ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client's blood pressure has been steadily decreasing over the past 2 hr. Which of the following categories of shock should the nurse recognize is occurring?
Correct Answer: A
Rationale: Significant blood loss (800 mL) leads to hypovolemic shock, characterized by decreased circulating blood volume and inadequate tissue perfusion.
Question 2 of 5
A nurse is assessing a client who reports hearing loss. Which of the following statements indicates that the hearing loss is affecting the client's ability to perform activities of daily living (ADLs)?
Correct Answer: B
Rationale: This statement suggests that the client is experiencing dizziness, which could be related to hearing loss affecting their sense of balance. Dizziness can significantly impact the client's ability to perform activities of daily living (ADLs) safely, such as walking, cooking, or bathing, as it increases the risk of falls and injury.
Question 3 of 5
A nurse is collecting neurologic data on a client who has a neurological injury and notes changes suggestive of Cushing's Triad. The nurse understands that Cushing's Triad is a nervous system response that might prevent which of the following conditions?
Correct Answer: D
Rationale: Cushing's Triad (hypertension, bradycardia, irregular respirations) is a response to increased intracranial pressure and impending brainstem herniation, associated with brainstem ischemia if untreated, not its prevention.
Question 4 of 5
A nurse is caring for a client in the intensive care unit. Which of the following laboratory values could contribute to an episode of delirium?
Correct Answer: D
Rationale: Elevated blood glucose levels (254 mg/dL) can lead to alterations in cerebral metabolism, neuronal dysfunction, and impaired cognitive function, predisposing individuals to delirium.
Question 5 of 5
A nurse is teaching a group of clients about risk factors for developing hypertrophic cardiomyopathy (HCM). Which of the following clients should the nurse understand is most at risk for developing HCM?
Correct Answer: A
Rationale: HCM has a strong genetic component, and a family history (mother and uncle diagnosed) indicates the highest risk for developing the condition.