of
Oxygen in place. He is restless with slight confusion but is easily orientated with attempts from
nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated,
respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Skin
cool to touch and appears pale. His coughing, to clear his airway, appears ineffective. Recent
chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases
demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is
anxious and is obviously worsened from the shift before in overall condition. Alteration in
comfort: True
Alteration in gas exchange: True
Ineffectual airway clearance: True
Potential for shock: True
Prolonged confusion: True
Anxiety/fear: True
Potential for failure to thrive: True
Charlie Raymond 65-year-old male who was admitted to a negative pressure room on Med-Surg
for COVID precautions.. He has a history of COPD, hypertension, diabetes type II, and a recent
myocardial infarction. He is a retired postal worker who lives at home with his wife. He is on
Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Initially this cardiologist was
concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20
mg IV twice a day for pulmonary edema. Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and
slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing
the worst due to COVID-19 Pandemic. Acute discomfort False
Alteration in body image False
Alteration in gas exchange True
,Alteration in physical mobility True
Alteration in skin integrity False
.Bleeding False
Death anxiety True
Esteem False
.Ineffectual breathing pattern True
Knowledge deficit True
Sudden confusion False
Donald Lyles 52-year old male, was admitted yesterday evening for stabilization of his
uncontrolled type II diabetes. He is married, and his wife is requesting to stay at his side. His
HbgA1c is 10.6%. He has a history of a Myocardial Infarction, MI, one year ago, and has refused
all cardiac rehab, and has not had another cardiac event. He refuses to comply with dietary
recommendations. His BMI is 37. Vital signs are: BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94%
Blood glucose upon admission is 340 mg/dl Select appropriate nursing concerns below
based upon patient report above:
Acute discomfort False
Alteration in comfort False
,Knowledge Deficit True
Nausea False
Potential for falls False
Potential for infection True
Estelle Hatcher
Estelle Hatcher 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies
(NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative.
Wound site clean, dry and intact NPO, NG-tube to low continuous suction. IV maintenance
fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Ambulates with minimal
assistance. Family at beside. Dr. Sangerstien Select appropriate nursing concerns below
based upon patient report above:
Physiological
Acute discomfort False
Alteration in bowel elimination: diarrhea: false
Alteration in comfort: true
Alteration in mobility: true
Decreased activity tolerance: false
Potential for alteration in electrolyte balance: true
Safety
Fear: false
Ineffectual self-health management: false
, Knowledge deficit: true
Potential for falls: true
Potential for infection: true
Sleep deficit: false
Tom Richardson 46yr-old. Dx- urinary stones with 3 episodes/5yrs. Allergic to sulfa drugs. Vital
signs -Temp 98.4,BP 175/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Skin warm and pale.
Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Clear liquid
diet. Strict I&O and strain all urine, filters in bathroom. Patient demonstrates urine strain
procedure. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little
relief. IV D5 1/2 NS @100ml/hr. Dr. Small at bedside with patient and family. Stat lithotripsy
treatment ordered. Awaiting transport. Select appropriate nursing concerns below based
upon patient report above:
Physiological
Acute discomfort: T
Alteration in nutrition: F
Alteration in urinary elimination: T
Electrolyte Imbalance: F
Potential for alteration in mobility: T
Potential for alteration in skin integrity: F
Safety
Potential for falls: T
Sleep deficit: T
Arthur Thomason 56-year-old MVA victim, fourth day post op with a splenectomy and femur
repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of
Oxygen in place. He is restless with slight confusion but is easily orientated with attempts from
nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated,
respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Skin
cool to touch and appears pale. His coughing, to clear his airway, appears ineffective. Recent
chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases
demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is
anxious and is obviously worsened from the shift before in overall condition. Alteration in
comfort: True
Alteration in gas exchange: True
Ineffectual airway clearance: True
Potential for shock: True
Prolonged confusion: True
Anxiety/fear: True
Potential for failure to thrive: True
Charlie Raymond 65-year-old male who was admitted to a negative pressure room on Med-Surg
for COVID precautions.. He has a history of COPD, hypertension, diabetes type II, and a recent
myocardial infarction. He is a retired postal worker who lives at home with his wife. He is on
Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Initially this cardiologist was
concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20
mg IV twice a day for pulmonary edema. Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and
slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing
the worst due to COVID-19 Pandemic. Acute discomfort False
Alteration in body image False
Alteration in gas exchange True
,Alteration in physical mobility True
Alteration in skin integrity False
.Bleeding False
Death anxiety True
Esteem False
.Ineffectual breathing pattern True
Knowledge deficit True
Sudden confusion False
Donald Lyles 52-year old male, was admitted yesterday evening for stabilization of his
uncontrolled type II diabetes. He is married, and his wife is requesting to stay at his side. His
HbgA1c is 10.6%. He has a history of a Myocardial Infarction, MI, one year ago, and has refused
all cardiac rehab, and has not had another cardiac event. He refuses to comply with dietary
recommendations. His BMI is 37. Vital signs are: BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94%
Blood glucose upon admission is 340 mg/dl Select appropriate nursing concerns below
based upon patient report above:
Acute discomfort False
Alteration in comfort False
,Knowledge Deficit True
Nausea False
Potential for falls False
Potential for infection True
Estelle Hatcher
Estelle Hatcher 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies
(NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative.
Wound site clean, dry and intact NPO, NG-tube to low continuous suction. IV maintenance
fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Ambulates with minimal
assistance. Family at beside. Dr. Sangerstien Select appropriate nursing concerns below
based upon patient report above:
Physiological
Acute discomfort False
Alteration in bowel elimination: diarrhea: false
Alteration in comfort: true
Alteration in mobility: true
Decreased activity tolerance: false
Potential for alteration in electrolyte balance: true
Safety
Fear: false
Ineffectual self-health management: false
, Knowledge deficit: true
Potential for falls: true
Potential for infection: true
Sleep deficit: false
Tom Richardson 46yr-old. Dx- urinary stones with 3 episodes/5yrs. Allergic to sulfa drugs. Vital
signs -Temp 98.4,BP 175/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Skin warm and pale.
Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Clear liquid
diet. Strict I&O and strain all urine, filters in bathroom. Patient demonstrates urine strain
procedure. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little
relief. IV D5 1/2 NS @100ml/hr. Dr. Small at bedside with patient and family. Stat lithotripsy
treatment ordered. Awaiting transport. Select appropriate nursing concerns below based
upon patient report above:
Physiological
Acute discomfort: T
Alteration in nutrition: F
Alteration in urinary elimination: T
Electrolyte Imbalance: F
Potential for alteration in mobility: T
Potential for alteration in skin integrity: F
Safety
Potential for falls: T
Sleep deficit: T
