ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is admitting a client to the hospital unit. Which one of the following elements of the client's history and physical assessment increases the risk for the development of delirium?
Correct Answer: B
Rationale: B. A history of drug and alcohol use increases the risk of delirium by disrupting neurotransmitter function or through withdrawal effects, which can precipitate altered mental status.
Question 2 of 5
A nurse is providing care for a group of clients who have coronary artery disease who are all scheduled for coronary artery bypass grafts (CABG). Which of the following clients is at the highest risk for complications following the surgical procedure?
Correct Answer: D
Rationale: COPD increases the risk of postoperative complications like atelectasis, pneumonia, and respiratory failure due to impaired respiratory function, making this client the highest risk.
Question 3 of 5
A nurse is reinforcing teaching to a group of high school students about how penetrating traumatic brain injuries cause damage to the brain. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The extent of brain damage in penetrating traumatic brain injuries depends on factors like the size, shape, velocity, and route of the penetrating object through the brain tissue. Larger, faster-moving objects cause more extensive damage, while smaller or slower objects may cause localized damage.
Question 4 of 5
A nurse is providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?
Correct Answer: A
Rationale: Ensuring that the client and their family are kept informed about the client's care is the priority because communication is vital in managing MODS. It helps the family understand the condition, treatment plan, and potential outcomes, fostering trust and enabling informed decision-making.
Question 5 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.