ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 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 2 of 5
A nurse is planning care for a client who has a severe traumatic brain injury (TBI). Which of the following should the nurse include in the plan of care? (Select All that Apply.)
Correct Answer: A,B,C,D,E
Rationale: All listed assessments are critical for evaluating neurological function, airway protection, consciousness, intracranial pressure, and brain damage in a client with severe TBI.
Question 3 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.
Question 4 of 5
A nurse is teaching a client about health conditions that increase the risk for developing Meniere's disease. Which of the following factors should the nurse include in the teaching?
Correct Answer: A
Rationale: Rheumatoid arthritis is an autoimmune condition that may affect the inner ear, potentially contributing to Meniere's disease. Bacterial pneumonia, macular degeneration, and osteoporosis are unrelated to Meniere's disease as they affect different systems without direct impact on the inner ear.
Question 5 of 5
Which of the following medications should the nurse question administering?
Correct Answer: C
Rationale: Clopidogrel is an antiplatelet medication that can increase the risk of bleeding, which may be problematic during cataract extraction surgery. It is important to question its administration prior to the procedure and coordinate with the healthcare provider regarding its management.