ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is collecting neurologic data on a client who has a neurological injury and notes changes suggestive of Cushing's Triad. The nurse understands that Cushing's Triad is a nervous system response that might prevent which of the following conditions?
Correct Answer: D
Rationale: Cushing's Triad (hypertension, bradycardia, irregular respirations) is a response to increased intracranial pressure and impending brainstem herniation, associated with brainstem ischemia if untreated, not its prevention.
Question 2 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 3 of 5
A nurse is teaching a group of clients about risk factors for developing hypertrophic cardiomyopathy (HCM). Which of the following clients should the nurse understand is most at risk for developing HCM?
Correct Answer: A
Rationale: HCM has a strong genetic component, and a family history (mother and uncle diagnosed) indicates the highest risk for developing the condition.
Question 4 of 5
Which of the following should the nurse expect to find?
Correct Answer: A
Rationale: A low intraocular pressure reading may indicate a detached retina, as the vitreous humor may leak into the space behind the retina, causing a decrease in intraocular pressure. Further diagnostic tests are needed for confirmation.
Question 5 of 5
A nurse is preparing a plan of care for a client who is postoperative following a cochlear implant insertion. Which of the following instructions should the nurse include in the plan of care?
Correct Answer: D
Rationale: After cochlear implant insertion, it is important to keep the surgical site clean to prevent infection. Washing the hair 24 hours after surgery helps to maintain cleanliness and hygiene without disrupting the surgical site. It is typically safe to wash the hair after this period as long as gentle care is taken to avoid excessive manipulation of the implant site.