1
Swift River- ATI Questions and
Answers (100% Correct Answers)
Already Graded A+
Arthur Thomason 56-year-old MVA victim, fourth day post op
with a splenectomy and femur repair. He is experiencing new
© 2026 Assignment
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
Guru01 - Stuvia
spiked during the night to 102.4, BP now 146/94 which is
Expert
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. Ans:
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
, 2
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
© 2026 Assignment
worst due to COVID-19 Pandemic. Ans: Acute discomfort
False
Guru01 - Stuvia
Alteration in body image False
Expert
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
, 3
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 Ans: Select appropriate nursing
concerns below based upon patient report above:
© 2026 Assignment
Acute discomfort False
Guru01 - Stuvia
Alteration in comfort False
Expert
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 Ans: Select
appropriate nursing concerns below based upon patient report
above:
, 4
Physiological
Acute discomfort False
Alteration in bowel elimination: diarrhea: false
Alteration in comfort: true
Alteration in mobility: true
© 2026 Assignment
Decreased activity tolerance: false
Guru01 - Stuvia
Potential for alteration in electrolyte balance: true
Expert
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
Swift River- ATI Questions and
Answers (100% Correct Answers)
Already Graded A+
Arthur Thomason 56-year-old MVA victim, fourth day post op
with a splenectomy and femur repair. He is experiencing new
© 2026 Assignment
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
Guru01 - Stuvia
spiked during the night to 102.4, BP now 146/94 which is
Expert
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. Ans:
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
, 2
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
© 2026 Assignment
worst due to COVID-19 Pandemic. Ans: Acute discomfort
False
Guru01 - Stuvia
Alteration in body image False
Expert
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
, 3
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 Ans: Select appropriate nursing
concerns below based upon patient report above:
© 2026 Assignment
Acute discomfort False
Guru01 - Stuvia
Alteration in comfort False
Expert
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 Ans: Select
appropriate nursing concerns below based upon patient report
above:
, 4
Physiological
Acute discomfort False
Alteration in bowel elimination: diarrhea: false
Alteration in comfort: true
Alteration in mobility: true
© 2026 Assignment
Decreased activity tolerance: false
Guru01 - Stuvia
Potential for alteration in electrolyte balance: true
Expert
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
