ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information: Heart rate: $92 / \mathrm{min}$, Rhythm: Irregular, P wave: Unable to identify, PR interval: Unable to measure, QRS duration: 0.10 seconds. Based upon this information, the nurse should interpret the client's rhythm as indicating which of the following?
Correct Answer: A
Rationale: Atrial fibrillation is indicated by an irregular rhythm, absent P waves, and variable heart rate, matching the ECG findings. Sinus bradycardia has a regular rhythm and heart rate <60 bpm. Supraventricular tachycardia has a regular rhythm and rate >100 bpm. First-degree heart block has a prolonged PR interval and regular rhythm.
Question 2 of 5
A nurse is providing teaching to a group of clients about the changes that occur in the eye when clients experience retinal detachment. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Retinal detachment occurs when the retina pulls away from its normal position, disrupting its blood supply and causing vision changes. Symptoms include sudden floaters, flashes of light, and a shadow or curtain effect, accurately described by the statement about retinal tissue pulling away from blood vessels.
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 caring for a client in the intensive care unit. Which of the following laboratory values could contribute to an episode of delirium?
Correct Answer: D
Rationale: Elevated blood glucose levels (254 mg/dL) can lead to alterations in cerebral metabolism, neuronal dysfunction, and impaired cognitive function, predisposing individuals to delirium.
Question 5 of 5
A nurse is caring for a client who had a traumatic brain injury (TBI). Which of the following manifestations indicate a mild TBI?
Correct Answer: B
Rationale: Headache and confusion are hallmark symptoms of mild TBI, reflecting transient cognitive disruption, whereas other options indicate more severe or unrelated manifestations.