ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?
Correct Answer: C
Rationale: Distributive shock is caused by systemic vasodilation, leading to decreased systemic vascular resistance and inadequate tissue perfusion despite normal or high cardiac output.
Question 2 of 5
A nurse is explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?
Correct Answer: A
Rationale: SIRS is characterized by a dysregulated inflammatory response triggered by a cytokine storm, leading to widespread inflammation and systemic manifestations.
Question 3 of 5
A nurse is evaluating the plan of care during a postoperative visit for a client who had a retinal reattachment procedure. Which of the following statements indicates the client is following the instructions in the plan of care?
Correct Answer: C
Rationale: Watching television is permissible after retinal surgery as it does not excessively strain the eye, aligning with typical postoperative instructions. Other options involve activities (computer use, bathing, driving) that are contraindicated during recovery.
Question 4 of 5
A nurse is collecting data from an admission history for a client who reports being tackled while playing football and is now seeing bright flashes of light and dark floating spots. Which of the following conditions should the nurse expect the client to be experiencing?
Correct Answer: D
Rationale: Trauma, such as being tackled while playing football, can lead to retinal detachment, which can manifest with symptoms such as bright flashes of light (photopsia) and dark floating spots (floaters) in the affected eye. This condition is considered a medical emergency and requires prompt evaluation and treatment to prevent permanent vision loss.
Question 5 of 5
A nurse is assessing a client who is experiencing a change in vision. Which of the following statements indicates that the client might be developing cataracts?
Correct Answer: A
Rationale: Cataracts typically cause blurry vision and hazy objects due to the clouding of the eye's lens, which scatters light and impairs clear vision. This is a common early symptom of cataracts, distinguishing it from other conditions like macular degeneration or glaucoma.