{"id":118549,"date":"2023-09-05T01:14:05","date_gmt":"2023-09-05T01:14:05","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118549"},"modified":"2023-09-05T01:14:07","modified_gmt":"2023-09-05T01:14:07","slug":"ati-comp-practice-a-with-ngn-150","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/05\/ati-comp-practice-a-with-ngn-150\/","title":{"rendered":"ATI Comp Practice A WITH NGN 150 Q\/A 2023\/2024"},"content":{"rendered":"\n<ul class=\"wp-block-list\"><\/ul>\n\n\n\n<p>A nurse on a medical-surgical unit is caring for a client who is postoperative<br>following an emergency appendectomy.<br>Vital Signs<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Temperature 37.7\u00b0 C (99.8\u00b0 F)\u2022 Heart rate 82\/min\u2022 Respiratory rate 16\/min\u2022<br>Blood pressure 127\/80 mm Hg\u2022 Oxygen saturation 99% on room air<br>Assessment<br>Height 157.5 cm (62 in)Weight 90 kg (198 lb)Bilateral lower extremities warm to<br>touch, pedal pulses 2+ bilaterally. Spider veins noted on bilateral lower<br>extremities. Distended veins noted on right lower extremity.<br>Nurses&#8217; Notes<br>Client reports pain at abdominal incision site as 4 on a 0 to 10 scale.Client also<br>reports right lower extremity pain as 5 on a 0 to 10 scale, and itching.Reports that<br>right lower extremity pain has been intermittent for about the last 2<br>months.Denies current left lower extremity pain. &#8211; ~ ANSWER<br>Potential condition: varicose veins<br>Actions to take: apply compression stockings and elevate extremity<br>Parameters to monitor: Edema and pruritis of right lower extremity<br>A nurse is caring for a preschooler on the pediatric unit.<br>Provider Prescriptions<br><br>Day 1, 2350:Admit for observation.Obtain vital signs every 4 hr and<br>PRN.Administer oxygen 2 L\/min via nasal cannula to maintain oxygen saturation<br>above 95%.Initiate saline lock.Administer ceftriaxone 250 mg IV every 12<br>hr.Administer acetaminophen oral suspension 240 mg every 4 hr PRN for<br>temperature greater than 38\u00b0 C (100.4\u00b0 F).Place on regular diet and encourage<br>oral fluids of preschooler&#8217;s choice.Monitor intake and output every 8 hr.<br>Assessment<br>Day 2, 0030:Preschooler lying on bed, awake and alert. Breath sounds with<br>wheezing auscultated on expiration on the right side. Nonproductive cough with<br>no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel<br>sounds active in all four quadrants. Preschooler reports headache and pain in<br>abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale.<br>Vital Signs<br>Day 2, 0030:Temperature 38.1\u00b0 C (100.6\u00b0 F)Heart rate 122\/minRespiratory rate<br>25\/minOxygen saturation 98% on oxygen at 2 L\/min via nasal cannulaWeight 17.3<br>kg (38 lb)Height 102.3 cm (40.3 in)<br>Nurses&#8217; Notes<br>Day 2, 0100:Saline lock inserted on first attempt. Assisted preschooler to right<br>side-lying position for splinting. Administered ceftriaxone IV. Caregiver at<br>bedside.Day 2, 0130:Preschooler sitting up in bed, appearing anxious and flushed.<br>Lips swollen. Preschooler scratching hives that have appeared on both upper<br>extremities.<br>History and Physical<br>2250:Admitted from the emergency department with a diagnosis of pneumonia<br>on the right side with mild pleural effusion<br>Medical history: Preschooler has a history of asthma<br>Allergies: No known allergies &#8211; ~ ANSWER Administer epinephrine<br>IM.<br>Administer 0.9% sodium chloride IV.<br>Monitor vital signs frequently.<br>Discontinue the IV medication.<br><br>A nurse is caring for a client who is 24 hr postoperative following a cesarean birth.<br>History and Physical<br>Client is G2P2 at 38 weeks of gestation<br>Diagnosed with preeclampsia at 32 weeks of gestation<br>Scheduled repeat cesarean birth<br>Diagnosed with gestational diabetes mellitus at 29 weeks of gestation<br>Nurses&#8217; Notes<br>1500:<br>Dressing dry and intact. Fundus firm midline at umbilicus. Scant lochia rubra.<br>Client rates incisional pain as a 3 on a scale of 0 to 10, denies need for analgesia.<br>Indwelling urinary catheter removed.1700:<br>Client reports headache with pain rated at 4 on a scale of 0 to 10. Analgesic<br>administered.1800:<br>Client reports blurred vision and nausea. Rates pain from headache as a 6 on a<br>scale of 0 to 10. Deep tendon reflexes 4+, clonus positive.<br>Vital Signs<br>1500:<br>Temperature 36.6\u00b0 C (97.9\u00b0 F)Heart rate 86\/minRespiratory rate 18\/minBlood<br>pressure 155\/90 mm HgOxygen saturation 98% on room air1800:<br>Heart rate 96\/minRespiratory rate 22\/minBlood pressure 185\/115 mm HgOxygen<br>saturation 96% on room air<br>Laboratory Results<br>1700:<br>Capillary blood glucose (casual) 120 mg\/dL (less than 200 mg\/dL)<br>WBC 22,000\/mm3 (5,000 to 10,000\/mm3)<br>Hct 37% (greater than 33%)<br>Hgb 12 g\/dL (greater than 11 g\/dL)<br><br>Platelets 160,000\/mm3 (150,000 to 400,000\/mm3) &#8211; ~ ANSWER<br>The client is at risk for developing<br>seizures as evidenced by blood pressure.<br>A nurse is caring for a client who has schizophrenia in an inpatient facility.<br>Medication Administration Recor<br>0730:Clozapine 100 mg PO daily<br>Aripiprazole 5 mg PO daily<br>Multivitamin PO daily<br>Laboratory Results<br>0730:Sodium 125 mEq\/L (136 to 145 mEq\/L)<br>Potassium 3.5 mEq\/L (3.5 to 5.0 mEq\/L)<br>Chloride 90 mEq\/L (98 to 106 mEq\/L)<br>BUN 8 mg\/dL (10 to 20 mg\/dL)<br>Magnesium 1.2 mEq\/L (1.3 to 2.1 mEq\/L)<br>Vital Signs<br>1230:<br>Temperature 37.6\u00b0 C (99.7\u00b0 F)Heart rate 98\/min<br>Respiratory rate 20\/min<br>Blood pressure 142\/92 mm Hg<br>Oxygen saturation 100% on room air<br>1500:<br>Temperature 37.1\u00b0 C (98.8\u00b0 F)<br>Heart rate 104\/min<br>Respiratory rate 24\/min<br>Blood pressure 150\/90 mm Hg<br>Oxygen saturation 100% on room air<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A nurse on a medical-surgical unit is caring for a client who is postoperativefollowing an emergency appendectomy.Vital Signs<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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