ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?
Correct Answer: A
Rationale: SIRS is characterized by a dysregulated inflammatory response triggered by a cytokine storm, leading to widespread inflammation and systemic manifestations.
Question 2 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 3 of 5
A nurse is meeting with the caregivers of a client who has Alzheimer's disease who is at risk for wandering. Which of the following are manifestations that put the client at risk for wandering that the nurse should educate their caregivers about?
Correct Answer: A,C,E
Rationale: Confusion, agitation, and distraction increase wandering risk in Alzheimer's patients by causing disorientation, restlessness, and impaired attention to surroundings, leading to aimless roaming.
Question 4 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.
Question 5 of 5
A nurse is teaching a client who has arrhythmogenic cardiomyopathy about the risk for sudden cardiac death. Which of the following client statements indicates to the nurse an understanding of the teaching?
Correct Answer: D
Rationale: Arrhythmogenic cardiomyopathy increases the risk of sudden cardiac death due to ventricular arrhythmias, particularly during strenuous activity. Avoiding strenuous activity reduces the likelihood of triggering life-threatening arrhythmias, indicating the client's understanding of the teaching.