ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching to a group of high school students about how penetrating traumatic brain injuries cause damage to the brain. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The extent of brain damage in penetrating traumatic brain injuries depends on factors like the size, shape, velocity, and route of the penetrating object through the brain tissue. Larger, faster-moving objects cause more extensive damage, while smaller or slower objects may cause localized damage.
Question 2 of 5
A nurse is reviewing laboratory results for a client who has pericarditis. Which of the following blood test results should the nurse anticipate? Select all that apply
Correct Answer: A,B,D,E
Rationale: A. Elevated ESR is commonly seen in inflammatory conditions such as pericarditis, indicating inflammation or tissue damage. B. Increased CRP is an acute-phase reactant produced in response to inflammation, making it a useful marker in pericarditis. D. Increased BNP is produced by the heart in response to increased pressure and volume overload, which can occur in pericarditis. E. Increased troponin I may be observed in pericarditis, especially with myocardial involvement, due to cardiac muscle cell damage.
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 providing care for a client who experienced a myocardial infarction prior to a cardiac arrest. Which of the following laboratory tests will identify early injury to the cardiac muscle?
Correct Answer: D
Rationale: Troponin T is a highly specific marker for cardiac muscle injury, detectable within hours of myocardial infarction, making it the gold standard for diagnosing early cardiac injury.
Question 5 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.