ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to newly licensed nurses about cardiac tamponade. Which of the following should the nurse include when teaching about Phase II cardiac tamponade?
Correct Answer: D
Rationale: Phase II of cardiac tamponade is characterized by a gradual onset of symptoms as pressure within the pericardial sac increases, impairing cardiac filling and reducing cardiac output. Symptoms such as dyspnea, fatigue, orthopnea, tachycardia, and chest discomfort develop gradually, making early recognition critical for timely intervention.
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 providing CPR to a client. Which of the following aspects of CPR are different in the community versus in the hospital? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. In the community, notifying emergency services (
A) is critical to activate EMS. In hospitals, an interprofessional team (
C) manages codes, unlike the community where such teams are unavailable. Using laypeople for assistance (
D) is common in community settings to aid with tasks like retrieving an AED. Compression rates and depths (
B) follow standardized guidelines in both settings. AEDs (E) are designed for use by laypeople, not requiring a healthcare provider.
Question 4 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 5 of 5
A nurse is obtaining a preoperative medical and surgical history from a client scheduled for a cataract extraction procedure. Which of the following client statements require further investigation by the nurse?
Correct Answer: D
Rationale: Recent respiratory symptoms like cough and runny nose may indicate an infection, which could increase surgical risks and requires further evaluation.