ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a severe traumatic brain injury (TBI). Which of the following should the nurse include in the plan of care? (Select All that Apply.)
Correct Answer: A,B,C,D,E
Rationale: All listed assessments are critical for evaluating neurological function, airway protection, consciousness, intracranial pressure, and brain damage in a client with severe TBI.
Question 2 of 5
A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?
Correct Answer: D
Rationale: Daily leg inspection for changes in color, size, or temperature indicates understanding, as it helps detect complications early. Massaging legs can worsen edema, keeping legs dependent impairs venous return, and decreasing activity can lead to deconditioning, all of which are incorrect for managing peripheral venous disease.
Question 3 of 5
A nurse is reviewing laboratory results for a client who has pericarditis. Which of the following blood test results should the nurse anticipate? Select all that apply
Correct Answer: A,B,D,E
Rationale: A. Elevated ESR is commonly seen in inflammatory conditions such as pericarditis, indicating inflammation or tissue damage. B. Increased CRP is an acute-phase reactant produced in response to inflammation, making it a useful marker in pericarditis. D. Increased BNP is produced by the heart in response to increased pressure and volume overload, which can occur in pericarditis. E. Increased troponin I may be observed in pericarditis, especially with myocardial involvement, due to cardiac muscle cell damage.
Question 4 of 5
A nurse is providing care for a client who experienced a myocardial infarction prior to a cardiac arrest. Which of the following laboratory tests will identify early injury to the cardiac muscle?
Correct Answer: D
Rationale: Troponin T is a highly specific marker for cardiac muscle injury, detectable within hours of myocardial infarction, making it the gold standard for diagnosing early cardiac injury.
Question 5 of 5
A nurse is assessing a client who has Lewy body dementia. The nurse should recognize that which of the following is responsible for changes in thinking, communication, movement, and emotional processing in Lewy body dementia?
Correct Answer: C
Rationale: Lewy bodies, which are abnormal aggregates of alpha-synuclein protein, are a hallmark pathology of Lewy body dementia. These protein aggregates disrupt neuronal function and are responsible for the cognitive, motor, and emotional symptoms seen in Lewy body dementia.