ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has peripheral artery disease. Which of the following findings should the nurse recognize as requiring immediate intervention?
Correct Answer: B
Rationale: Pain, pallor, and paresthesia indicate critical limb ischemia, a severe complication of peripheral artery disease requiring immediate intervention to prevent tissue damage and limb loss.
Question 2 of 5
A nurse is planning care for a client who has peripheral venous disease. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A,C,D,E
Rationale: A. Intermittent pneumatic compression pumps improve circulation by promoting venous return, reducing edema. C. Layered wraps, like compression bandages, can manage venous insufficiency in some cases of peripheral venous disease. D. Elevating legs reduces edema and improves venous return by aiding blood flow back to the heart. E. Exercise, such as walking, promotes venous return and reduces venous stasis.
Question 3 of 5
A nurse is planning care for a client who has worsening heart failure and is experiencing arrhythmias. Which of the following procedures should the nurse anticipate the client will require to regulate the rhythm?
Correct Answer: B
Rationale: Cardiac resynchronization therapy (CRT), also known as biventricular pacing, involves the placement of a specialized pacemaker device to improve the coordination of contractions between the heart's chambers. It is often used in patients with heart failure and arrhythmias to help regulate the rhythm and improve cardiac function.
Question 4 of 5
A nurse is providing care for a client who experienced a myocardial infarction prior to a cardiac arrest. Which of the following laboratory tests will identify early injury to the cardiac muscle?
Correct Answer: D
Rationale: Troponin T is a highly specific marker for cardiac muscle injury, detectable within hours of myocardial infarction, making it the gold standard for diagnosing early cardiac injury.
Question 5 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.