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 traumatic brain injury (TBI). Which of the following nursing interventions should be added to the plan of care?
Correct Answer: A,B,C,D,E
Rationale: All listed interventions are appropriate: pain management prevents agitation and increased intracranial pressure; ventriculostomy ensures accurate cerebrospinal fluid drainage; midline neck position maintains spinal stability; elevating the head to 30 degrees (not 150, assuming a typo) reduces intracranial pressure; enteral feedings support nutrition for recovery.
Question 2 of 5
A nurse is assessing a client who has peripheral artery disease. Which of the following findings should the nurse recognize as requiring immediate intervention?
Correct Answer: B
Rationale: Pain, pallor, and paresthesia indicate critical limb ischemia, a severe complication of peripheral artery disease requiring immediate intervention to prevent tissue damage and limb loss.
Question 3 of 5
A nurse is planning care for a client who has a traumatic brain injury (TBI). Which of the following nursing interventions should be added to the plan of care?
Correct Answer: A,B,C,D,E
Rationale: All listed interventions are appropriate: pain management prevents agitation and increased intracranial pressure; ventriculostomy ensures accurate cerebrospinal fluid drainage; midline neck position maintains spinal stability; elevating the head to 30 degrees (not 150, assuming a typo) reduces intracranial pressure; enteral feedings support nutrition for recovery.
Question 4 of 5
A nurse is teaching a group of clients about risk factors for developing hypertrophic cardiomyopathy (HCM). Which of the following clients should the nurse understand is most at risk for developing HCM?
Correct Answer: A
Rationale: HCM has a strong genetic component, and a family history (mother and uncle diagnosed) indicates the highest risk for developing the condition.
Question 5 of 5
A nurse is teaching clients at a senior center about the etiology of Alzheimer's disease. Which of the following statements by a client indicates the need for further teaching?
Correct Answer: C
Rationale: C. This statement is incorrect because Alzheimer’s disease can affect individuals without Down syndrome or stroke history. Risk factors include age, family history, genetics, and lifestyle, not just specific conditions like Down syndrome or stroke.