ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Correct Answer: A
Rationale: Pooling of blood and edema around the eyes, known as raccoon eyes, is a hallmark sign of basilar skull fractures due to cerebrospinal fluid leakage and blood pooling in periorbital tissues.
Question 2 of 5
The spouse of an older client experiencing delirium is at the client's bedside. The nurse is providing an update to the spouse regarding the client's plan of care. Which of the following responses by the spouse indicates a need for further teaching?
Correct Answer: C
Rationale: The spouse's belief that delirium is a normal part of aging indicates a misunderstanding. Delirium is not a typical aging process and may signal serious underlying conditions requiring assessment and intervention.
Question 3 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 4 of 5
A nurse is assessing a client suspected of having cardiac tamponade. Which of the following findings indicates the presence of pulsus paradoxus?
Correct Answer: A
Rationale: Pulsus paradoxus is characterized by an exaggerated decrease in systolic blood pressure (>10 mm Hg) during inspiration, reflecting impaired cardiac output due to restricted ventricular filling, as seen in cardiac tamponade.
Question 5 of 5
A nurse is assessing a client who has a possible abdominal aortic aneurysm (AAA). Which of the following is an early manifestation of an AAA?
Correct Answer: A
Rationale: A. Lower back or groin pain is an early manifestation of an AAA, resulting from pressure on surrounding structures or nerve irritation as the aneurysm expands.