ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of clients about risk factors for developing atrial fibrillation. Which of the following should be included in the teaching?
Correct Answer: A,B,C,D
Rationale: All options are correct. Sedentary lifestyle increases cardiovascular risks, including atrial fibrillation. Family history indicates genetic predisposition. Thyroid disease, especially hyperthyroidism, affects heart rhythm. Recent influenza can trigger atrial fibrillation due to inflammation and physiological stress.
Question 2 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care?
Correct Answer: D
Rationale: Elevating the head of the bed 15° promotes venous drainage from the brain, reducing intracranial pressure, and is a standard intervention for managing increased ICP.
Question 3 of 5
A nurse is planning care for a client who has increased intracranial pressure. The nurse should understand that enteral nutrition should begin within 24 to 48 hr to help prevent which of the following complications?
Correct Answer: B
Rationale: Initiating enteral nutrition within 24 to 48 hours helps prevent bacterial translocation by maintaining intestinal mucosal integrity, reducing gut bacterial overgrowth, and decreasing the risk of infectious complications.
Question 4 of 5
Which of the following is a manifestation of postoperative shock?
Correct Answer: C
Rationale: Hypotension and confusion are classic signs of shock, including postoperative shock. Hypotension indicates inadequate perfusion of vital organs, while confusion may result from cerebral hypoperfusion. Altered mental status, such as confusion, is a significant neurological manifestation of shock.
Question 5 of 5
A nurse is visiting a client who has Alzheimer's disease in their home. The client's spouse states that the client gets increasingly agitated and restless in the evening hours and can sometimes be difficult to calm down. Which of the following behaviors does the nurse recognize that the client is experiencing?
Correct Answer: C
Rationale: Sundowning is characterized by increased agitation and restlessness in the late afternoon or evening in individuals with Alzheimer's, often due to fatigue, sensory overload, or disrupted sleep-wake cycles.