ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?
Correct Answer: C
Rationale: In cases of traumatic falls, particularly when there is concern for head injury or intracranial bleeding, obtaining a non-contrast CT scan of the head is a priority. This imaging study helps identify any intracranial injuries such as hemorrhage or skull fractures, allowing for prompt intervention if necessary.
Question 3 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care?
Correct Answer: D
Rationale: Elevating the head of the bed 15° promotes venous drainage from the brain, reducing intracranial pressure, and is a standard intervention for managing increased ICP.
Question 4 of 5
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Correct Answer: A
Rationale: Pooling of blood and edema around the eyes, known as raccoon eyes, is a hallmark sign of basilar skull fractures due to cerebrospinal fluid leakage and blood pooling in periorbital tissues.
Question 5 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.