ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has suspected retinal detachment. Which of the following questions should the nurse include when gathering a client history? (Select All that Apply.)
Correct Answer: A,D,E
Rationale: A: Trauma to the eye is a significant risk factor for retinal detachment. D: Prolonged sunlight exposure without protection can increase the risk. E: Long-term steroid use can predispose individuals to retinal detachment.
Question 2 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 3 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.
Question 4 of 5
A nurse is obtaining a preoperative medical and surgical history from a client scheduled for a cataract extraction procedure. Which of the following client statements require further investigation by the nurse?
Correct Answer: D
Rationale: Recent respiratory symptoms like cough and runny nose may indicate an infection, which could increase surgical risks and requires further evaluation.
Question 5 of 5
A nurse is assessing a client who has valvular dysfunction. Which of the following manifestations should the nurse anticipate? (Select All That Apply)
Correct Answer: B,C,E
Rationale: Heart murmur is caused by turbulent blood flow across dysfunctional heart valves. Palpitations can occur due to altered heart rhythm or cardiac output. Chest pain may result from ischemia caused by inadequate blood flow to the heart muscle.