ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has dilated cardiomyopathy (DCM) about this condition.Which of the following statements by the nurse should be included in the teaching?
Correct Answer: A
Rationale: Dilated cardiomyopathy (DCM) is characterized by the dilation or enlargement of the ventricles, resulting in weakened myocardial contraction and impaired systolic function. The statement about excessive stretching of the ventricles accurately describes the pathophysiological basis of DCM.
Question 2 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 3 of 5
A nurse is collecting data from an admission history for a client who reports being tackled while playing football and is now seeing bright flashes of light and dark floating spots. Which of the following conditions should the nurse expect the client to be experiencing?
Correct Answer: D
Rationale: Trauma, such as being tackled while playing football, can lead to retinal detachment, which can manifest with symptoms such as bright flashes of light (photopsia) and dark floating spots (floaters) in the affected eye. This condition is considered a medical emergency and requires prompt evaluation and treatment to prevent permanent vision loss.
Question 4 of 5
A nurse is evaluating the plan of care during a postoperative visit for a client who had a retinal reattachment procedure. Which of the following statements indicates the client is following the instructions in the plan of care?
Correct Answer: C
Rationale: Watching television is permissible after retinal surgery as it does not excessively strain the eye, aligning with typical postoperative instructions. Other options involve activities (computer use, bathing, driving) that are contraindicated during recovery.
Question 5 of 5
A nurse is reviewing laboratory results for a client who has atrial fibrillation. Which of the following blood test results should the nurse understand can be a possible cause of atrial fibrillation?
Correct Answer: B
Rationale: A common cause of atrial fibrillation is hyperthyroidism, which is characterized by an overactive thyroid gland and often presents with elevated TSH levels. Thyroid hormones play a significant role in regulating heart rate and rhythm. Excess thyroid hormone can lead to increased heart rate and irregular heart rhythms, including atrial fibrillation.