©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 8:36 PM
ATI real life RN : kidney disease 3.0 Exam
Questions With Correct Answers
Use SBAR to communicate hand-off information - answer✔✔S- SituationThe ED admitted Mr.
Jones at 4:30 AM for SOB and weakness. After treatment, he is transferring to the telemetry
unit.B - Background60 year old African-American male with a history of peripheral vascular
disease, type 2 diabetes, chronic kidney disease, coronary artery disease, and atrial fibrillation. A
provider recently discharged him from the facility after he treated Mr. Jones for atrial fibrillation
and a type 2 diabetic ulcer of the right foot. Mr. Jones 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 - AssessmentMr. Jones is awake, alert,
and orientated x3. Current vitals are: BP 112/70, P: 158, R: 34, T: 99.1, and 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, potassium 5.1,
BUN 44, creatinine 3.0, and glomerular filtration rate 25. His total bilirubin was 2.8, calcium 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%
sodium 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 steps Nurse Allyson should take for the dressing change? - 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.
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 8:36 PM
Nurse Allyson is preparing to call the provider about Mr. Jones's difficulty breathing. Which of
the following orders should she recommend to the provider?
A. albuterol 1.25 mg via nebulizer
B. decrease IV fluid rate o 50 mL/hr
C. furosemide (Lasix) 20 mg IV
D. repeat chest x-ray - answer✔✔C. furosemide (Lasix) 20 mg IV
Mr. Jones's total urinary output is 50 mL. His total IV fluid intake since admission is 1550 mL.
Which of the following is an appropriate nursing intervention at this time?
A. massage mr. jones bladder
B. obtain a bladder scan
C. have mr. jones stand at the bedside to void
D. obtain an order for urinary cath - answer✔✔B. obtain a bladder scan
Nurse Allyson is going to perform a bladder scan on Mr. Jones. Where should the transducer be
placed on his abdomen? - answer✔✔midline below umbilicus
Nurse Allyson is planning care for a set of clients. Which of the following should be her priority
action?
A. implement the provider's new prescriptions
B. check on the client who is reporting chest pain
C. obtain a phone report on the newly assigned client
D. ask the AP to attend to the client whose call light is sounding - answer✔✔B . check on the
client who is reporting chest pain
The telemetry technician notified Nurse Allyson that Mr. Jones is having arrhythmia. Which of
the following is the priority nursing intervention at this time?
A. perform a focused assessment
B. assess mr. jones temp
ATI real life RN : kidney disease 3.0 Exam
Questions With Correct Answers
Use SBAR to communicate hand-off information - answer✔✔S- SituationThe ED admitted Mr.
Jones at 4:30 AM for SOB and weakness. After treatment, he is transferring to the telemetry
unit.B - Background60 year old African-American male with a history of peripheral vascular
disease, type 2 diabetes, chronic kidney disease, coronary artery disease, and atrial fibrillation. A
provider recently discharged him from the facility after he treated Mr. Jones for atrial fibrillation
and a type 2 diabetic ulcer of the right foot. Mr. Jones 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 - AssessmentMr. Jones is awake, alert,
and orientated x3. Current vitals are: BP 112/70, P: 158, R: 34, T: 99.1, and 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, potassium 5.1,
BUN 44, creatinine 3.0, and glomerular filtration rate 25. His total bilirubin was 2.8, calcium 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%
sodium 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 steps Nurse Allyson should take for the dressing change? - 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.
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/21/2024 8:36 PM
Nurse Allyson is preparing to call the provider about Mr. Jones's difficulty breathing. Which of
the following orders should she recommend to the provider?
A. albuterol 1.25 mg via nebulizer
B. decrease IV fluid rate o 50 mL/hr
C. furosemide (Lasix) 20 mg IV
D. repeat chest x-ray - answer✔✔C. furosemide (Lasix) 20 mg IV
Mr. Jones's total urinary output is 50 mL. His total IV fluid intake since admission is 1550 mL.
Which of the following is an appropriate nursing intervention at this time?
A. massage mr. jones bladder
B. obtain a bladder scan
C. have mr. jones stand at the bedside to void
D. obtain an order for urinary cath - answer✔✔B. obtain a bladder scan
Nurse Allyson is going to perform a bladder scan on Mr. Jones. Where should the transducer be
placed on his abdomen? - answer✔✔midline below umbilicus
Nurse Allyson is planning care for a set of clients. Which of the following should be her priority
action?
A. implement the provider's new prescriptions
B. check on the client who is reporting chest pain
C. obtain a phone report on the newly assigned client
D. ask the AP to attend to the client whose call light is sounding - answer✔✔B . check on the
client who is reporting chest pain
The telemetry technician notified Nurse Allyson that Mr. Jones is having arrhythmia. Which of
the following is the priority nursing intervention at this time?
A. perform a focused assessment
B. assess mr. jones temp
