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 hypertrophic cardiomyopathy (HCM). Which of the following clients should the nurse understand is most at risk for developing HCM?
Correct Answer: A
Rationale: HCM has a strong genetic component, and a family history (mother and uncle diagnosed) indicates the highest risk for developing the condition.
Question 2 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 3 of 5
A nurse is meeting with the caregivers of a client who has Alzheimer's disease who is at risk for wandering. Which of the following are manifestations that put the client at risk for wandering that the nurse should educate their caregivers about?
Correct Answer: A,C,E
Rationale: Confusion, agitation, and distraction increase wandering risk in Alzheimer's patients by causing disorientation, restlessness, and impaired attention to surroundings, leading to aimless roaming.
Question 4 of 5
A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?
Correct Answer: D
Rationale: Coronary artery disease involves narrowing of the coronary arteries due to atherosclerosis, reducing blood flow and oxygen to the heart muscle, causing symptoms like angina. Options A, B, and C are incorrect as they either misrepresent the pathology or include inaccurate mechanisms.
Question 5 of 5
A nurse is teaching the caregiver of a client who has dementia. Which of the following behaviors should the nurse identify as increasing with the progression of the disorder?
Correct Answer: A,B,D,E
Rationale: As dementia progresses, hallucinations, paranoia, impulsivity, and disregard for others' feelings often increase due to distorted perceptions, mistrust, reduced impulse control, and diminished empathy. Lethargy is more common in earlier stages.