ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The aortic and mitral valves are the most commonly replaced due to their frequent involvement in conditions like aortic stenosis, aortic regurgitation, mitral regurgitation, and mitral stenosis, which often necessitate surgical intervention.
Question 2 of 5
A nurse is assessing a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?
Correct Answer: A
Rationale: This statement indicates a potential safety concern related to balance issues while walking. Loss of balance can increase the risk of falls, especially in individuals with peripheral artery disease (PA
D) who may already have compromised circulation and reduced sensation in their legs.
Question 3 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: C
Rationale: An echocardiogram is the most appropriate initial diagnostic test for suspected cardiac tamponade. It provides real-time imaging of the heart and can detect pericardial effusion, collapse of the right atrium and ventricle during diastole (diastolic collapse), and signs of hemodynamic compromise.
Question 4 of 5
A nurse is planning care for a client who has worsening heart failure and is experiencing arrhythmias. Which of the following procedures should the nurse anticipate the client will require to regulate the rhythm?
Correct Answer: B
Rationale: Cardiac resynchronization therapy (CRT), also known as biventricular pacing, involves the placement of a specialized pacemaker device to improve the coordination of contractions between the heart's chambers. It is often used in patients with heart failure and arrhythmias to help regulate the rhythm and improve cardiac function.
Question 5 of 5
A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?
Correct Answer: D
Rationale: Disorientation and depression are common adverse psychological outcomes experienced by patients who have spent an extended period in the intensive care unit (ICU) due to complications related to shock. Prolonged ICU stays, medical interventions, sedation, and physical discomfort can contribute to feelings of confusion, disorientation, and depression.