ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: C
Rationale: Notifying airport screeners about the pacemaker prevents interference, showing understanding. Hiccups are not expected, garage door openers are safe, and pulse checks may be needed more frequently.
Question 2 of 5
A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: An AAA is a dilation of the aorta greater than 30 mm. Most occur infrarenally, rupture risk increases with high blood pressure, and the wall is weakened, not thickened.
Question 3 of 5
A patient admitted with diagnosis of pericarditis develops hypotension, shortness of breath, tachycardia, distended neck veins. Which of the following procedures with the nurse anticipate assisting for this emergent situation?
Correct Answer: B
Rationale: Pericardiocentesis removes excess fluid from the pericardial space in cardiac tamponade, relieving heart compression. Endovascular grafts, echocardiograms, and peritoneal dialysis are not appropriate for this emergency.
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
The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy. Which information obtained by the nurse is most important in planning care?
Correct Answer: C
Rationale: A family history of sudden cardiac death indicates a high risk for similar outcomes in hypertrophic cardiomyopathy, critical for care planning. Infections, CAD, and past cocaine use are less directly relevant.