ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client asks the nurse to explain what metabolic syndrome is. Which of the following will the nurse include in education about risk factors for this syndrome?
Correct Answer: A,B,C,D,E
Rationale: All listed factors—obesity, high blood pressure, high triglycerides, hypercholesterolemia, and hyperglycemia—are risk factors for metabolic syndrome, contributing to insulin resistance and cardiovascular disease.
Question 2 of 5
A nurse collects health history from a 65 year old client. Which of the following risk factors in the client's history puts the client at the highest risk for embolic stroke?
Correct Answer: A
Rationale: Atrial fibrillation increases the risk of embolic stroke by causing blood pooling in the heart, leading to clot formation that can travel to the brain and block an artery.
Question 3 of 5
A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing the IV tubing every 24 hours is recommended to prevent infection and maintain sterility, as TPN can support bacterial growth (
Choice
C). Blood glucose should be monitored every 4-6 hours, not every 12 hours, due to TPN's high-glucose content affecting blood sugar levels (
Choice
A). IV site dressings should be changed daily or as needed to prevent infection, not every 4 days (
Choice
B). The client should be weighed daily, not every other day, to assess fluid balance and nutritional status (
Choice
D).
Question 4 of 5
A nurse caring for a client with hepatitis is providing education to the client about portal hypertension. Which of the following will the nurse include in the teaching?
Correct Answer: A
Rationale: Increased pressure from portal hypertension causes abdominal swelling (ascites). It is not caused by heart overworking, and it worsens, not resolves, with cirrhosis.
Question 5 of 5
A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider?
Correct Answer: D
Rationale: Severe pain in the eye post-cataract surgery may indicate complications such as infection, inflammation, bleeding, or increased intraocular pressure, necessitating immediate reporting to the provider.