ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who has delirium in the intensive care unit. Which of the following interventions should the nurse implement first to prevent client injury?
Correct Answer: D
Rationale: One-on-one observation is the priority to ensure constant monitoring and prevent injuries in a delirious client. Restraints and medications are not the first interventions.
Question 2 of 5
A nurse is assessing a client who is recovering from subarachnoid hemorrhage following a fall. Which of the following medications should the nurse understand is a potential reason for the fall?
Correct Answer: B,C,E
Rationale: Citalopram (SSRI) can cause dizziness or orthostatic hypotension; Donepezil may cause syncope or dizziness; Olanzapine (antipsychotic) can lead to sedation or postural hypotension, all increasing fall risk. Lisinopril and Amlodipine are less likely to cause falls directly.
Question 3 of 5
A nurse is planning care for a client who has increased intracranial pressure. The nurse should understand that enteral nutrition should begin within 24 to 48 hr to help prevent which of the following complications?
Correct Answer: B
Rationale: Initiating enteral nutrition within 24 to 48 hours helps prevent bacterial translocation by maintaining intestinal mucosal integrity, reducing gut bacterial overgrowth, and decreasing the risk of infectious complications.
Question 4 of 5
A nurse is teaching a client who has mitral valve stenosis that has not responded to pharmacological therapies about other treatment options. Which of the following statements should the nurse include in their teaching?
Correct Answer: D
Rationale: This statement accurately describes balloon valvuloplasty, which is a common procedure used to treat mitral valve stenosis. By inflating the balloon within the narrowed valve, the procedure aims to widen the valve opening, thus improving blood flow through the heart.
Question 5 of 5
Which of the following statements indicates that the client understands the teaching about managing their condition and preventing sudden cardiac death?
Correct Answer: D
Rationale: This statement reflects an understanding of the condition and its associated risk of sudden cardiac death. Strenuous activity can exacerbate arrhythmias in individuals with arrhythmogenic cardiomyopathy, potentially leading to life-threatening arrhythmias such as ventricular fibrillation. Avoiding strenuous activity is a recommended precaution to reduce the risk of sudden cardiac death in individuals with this condition.