ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of clients about the specific types of fluids that protect the structures of the inner ear. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Endolymph is a fluid found within the membranous labyrinth of the inner ear. It plays a crucial role in maintaining the balance of ions necessary for proper sensory function of the auditory and vestibular systems. Endolymph helps protect the delicate sensory structures of the inner ear, including the hair cells responsible for hearing and balance.
Question 2 of 5
A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: An abdominal aortic aneurysm is defined as a dilation of the abdominal aorta greater than 30 mm, due to a weakened arterial wall. AAAs are typically infrarenal, not suprarenal. They result from wall weakening, not thickening. High blood pressure, not low, increases rupture risk.
Question 3 of 5
A nurse is preparing a poster about chronic traumatic encephalopathy (CTE) for a local community health fair. Which of the following activities should the nurse include on the poster as increasing the risk for CTE?
Correct Answer: C
Rationale: Chronic traumatic encephalopathy (CTE) is strongly associated with repetitive head trauma, particularly in contact sports like football, as well as in military service where blast injuries and combat-related head trauma are common. Physical abuse, especially in contact sports, can also increase the risk of CTE due to repetitive blows to the head.
Question 4 of 5
A nurse is educating the family of a client who has Alzheimer's disease. The nurse should be sure to communicate that which of the following behavioral manifestations can occur in clients with Alzheimer's disease?
Correct Answer: A,B,C,D,E
Rationale: A. Restlessness, such as pacing, is common due to confusion or agitation. B. Aggression may arise from frustration or fear. C. Depression can occur, presenting as sadness or withdrawal. D. Hyperactivity may manifest as agitation or excessive activity. E. Lethargy can result from cognitive decline, depression, or medication side effects.
Question 5 of 5
A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?
Correct Answer: C
Rationale: Distributive shock is caused by systemic vasodilation, leading to decreased systemic vascular resistance and inadequate tissue perfusion despite normal or high cardiac output.