ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has Lewy body dementia. The nurse should recognize that which of the following is responsible for changes in thinking, communication, movement, and emotional processing in Lewy body dementia?
Correct Answer: C
Rationale: Lewy bodies, which are abnormal aggregates of alpha-synuclein protein, are a hallmark pathology of Lewy body dementia. These protein aggregates disrupt neuronal function and are responsible for the cognitive, motor, and emotional symptoms seen in Lewy body dementia.
Question 2 of 5
A nurse is caring for a client who has a subarachnoid hemorrhage and asks why they are having a CT angiography. Which of the following should the nurse understand about CT angiography?
Correct Answer: D
Rationale: CT angiography visualizes blood vessels and is used to detect vasospasm, a complication of subarachnoid hemorrhage causing reduced blood flow. It does not primarily assess brain edema, CSF production, or skull fractures, making options A, B, and C incorrect.
Question 3 of 5
A nurse is assessing a client who reports manifestations of tinnitus. Which of the following actions should the nurse perform to determine if movement is causing the clients manifestations to worsen?
Correct Answer: A
Rationale: Asking the client to move their eyes side to side while keeping the head still can help identify if tinnitus worsens with movement, suggesting a vascular cause. Breathing through pursed lips is for respiratory issues, pulling the pinna is for ear canal visualization, and opening the mouth widely is for TMJ assessment, none of which assess tinnitus exacerbation.
Question 4 of 5
A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All That Apply)
Correct Answer: A,C
Rationale: Colchicine and Indomethacin are used to reduce inflammation and pain in pericarditis. Acetaminophen may relieve pain but is not primary, while Amiodarone and Nitroglycerine are not typically used.
Question 5 of 5
A nurse is caring for a client who has Meniere's disease. The nurse identifies that which of the following manifestations is caused by an excessive accumulation of endolymph fluid?
Correct Answer: B
Rationale: Vertigo is a hallmark symptom of Meniere's disease and is caused by an excessive accumulation of endolymph fluid in the inner ear. Vertigo presents as a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance.