ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a client who has cardiomyopathy about the side effects of their new prescription beta blocker, carvedilol. Which of the following client statements should indicate to the nurse that the client understands the teaching? (select all that apply)
Correct Answer: A,B,E
Rationale: Carvedilol can cause dizziness or drowsiness, necessitating caution with activities like driving. Sexual dysfunction, including decreased libido, is a recognized side effect. Urinary incontinence can occur due to the medication’s effect on bladder function.
Question 3 of 5
A nurse is assessing a client suspected of having cardiac tamponade. Which of the following findings indicates the presence of pulsus paradoxus?
Correct Answer: A
Rationale: Pulsus paradoxus is characterized by an exaggerated decrease in systolic blood pressure (>10 mm Hg) during inspiration, reflecting impaired cardiac output due to restricted ventricular filling, as seen in cardiac tamponade.
Question 4 of 5
A nurse is educating the family of a client who has Alzheimer's disease. The nurse should be sure to communicate that which of the following behavioral manifestations can occur in clients with Alzheimer's disease?
Correct Answer: A,B,C,D,E
Rationale: A. Restlessness, such as pacing, is common due to confusion or agitation. B. Aggression may arise from frustration or fear. C. Depression can occur, presenting as sadness or withdrawal. D. Hyperactivity may manifest as agitation or excessive activity. E. Lethargy can result from cognitive decline, depression, or medication side effects.
Question 5 of 5
A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client's blood pressure has been steadily decreasing over the past 2 hr. Which of the following categories of shock should the nurse recognize is occurring?
Correct Answer: A
Rationale: Significant blood loss (800 mL) leads to hypovolemic shock, characterized by decreased circulating blood volume and inadequate tissue perfusion.