ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is meeting with the caregivers of a client who has Alzheimer's disease who is at risk for wandering. Which of the following are manifestations that put the client at risk for wandering that the nurse should educate their caregivers about?
Correct Answer: A,C,E
Rationale: Confusion, agitation, and distraction increase wandering risk in Alzheimer's patients by causing disorientation, restlessness, and impaired attention to surroundings, leading to aimless roaming.
Question 4 of 5
A nurse is providing teaching to a group of clients about the changes that occur when clients experience cataracts. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Cataracts cause the lens to become cloudy, interfering with light passage and resulting in vision changes like blurred vision and glare. Other options describe mechanisms related to glaucoma, diabetic retinopathy, or retinal detachment.
Question 5 of 5
Which of the following findings should the nurse recognize as a manifestation of peripheral venous disease?
Correct Answer: D
Rationale: Swollen and enlarged veins, also known as varicose veins, are classic manifestations of peripheral venous disease. These veins result from venous insufficiency, which leads to blood pooling and increased pressure in the veins, causing them to dilate and become visibly enlarged.