ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing care for a client experiencing obstructive shock. Which of the following diagnoses should the nurse expect?
Correct Answer: C
Rationale: Cardiac tamponade is the correct answer because it directly causes obstructive shock by compressing the heart and impairing its ability to fill, leading to decreased cardiac output. Third spacing contributes to hypovolemic shock, not obstructive shock. Cardiomyopathy is associated with heart failure, not obstructive shock. A ruptured aneurysm causes hypovolemic shock due to blood loss.
Question 2 of 5
A nurse is teaching a group of clients about the specific types of fluids that protect the structures of the inner ear. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Endolymph is a fluid found within the membranous labyrinth of the inner ear. It plays a crucial role in maintaining the balance of ions necessary for proper sensory function of the auditory and vestibular systems. Endolymph helps protect the delicate sensory structures of the inner ear, including the hair cells responsible for hearing and balance.
Question 3 of 5
A nurse is providing discharge education to a client who has valvular heart disease and peripheral vascular disease. Which of the following should the nurse include in the teaching about valvular heart disease?
Correct Answer: D
Rationale: Valvular heart disease involves dysfunction of heart valves, leading to impaired blood flow. Monitoring for gradual onset of symptoms such as dyspnea, fatigue, palpitations, chest discomfort, and edema is crucial for early detection of disease progression, allowing timely intervention.
Question 4 of 5
A nurse is reviewing laboratory results for a client who has atrial fibrillation. Which of the following blood test results should the nurse understand can be a possible cause of atrial fibrillation?
Correct Answer: B
Rationale: A common cause of atrial fibrillation is hyperthyroidism, which is characterized by an overactive thyroid gland and often presents with elevated TSH levels. Thyroid hormones play a significant role in regulating heart rate and rhythm. Excess thyroid hormone can lead to increased heart rate and irregular heart rhythms, including atrial fibrillation.
Question 5 of 5
A nurse is reinforcing teaching to a group of nursing students about possible psychosocial changes a client might have after sustaining a neurologic injury such as increased intracranial pressure. Which of the following psychosocial changes should the nurse include in the teaching?
Correct Answer: A
Rationale: Neurologic injuries like increased intracranial pressure can impair social cognition and inhibitory control, leading to difficulties in social interactions and impulsivity. Options B, C, and D are incorrect as neurologic injuries typically cause mood instability, persistent psychosocial challenges, and strained relationships rather than improvements.