ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?
Correct Answer: D
Rationale: Disorientation and depression are common adverse psychological outcomes experienced by patients who have spent an extended period in the intensive care unit (ICU) due to complications related to shock. Prolonged ICU stays, medical interventions, sedation, and physical discomfort can contribute to feelings of confusion, disorientation, and depression.
Question 2 of 5
Which of the following is a manifestation of postoperative shock?
Correct Answer: C
Rationale: Hypotension and confusion are classic signs of shock, including postoperative shock. Hypotension indicates inadequate perfusion of vital organs, while confusion may result from cerebral hypoperfusion. Altered mental status, such as confusion, is a significant neurological manifestation of shock.
Question 3 of 5
A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The aortic and mitral valves are the most commonly replaced due to their frequent involvement in conditions like aortic stenosis, aortic regurgitation, mitral regurgitation, and mitral stenosis, which often necessitate surgical intervention.
Question 4 of 5
A nurse is planning care for a client who has dementia and lives at home. Which of the following physiological changes should the nurse educate the client and family to monitor?
Correct Answer: A,B,C,D,E
Rationale: All listed changes are relevant: weight loss may result from reduced appetite or swallowing issues; decreased mobility reflects functional decline; increased physical activity may indicate restlessness or wandering; unkempt appearance signals self-care challenges; constipation is common due to reduced activity or medication side effects.
Question 5 of 5
A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?
Correct Answer: D
Rationale: Disorientation and depression are common adverse psychological outcomes experienced by patients who have spent an extended period in the intensive care unit (ICU) due to complications related to shock. Prolonged ICU stays, medical interventions, sedation, and physical discomfort can contribute to feelings of confusion, disorientation, and depression.