ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has heart failure. Which of the following lifestyle modifications should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Dietary and fluid restrictions are essential for heart failure management to prevent fluid retention and symptom exacerbation. Increased mobility is beneficial but not the primary focus. Cessation of IV drug use or hormonal supplements may be relevant only in specific cases, not universally for heart failure.
Question 2 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.
Question 3 of 5
A nurse is providing teaching to a group of clients about changes that occur when clients experience open-angle glaucoma. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Open-angle glaucoma results from increased intraocular pressure due to impaired drainage of aqueous humor, damaging the optic nerve and causing vision loss. Options A, B, and C describe diabetic retinopathy, cataracts, and retinal detachment, respectively, which are unrelated to glaucoma.
Question 4 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 5 of 5
A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?
Correct Answer: D
Rationale: A history of myocardial infarction and stent placement indicates underlying heart disease, which is a significant risk factor for developing atrial flutter. Cardiac events like myocardial infarction can lead to structural changes in the heart, such as scarring or remodeling, which can predispose individuals to atrial flutter.