ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has restrictive cardiomyopathy (RCM). Which of the following statements should the nurse include in the client teaching to explain the cause of RCM?
Correct Answer: B
Rationale: B. Restrictive cardiomyopathy is characterized by stiffening (fibrosis) of the ventricular walls, impairing the heart's ability to fill properly during diastole, which restricts blood flow.
Question 2 of 5
A nurse is teaching a client who has cardiomyopathy about the side effects of their new prescription beta blocker, carvedilol. Which of the following client statements should indicate to the nurse that the client understands the teaching? (select all that apply)
Correct Answer: A,B,E
Rationale: Carvedilol can cause dizziness or drowsiness, necessitating caution with activities like driving. Sexual dysfunction, including decreased libido, is a recognized side effect. Urinary incontinence can occur due to the medication’s effect on bladder function.
Question 3 of 5
A nurse is teaching a group of nursing students about brain herniation. Which of the following interventions should the nurse include as a possible treatment for brain herniation?
Correct Answer: C
Rationale: Hyperventilation is a potential intervention for managing brain herniation as it helps temporarily lower intracranial pressure (ICP) by inducing cerebral vasoconstriction. By increasing the rate and depth of breathing, hyperventilation reduces the partial pressure of carbon dioxide (PaCO2) in the blood, leading to vasoconstriction of cerebral blood vessels and a decrease in cerebral blood flow. This can help alleviate symptoms associated with increased ICP and reduce the risk of further brain injury.
Question 4 of 5
A nurse is preparing a plan of care for a client who is postoperative following a cochlear implant insertion. Which of the following instructions should the nurse include in the plan of care?
Correct Answer: D
Rationale: After cochlear implant insertion, it is important to keep the surgical site clean to prevent infection. Washing the hair 24 hours after surgery helps to maintain cleanliness and hygiene without disrupting the surgical site. It is typically safe to wash the hair after this period as long as gentle care is taken to avoid excessive manipulation of the implant site.
Question 5 of 5
A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following groups should the nurse understand has a higher risk of sustaining a TBI?
Correct Answer: C
Rationale: People who play contact sports are at higher risk for TBIs due to potential collisions and impacts. Abstaining from alcohol reduces TBI risk from falls or accidents. Rural living may increase motor vehicle accident risk but is less direct. Age alone, such as being in one’s 30s, is not a significant TBI risk factor.