ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?
Correct Answer: A
Rationale: Ensuring that the client and their family are kept informed about the client's care is the priority because communication is vital in managing MODS. It helps the family understand the condition, treatment plan, and potential outcomes, fostering trust and enabling informed decision-making.
Question 4 of 5
A nurse is collecting neurologic data on a client who has a neurological injury and notes changes suggestive of Cushing's Triad. The nurse understands that Cushing's Triad is a nervous system response that might prevent which of the following conditions?
Correct Answer: D
Rationale: Cushing's Triad (hypertension, bradycardia, irregular respirations) is a response to increased intracranial pressure and impending brainstem herniation, associated with brainstem ischemia if untreated, not its prevention.
Question 5 of 5
A nurse is caring for a group of clients. After receiving bedside report, the nurse determines which of the following clients to be at greatest risk for developing delirium?
Correct Answer: A
Rationale: A. The client recently transferred from the ICU is at greatest risk for delirium due to critical illness, potential sedative use, and physiological stressors from severe blood pressure issues.