ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is preparing a plan of care for a client who is postoperative following a cochlear implant insertion. Which of the following instructions should the nurse include in the plan of care?
Correct Answer: D
Rationale: After cochlear implant insertion, it is important to keep the surgical site clean to prevent infection. Washing the hair 24 hours after surgery helps to maintain cleanliness and hygiene without disrupting the surgical site. It is typically safe to wash the hair after this period as long as gentle care is taken to avoid excessive manipulation of the implant site.
Question 2 of 5
A nurse is collecting neurologic data on a client who has a neurological injury and notes changes suggestive of Cushing's Triad. The nurse understands that Cushing's Triad is a nervous system response that might prevent which of the following conditions?
Correct Answer: D
Rationale: Cushing's Triad (hypertension, bradycardia, irregular respirations) is a response to increased intracranial pressure and impending brainstem herniation, associated with brainstem ischemia if untreated, not its prevention.
Question 3 of 5
A nurse is providing teaching to newly licensed nurses about cardiac tamponade. Which of the following should the nurse include when teaching about Phase II cardiac tamponade?
Correct Answer: D
Rationale: Phase II of cardiac tamponade is characterized by a gradual onset of symptoms as pressure within the pericardial sac increases, impairing cardiac filling and reducing cardiac output. Symptoms such as dyspnea, fatigue, orthopnea, tachycardia, and chest discomfort develop gradually, making early recognition critical for timely intervention.
Question 4 of 5
A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: An abdominal aortic aneurysm is defined as a dilation of the abdominal aorta greater than 30 mm, due to a weakened arterial wall. AAAs are typically infrarenal, not suprarenal. They result from wall weakening, not thickening. High blood pressure, not low, increases rupture risk.
Question 5 of 5
A nurse is teaching a client who has cardiomyopathy about the side effects of their new prescription beta blocker, carvedilol. Which of the following client statements should indicate to the nurse that the client understands the teaching? (select all that apply)
Correct Answer: A,B,E
Rationale: Carvedilol can cause dizziness or drowsiness, necessitating caution with activities like driving. Sexual dysfunction, including decreased libido, is a recognized side effect. Urinary incontinence can occur due to the medication’s effect on bladder function.