ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has hypertrophic cardiomyopathy that has not improved after pharmacologic treatment. Which of the following procedures should the nurse anticipate the health care provider ordering?
Correct Answer: B
Rationale: Septal myectomy is used to treat hypertrophic obstructive cardiomyopathy by removing part of the thickened septum to relieve outflow obstruction. Pericardiocentesis, pericardial window, and cardioversion address unrelated conditions like pericardial effusion or arrhythmias.
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 teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?
Correct Answer: D
Rationale: A history of myocardial infarction and stent placement indicates underlying heart disease, which is a significant risk factor for developing atrial flutter. Cardiac events like myocardial infarction can lead to structural changes in the heart, such as scarring or remodeling, which can predispose individuals to atrial flutter.
Question 4 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 5 of 5
A nurse is teaching a client who has pericarditis. Which of the following statements should the nurse include in the client teaching to explain the cause of pericarditis?
Correct Answer: D
Rationale: Pericarditis results from inflammation of the pericardium, causing stiffening that restricts heart movement and leads to chest pain, distinguishing it from conditions affecting ventricular tissue.