ATI RN
ATI Med Surg Exam 1 2024 Questions
Question 1 of 5
A nurse is reinforcing teaching to a group of nursing students about possible psychosocial changes a client might have after sustaining a neurologic injury such as increased intracranial pressure. Which of the following psychosocial changes should the nurse include in the teaching?
Correct Answer: A
Rationale: Neurologic injuries like increased intracranial pressure can impair social cognition and inhibitory control, leading to difficulties in social interactions and impulsivity. Options B, C, and D are incorrect as neurologic injuries typically cause mood instability, persistent psychosocial challenges, and strained relationships rather than improvements.
Question 2 of 5
A nurse is teaching a client who has cardiomyopathy about the side effects of their new prescription beta blocker, carvedilol. Which of the following client statements should indicate to the nurse that the client understands the teaching? (select all that apply)
Correct Answer: A,B,E
Rationale: Carvedilol can cause dizziness or drowsiness, necessitating caution with activities like driving. Sexual dysfunction, including decreased libido, is a recognized side effect. Urinary incontinence can occur due to the medication’s effect on bladder function.
Question 3 of 5
Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?
Correct Answer: D
Rationale: Hypotension is a hallmark sign of shock, indicating inadequate tissue perfusion. Confusion may occur due to cerebral hypoperfusion and inadequate oxygen delivery to the brain. Confusion is a late sign of shock and indicates severe compromise of organ perfusion.
Question 4 of 5
A nurse is planning care for a client who has a traumatic brain injury (TBI). Which of the following nursing interventions should be added to the plan of care?
Correct Answer: A,B,C,D,E
Rationale: All listed interventions are appropriate: pain management prevents agitation and increased intracranial pressure; ventriculostomy ensures accurate cerebrospinal fluid drainage; midline neck position maintains spinal stability; elevating the head to 30 degrees (not 150, assuming a typo) reduces intracranial pressure; enteral feedings support nutrition for recovery.
Question 5 of 5
A nurse is assessing a client who reports manifestations of tinnitus. Which of the following actions should the nurse perform to determine if movement is causing the clients manifestations to worsen?
Correct Answer: A
Rationale: Asking the client to move their eyes side to side while keeping the head still can help identify if tinnitus worsens with movement, suggesting a vascular cause. Breathing through pursed lips is for respiratory issues, pulling the pinna is for ear canal visualization, and opening the mouth widely is for TMJ assessment, none of which assess tinnitus exacerbation.