ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?
Correct Answer: D
Rationale: Daily leg inspection for changes in color, size, or temperature indicates understanding, as it helps detect complications early. Massaging legs can worsen edema, keeping legs dependent impairs venous return, and decreasing activity can lead to deconditioning, all of which are incorrect for managing peripheral venous disease.
Question 2 of 5
A nurse is caring for a client who has Meniere's disease. The nurse identifies that which of the following manifestations is caused by an excessive accumulation of endolymph fluid?
Correct Answer: B
Rationale: Vertigo is a hallmark symptom of Meniere's disease and is caused by an excessive accumulation of endolymph fluid in the inner ear. Vertigo presents as a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following secondary conditions should the nurse anticipate the client might develop?
Correct Answer: A
Rationale: Secondary conditions commonly associated with traumatic brain injury (TBI) include sensory impairments such as loss of sensation, as well as cognitive difficulties such as memory loss, attention deficits, and impaired executive functioning. These issues arise due to the damage to brain tissue caused by the initial injury and can have significant impacts on the client's overall function and quality of life.
Question 4 of 5
A nurse is teaching a client who has symptomatic atrial fibrillation about manifestations to expect. Which of the following should the nurse include in the teaching? (Select All that Apply.)
Correct Answer: B,C
Rationale: Shortness of breath occurs due to ineffective atrial contraction, leading to decreased cardiac output and potential fluid accumulation in the lungs. Exertional fatigue results from reduced cardiac output and inefficient heart function due to irregular heart rhythms.
Question 5 of 5
A nurse is providing discharge education to a client who has valvular heart disease and peripheral vascular disease. Which of the following should the nurse include in the teaching about valvular heart disease?
Correct Answer: D
Rationale: Valvular heart disease involves dysfunction of heart valves, leading to impaired blood flow. Monitoring for gradual onset of symptoms such as dyspnea, fatigue, palpitations, chest discomfort, and edema is crucial for early detection of disease progression, allowing timely intervention.