ATI RN
ATI Med Surg Exam 1 2024 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: C
Rationale: In cases of traumatic falls, particularly when there is concern for head injury or intracranial bleeding, obtaining a non-contrast CT scan of the head is a priority. This imaging study helps identify any intracranial injuries such as hemorrhage or skull fractures, allowing for prompt intervention if necessary.
Question 2 of 5
A nurse is providing CPR to a client. Which of the following aspects of CPR are different in the community versus in the hospital? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. In the community, notifying emergency services (
A) is critical to activate EMS. In hospitals, an interprofessional team (
C) manages codes, unlike the community where such teams are unavailable. Using laypeople for assistance (
D) is common in community settings to aid with tasks like retrieving an AED. Compression rates and depths (
B) follow standardized guidelines in both settings. AEDs (E) are designed for use by laypeople, not requiring a healthcare provider.
Question 3 of 5
Which of the following findings should the nurse recognize as a manifestation of peripheral venous disease?
Correct Answer: D
Rationale: Swollen and enlarged veins, also known as varicose veins, are classic manifestations of peripheral venous disease. These veins result from venous insufficiency, which leads to blood pooling and increased pressure in the veins, causing them to dilate and become visibly enlarged.
Question 4 of 5
A nurse is providing teaching to newly licensed nurses about cardiac tamponade. Which of the following should the nurse include when teaching about Phase II cardiac tamponade?
Correct Answer: D
Rationale: Phase II of cardiac tamponade is characterized by a gradual onset of symptoms as pressure within the pericardial sac increases, impairing cardiac filling and reducing cardiac output. Symptoms such as dyspnea, fatigue, orthopnea, tachycardia, and chest discomfort develop gradually, making early recognition critical for timely intervention.
Question 5 of 5
A nurse is planning care for a client who has a traumatic brain injury (TBI). Which of the following nursing interventions should be added to the plan of care?
Correct Answer: A,B,C,D,E
Rationale: All listed interventions are appropriate: pain management prevents agitation and increased intracranial pressure; ventriculostomy ensures accurate cerebrospinal fluid drainage; midline neck position maintains spinal stability; elevating the head to 30 degrees (not 150, assuming a typo) reduces intracranial pressure; enteral feedings support nutrition for recovery.