ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?
Correct Answer: A
Rationale: Ensuring that the client and their family are kept informed about the client's care is the priority because communication is vital in managing MODS. It helps the family understand the condition, treatment plan, and potential outcomes, fostering trust and enabling informed decision-making.
Question 2 of 5
A nurse is providing CPR to a client. Which of the following aspects of CPR are different in the community versus in the hospital? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. In the community, notifying emergency services (
A) is critical to activate EMS. In hospitals, an interprofessional team (
C) manages codes, unlike the community where such teams are unavailable. Using laypeople for assistance (
D) is common in community settings to aid with tasks like retrieving an AED. Compression rates and depths (
B) follow standardized guidelines in both settings. AEDs (E) are designed for use by laypeople, not requiring a healthcare provider.
Question 3 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 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 providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?
Correct Answer: A
Rationale: Ensuring that the client and their family are kept informed about the client's care is the priority because communication is vital in managing MODS. It helps the family understand the condition, treatment plan, and potential outcomes, fostering trust and enabling informed decision-making.