ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?
Correct Answer: B
Rationale: Dyspnea may indicate heart failure or pulmonary embolism in endocarditis, both life-threatening. Fever, anorexia, and malaise are less urgent.
Question 2 of 5
What effect does valvular regurgitation have on a patient?
Correct Answer: B
Rationale: Valvular regurgitation causes backward blood flow, leading to volume overload in the prior chamber. Fever, autoimmune reactions, and vessel narrowing are not direct effects.
Question 3 of 5
A patient has been diagnosed with a 4cm abdominal aortic aneurysm. Which of the following conditions would indicate surgical intervention may be necessary?
Correct Answer: B
Rationale: Marfan's syndrome increases AAA rupture risk due to weakened connective tissue, often necessitating surgery. Young age, controlled hypertension, or patient concerns do not directly indicate surgery.
Question 4 of 5
The nurse is caring for a patient diagnosed with pericarditis. What serious complication should this patient be monitored for?
Correct Answer: C
Rationale: Cardiac tamponade, from fluid accumulation in the pericardial space, is a life-threatening complication of pericarditis. Left ventricular hypertrophy, increased cardiac output, and hypertension are not direct complications.
Question 5 of 5
A 67-year-old patient will be undergoing a mitral valve replacement for severe mitral valve stenosis. When reviewing the patient's chart, which of these infectious diseases would likely to be present in this patient's history?
Correct Answer: C
Rationale: Rheumatic fever is a known cause of rheumatic heart disease, leading to mitral valve stenosis. Meningitis, Haemophilus influenzae, and varicella are not associated with valvular heart disease.