ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 1 week postoperative, following a living donor kidney transplant. Which of the following findings indicates that the client is experiencing a transplant rejection of their new kidney?
Correct Answer: A
Rationale: Hypertension indicates compromised kidney function, a sign of transplant rejection. Normal sodium, urinary output, and creatinine levels do not suggest rejection.
Question 2 of 5
A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?
Correct Answer: C
Rationale: Troponin is a heart muscle protein released into the bloodstream during myocardial injury, making it a specific marker for myocardial infarction. It is not a lipid, enzyme, or oxygen transporter.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,C,D
Rationale: Fluid overload causes tachycardia to compensate for increased volume, hypertension due to increased vascular resistance, and tachypnea from pulmonary congestion. Hematocrit is typically decreased due to dilution. Temperature is not directly affected unless infection is present.
Question 4 of 5
A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?
Correct Answer: B
Rationale: Shortness of breath indicates a potential life-threatening respiratory issue requiring immediate assessment. Discharge, routine imaging, and pain management are lower priorities compared to acute respiratory distress.
Question 5 of 5
A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a possible consequence of a TBI?
Correct Answer: C
Rationale: TBIs cause mechanical disruption to brain cells and vasculature, leading to secondary effects such as swelling, ischemia, and cellular dysfunction. Increased blood supply is not typical; blood flow may be impaired. Increased intracranial pressure, not decreased, is likely. Pressure does not enhance synaptic connections.