ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has macular degeneration about how to use an Amsler grid. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The Amsler grid is used to detect changes in central vision, which are common in macular degeneration. Patients may perceive wavy or distorted lines, indicating central vision loss. Flashing lights, color changes, or floaters are not typically associated with macular degeneration.
Question 2 of 5
Which of the following should the nurse expect to find?
Correct Answer: A
Rationale: A low intraocular pressure reading may indicate a detached retina, as the vitreous humor may leak into the space behind the retina, causing a decrease in intraocular pressure. Further diagnostic tests are needed for confirmation.
Question 3 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 4 of 5
A nurse is providing teaching to a group of clients about changes that occur when clients experience open-angle glaucoma. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Open-angle glaucoma results from increased intraocular pressure due to impaired drainage of aqueous humor, damaging the optic nerve and causing vision loss. Options A, B, and C describe diabetic retinopathy, cataracts, and retinal detachment, respectively, which are unrelated to glaucoma.
Question 5 of 5
A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All That Apply)
Correct Answer: A,C
Rationale: Colchicine and Indomethacin are used to reduce inflammation and pain in pericarditis. Acetaminophen may relieve pain but is not primary, while Amiodarone and Nitroglycerine are not typically used.