ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has atrial fibrillation and reports heart palpitations, lightheadedness, and shortness of breath. Which of the following procedures should the nurse anticipate for this client?
Correct Answer: B
Rationale: Synchronized electrical cardioversion is the correct answer as it is used to restore normal sinus rhythm in atrial fibrillation, addressing symptoms like palpitations and shortness of breath. Septal myectomy is for hypertrophic cardiomyopathy, not atrial fibrillation. Pericardiocentesis and pericardial window are used for pericardial effusion or tamponade, not atrial fibrillation.
Question 2 of 5
A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?
Correct Answer: C
Rationale: In cases of traumatic falls, particularly when there is concern for head injury or intracranial bleeding, obtaining a non-contrast CT scan of the head is a priority. This imaging study helps identify any intracranial injuries such as hemorrhage or skull fractures, allowing for prompt intervention if necessary.
Question 3 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 4 of 5
A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?
Correct Answer: D
Rationale: Disorientation and depression are common adverse psychological outcomes experienced by patients who have spent an extended period in the intensive care unit (ICU) due to complications related to shock. Prolonged ICU stays, medical interventions, sedation, and physical discomfort can contribute to feelings of confusion, disorientation, and depression.
Question 5 of 5
A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a risk factor for TBI?
Correct Answer: C
Rationale: Falls are a leading cause of traumatic brain injury, especially in vulnerable populations. Marfan's syndrome, hypercarbia, and ventriculostomy are not direct risk factors for TBI, though they may relate to other neurological issues.