ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a group of nursing students about brain herniation. Which of the following interventions should the nurse include as a possible treatment for brain herniation?
Correct Answer: C
Rationale: Hyperventilation is a potential intervention for managing brain herniation as it helps temporarily lower intracranial pressure (ICP) by inducing cerebral vasoconstriction. By increasing the rate and depth of breathing, hyperventilation reduces the partial pressure of carbon dioxide (PaCO2) in the blood, leading to vasoconstriction of cerebral blood vessels and a decrease in cerebral blood flow. This can help alleviate symptoms associated with increased ICP and reduce the risk of further brain injury.
Question 3 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: C
Rationale: An abdominal aortic aneurysm is defined as a dilation of the abdominal aorta greater than 30 mm, due to a weakened arterial wall. AAAs are typically infrarenal, not suprarenal. They result from wall weakening, not thickening. High blood pressure, not low, increases rupture risk.
Question 4 of 5
A nurse is teaching a group of clients about risk factors for developing atrial fibrillation. Which of the following should be included in the teaching?
Correct Answer: A,B,C,D
Rationale: All options are correct. Sedentary lifestyle increases cardiovascular risks, including atrial fibrillation. Family history indicates genetic predisposition. Thyroid disease, especially hyperthyroidism, affects heart rhythm. Recent influenza can trigger atrial fibrillation due to inflammation and physiological stress.
Question 5 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care?
Correct Answer: D
Rationale: Elevating the head of the bed 15° promotes venous drainage from the brain, reducing intracranial pressure, and is a standard intervention for managing increased ICP.