ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing care for a group of clients who have coronary artery disease who are all scheduled for coronary artery bypass grafts (CABG). Which of the following clients is at the highest risk for complications following the surgical procedure?
Correct Answer: D
Rationale: COPD increases the risk of postoperative complications like atelectasis, pneumonia, and respiratory failure due to impaired respiratory function, making this client the highest risk.
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 teaching to a group of clients about the changes that occur in the eye when clients experience retinal detachment. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Retinal detachment occurs when the retina pulls away from its normal position, disrupting its blood supply and causing vision changes. Symptoms include sudden floaters, flashes of light, and a shadow or curtain effect, accurately described by the statement about retinal tissue pulling away from blood vessels.
Question 4 of 5
A nurse is teaching a group of clients about lifestyle modifications that could decrease risk factors for developing hearing loss. Which of the following risk factors should the nurse include in the teaching?
Correct Answer: C
Rationale: Smoking tobacco products is a significant risk factor for developing hearing loss. Smoking can damage blood vessels and reduce blood flow to the inner ear, leading to hearing impairment.
Therefore, advising clients to avoid smoking or quit smoking is an important lifestyle modification to decrease the risk of hearing loss.
Question 5 of 5
A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?
Correct Answer: C
Rationale: Distributive shock is caused by systemic vasodilation, leading to decreased systemic vascular resistance and inadequate tissue perfusion despite normal or high cardiac output.