ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has valvular dysfunction. Which of the following manifestations should the nurse anticipate? (Select All That Apply)
Correct Answer: B,C,E
Rationale: Heart murmur is caused by turbulent blood flow across dysfunctional heart valves. Palpitations can occur due to altered heart rhythm or cardiac output. Chest pain may result from ischemia caused by inadequate blood flow to the heart muscle.
Question 2 of 5
A nurse is planning care for a client who has dementia and lives at home. Which of the following physiological changes should the nurse educate the client and family to monitor?
Correct Answer: A,B,C,D,E
Rationale: All listed changes are relevant: weight loss may result from reduced appetite or swallowing issues; decreased mobility reflects functional decline; increased physical activity may indicate restlessness or wandering; unkempt appearance signals self-care challenges; constipation is common due to reduced activity or medication side effects.
Question 3 of 5
A nurse is planning care for a client who has hypertrophic cardiomyopathy that has not improved after pharmacologic treatment. Which of the following procedures should the nurse anticipate the health care provider ordering?
Correct Answer: B
Rationale: Septal myectomy is used to treat hypertrophic obstructive cardiomyopathy by removing part of the thickened septum to relieve outflow obstruction. Pericardiocentesis, pericardial window, and cardioversion address unrelated conditions like pericardial effusion or arrhythmias.
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
A nurse is assessing a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?
Correct Answer: A
Rationale: This statement indicates a potential safety concern related to balance issues while walking. Loss of balance can increase the risk of falls, especially in individuals with peripheral artery disease (PA
D) who may already have compromised circulation and reduced sensation in their legs.