ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is collecting data from an admission history for a client who reports being tackled while playing football and is now seeing bright flashes of light and dark floating spots. Which of the following conditions should the nurse expect the client to be experiencing?
Correct Answer: D
Rationale: Trauma, such as being tackled while playing football, can lead to retinal detachment, which can manifest with symptoms such as bright flashes of light (photopsia) and dark floating spots (floaters) in the affected eye. This condition is considered a medical emergency and requires prompt evaluation and treatment to prevent permanent vision loss.
Question 2 of 5
A nurse is completing an admission assessment on a client who has hearing loss. Which of the following client statements should indicate to the nurse that the client is experiencing manifestations of Meniere's disease?
Correct Answer: A
Rationale: Severe vertigo, such as the room spinning, is a hallmark symptom of Meniere's disease. Other options may relate to ear issues but are less specific to Meniere's.
Question 3 of 5
Which of the following is a manifestation of postoperative shock?
Correct Answer: C
Rationale: Hypotension and confusion are classic signs of shock, including postoperative shock. Hypotension indicates inadequate perfusion of vital organs, while confusion may result from cerebral hypoperfusion. Altered mental status, such as confusion, is a significant neurological manifestation of shock.
Question 4 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: C
Rationale: An echocardiogram is the most appropriate initial diagnostic test for suspected cardiac tamponade. It provides real-time imaging of the heart and can detect pericardial effusion, collapse of the right atrium and ventricle during diastole (diastolic collapse), and signs of hemodynamic compromise.
Question 5 of 5
A nurse is planning care for a client who has dementia and lives at home. Which of the following physiological changes should the nurse educate the client and family to monitor?
Correct Answer: A,B,C,D,E
Rationale: All listed changes are relevant: weight loss may result from reduced appetite or swallowing issues; decreased mobility reflects functional decline; increased physical activity may indicate restlessness or wandering; unkempt appearance signals self-care challenges; constipation is common due to reduced activity or medication side effects.