ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has Meniere's disease. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Vertigo is a hallmark symptom of Meniere's disease. It is characterized by a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance. Vertigo episodes in Meniere's disease can be severe and debilitating, significantly impacting the individual's quality of life.
Question 2 of 5
A nurse is preparing a poster about chronic traumatic encephalopathy (CTE) for a local community health fair. Which of the following activities should the nurse include on the poster as increasing the risk for CTE?
Correct Answer: C
Rationale: Chronic traumatic encephalopathy (CTE) is strongly associated with repetitive head trauma, particularly in contact sports like football, as well as in military service where blast injuries and combat-related head trauma are common. Physical abuse, especially in contact sports, can also increase the risk of CTE due to repetitive blows to the head.
Question 3 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.
Question 4 of 5
A nurse is caring for a client who has increased intracranial pressure and has a worsening neurologic condition. Which of the following cues should the nurse recognize as a worsening condition? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Changes to pupil size and shape, swelling of the optic nerve (papilledema), and decreasing Glasgow Coma scores are direct indicators of worsening intracranial pressure due to brainstem compression, optic disc congestion, and deteriorating consciousness. A normal respiratory rate (12/min) and blood pressure (108/74 mm Hg) do not indicate worsening in this context.
Question 5 of 5
A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The aortic and mitral valves are the most commonly replaced due to their frequent involvement in conditions like aortic stenosis, aortic regurgitation, mitral regurgitation, and mitral stenosis, which often necessitate surgical intervention.