ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: A non-contrast CT scan is critical to assess for internal injuries like brain hemorrhage after a traumatic fall. History, catheter insertion, and pain management are secondary.
Question 2 of 5
A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: An AAA is defined as a dilation of the aorta exceeding 30 mm. It results from weakened, not thickened, walls, occurs below the renal arteries, and high blood pressure increases rupture risk.
Question 3 of 5
The nurse is providing care for a patient that is scheduled for a balloon valvuloplasty. The nurse recalls that balloon valvuloplasty is most commonly used for which valvular heart disease?
Correct Answer: B
Rationale: Balloon valvuloplasty is commonly used to relieve mitral valve stenosis by improving valve opening, often due to rheumatic heart disease. It is not effective for regurgitation disorders or mitral valve prolapse, which require surgical interventions.
Question 4 of 5
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Defibrillation is the priority for ventricular fibrillation, a lethal arrhythmia, as early defibrillation increases survival chances. Epinephrine, airway management, and amiodarone are secondary actions.
Question 5 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.