ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: An abdominal aortic aneurysm is defined as a dilation of the abdominal aorta greater than 30 mm, due to a weakened arterial wall. AAAs are typically infrarenal, not suprarenal. They result from wall weakening, not thickening. High blood pressure, not low, increases rupture risk.
Question 2 of 5
Which of the following statements by a client suggests a symptom commonly associated with cataracts?
Correct Answer: B
Rationale: This statement indicates a central visual impairment, which is a common symptom of cataracts. Cataracts cause clouding of the lens, leading to blurred or dimmed vision, especially in the center of the visual field. This symptom often progresses gradually over time.
Question 3 of 5
A nurse is explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?
Correct Answer: A
Rationale: SIRS is characterized by a dysregulated inflammatory response triggered by a cytokine storm, leading to widespread inflammation and systemic manifestations.
Question 4 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 5 of 5
A nurse is caring for a client who has increased intracranial pressure and has a worsening neurologic condition. Which of the following cues should the nurse recognize as a worsening condition? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Changes to pupil size and shape, swelling of the optic nerve (papilledema), and decreasing Glasgow Coma scores are direct indicators of worsening intracranial pressure due to brainstem compression, optic disc congestion, and deteriorating consciousness. A normal respiratory rate (12/min) and blood pressure (108/74 mm Hg) do not indicate worsening in this context.