ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: B
Rationale: An echocardiogram is the most specific test for cardiac tamponade, visualizing fluid in the pericardial sac and its impact on heart function. ECG, CT, and chest x-ray are less definitive for this diagnosis.
Question 2 of 5
When teaching a patient about the long-term consequences of rheumatic fever, the nurse should discuss the possibility of
Correct Answer: C
Rationale: Rheumatic fever can damage heart valves, leading to valvular heart disease like stenosis or regurgitation. Right ventricular hypertrophy, superior vena cava syndrome, and pulmonary hypertension are not direct consequences.
Question 3 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: B
Rationale: An echocardiogram is the most specific test for cardiac tamponade, visualizing fluid in the pericardial sac and its impact on heart function. ECG, CT, and chest x-ray are less definitive for this diagnosis.
Question 4 of 5
A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: C
Rationale: Notifying airport screeners about the pacemaker prevents interference, showing understanding. Hiccups are not expected, garage door openers are safe, and pulse checks may be needed more frequently.
Question 5 of 5
Which of the following are risk factors for abdominal aortic aneurysm (AAA)? (Select all that apply.)
Correct Answer: A,B
Rationale: Smoking and family history increase AAA risk by weakening arterial walls and genetic predisposition. High HDL and normal total cholesterol are protective. Diabetes is not a direct risk factor.