ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. After receiving bedside report, the nurse determines which of the following clients to be at greatest risk for developing delirium?
Correct Answer: A
Rationale: A. The client recently transferred from the ICU is at greatest risk for delirium due to critical illness, potential sedative use, and physiological stressors from severe blood pressure issues.
Question 2 of 5
A nurse is planning care for a client who has increased intracranial pressure. The nurse should understand that enteral nutrition should begin within 24 to 48 hr to help prevent which of the following complications?
Correct Answer: B
Rationale: Initiating enteral nutrition within 24 to 48 hours helps prevent bacterial translocation by maintaining intestinal mucosal integrity, reducing gut bacterial overgrowth, and decreasing the risk of infectious complications.
Question 3 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 4 of 5
Which of the following should the nurse understand is the cause of these manifestations?
Correct Answer: B
Rationale: Atrial fibrillation is characterized by rapid, chaotic, and irregular electrical signals in the atria, leading to ineffective atrial contractions and an irregular ventricular response. The irregularity and rapidity of the heart rate can lead to symptoms such as palpitations and dizziness.
Question 5 of 5
A nurse is assessing a client who has Meniere's disease. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Vertigo is a hallmark symptom of Meniere's disease. It is characterized by a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance. Vertigo episodes in Meniere's disease can be severe and debilitating, significantly impacting the individual's quality of life.