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 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 2 of 5
A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?
Correct Answer: D
Rationale: Disorientation and depression are common adverse psychological outcomes experienced by patients who have spent an extended period in the intensive care unit (ICU) due to complications related to shock. Prolonged ICU stays, medical interventions, sedation, and physical discomfort can contribute to feelings of confusion, disorientation, and depression.
Question 3 of 5
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Correct Answer: A
Rationale: Pooling of blood and edema around the eyes, known as raccoon eyes, is a hallmark sign of basilar skull fractures due to cerebrospinal fluid leakage and blood pooling in periorbital tissues.
Question 4 of 5
A nurse is reviewing laboratory results for a client who has atrial fibrillation. Which of the following blood test results should the nurse understand can be a possible cause of atrial fibrillation?
Correct Answer: B
Rationale: A common cause of atrial fibrillation is hyperthyroidism, which is characterized by an overactive thyroid gland and often presents with elevated TSH levels. Thyroid hormones play a significant role in regulating heart rate and rhythm. Excess thyroid hormone can lead to increased heart rate and irregular heart rhythms, including atrial fibrillation.
Question 5 of 5
A nurse is caring for a group of clients with dementia. The nurse recognizes which of the following factors as reasons for the growing numbers of clients diagnosed with dementia in the United States? (Select All that Apply.)
Correct Answer: B,C
Rationale: B: Longer life expectancy increases the prevalence of dementia due to age-related brain changes. C: The aging population over 65 is at higher risk for dementia.