ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care?
Correct Answer: D
Rationale: Elevating the head of the bed 15° promotes venous drainage from the brain, reducing intracranial pressure, and is a standard intervention for managing increased ICP.
Question 2 of 5
A nurse is teaching a client who is TUTOR: newly diagnosed with Alzheimer's disease and their family about newly prescribed medications for Alzheimer's disease. Which statement by the client indicates the teaching was effective?
Correct Answer: B
Rationale: Alzheimer's medications, such as cholinesterase inhibitors and memantine, aim to slow cognitive decline and manage symptoms, not cure the disease, restore lost memories, or increase energy levels. Option B accurately reflects their purpose.
Question 3 of 5
A nurse is teaching a client who has mitral valve stenosis that has not responded to pharmacological therapies about other treatment options. Which of the following statements should the nurse include in their teaching?
Correct Answer: D
Rationale: This statement accurately describes balloon valvuloplasty, which is a common procedure used to treat mitral valve stenosis. By inflating the balloon within the narrowed valve, the procedure aims to widen the valve opening, thus improving blood flow through the heart.
Question 4 of 5
A nurse is caring for a client who has increased intracranial pressure and has a worsening neurologic condition. Which of the following cues should the nurse recognize as a worsening condition? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Changes to pupil size and shape, swelling of the optic nerve (papilledema), and decreasing Glasgow Coma scores are direct indicators of worsening intracranial pressure due to brainstem compression, optic disc congestion, and deteriorating consciousness. A normal respiratory rate (12/min) and blood pressure (108/74 mm Hg) do not indicate worsening in this context.
Question 5 of 5
A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?
Correct Answer: D
Rationale: Daily leg inspection for changes in color, size, or temperature indicates understanding, as it helps detect complications early. Massaging legs can worsen edema, keeping legs dependent impairs venous return, and decreasing activity can lead to deconditioning, all of which are incorrect for managing peripheral venous disease.