SWIFT RIVER- ATI EXAM QUESTIONS &
100% CORRECT ANSWERS (VERIFIED)
LATEST UPDATE
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.
Correct |Answer: | 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.
Correct |Answer: | | 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
Correct |Answer: | 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
Correct |Answer: | 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
100% CORRECT ANSWERS (VERIFIED)
LATEST UPDATE
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.
Correct |Answer: | 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.
Correct |Answer: | | 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
Correct |Answer: | 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
Correct |Answer: | 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
