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 flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?
Correct Answer: D
Rationale: A history of myocardial infarction and stent placement indicates underlying heart disease, which is a significant risk factor for developing atrial flutter. Cardiac events like myocardial infarction can lead to structural changes in the heart, such as scarring or remodeling, which can predispose individuals to atrial flutter.
Question 2 of 5
A nurse is teaching a client who is TUTOR: newly diagnosed with Alzheimer's disease and their family about newly prescribed medications for Alzheimer's disease. Which statement by the client indicates the teaching was effective?
Correct Answer: B
Rationale: Alzheimer's medications, such as cholinesterase inhibitors and memantine, aim to slow cognitive decline and manage symptoms, not cure the disease, restore lost memories, or increase energy levels. Option B accurately reflects their purpose.
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 assessing a client suspected of having cardiac tamponade. Which of the following findings indicates the presence of pulsus paradoxus?
Correct Answer: A
Rationale: Pulsus paradoxus is characterized by an exaggerated decrease in systolic blood pressure (>10 mm Hg) during inspiration, reflecting impaired cardiac output due to restricted ventricular filling, as seen in cardiac tamponade.
Question 5 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.