ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is providing teaching to a group of clients about the changes that occur when clients experience cataracts. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Cataracts cause the lens to become cloudy, interfering with light passage and resulting in vision changes like blurred vision and glare. Other options describe mechanisms related to glaucoma, diabetic retinopathy, or retinal detachment.
Question 3 of 5
Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?
Correct Answer: D
Rationale: Hypotension is a hallmark sign of shock, indicating inadequate tissue perfusion. Confusion may occur due to cerebral hypoperfusion and inadequate oxygen delivery to the brain. Confusion is a late sign of shock and indicates severe compromise of organ perfusion.
Question 4 of 5
A nurse is providing teaching to a client about recognizing manifestations of an impending cardiac arrest. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: B
Rationale: B. Profound fatigue can be a warning sign of an impending cardiac arrest due to inadequate blood flow to the heart muscle or systemic cardiovascular compromise, leading to generalized weakness.
Question 5 of 5
A nurse is teaching a client who has symptomatic atrial fibrillation about manifestations to expect. Which of the following should the nurse include in the teaching? (Select All that Apply.)
Correct Answer: B,C
Rationale: Shortness of breath occurs due to ineffective atrial contraction, leading to decreased cardiac output and potential fluid accumulation in the lungs. Exertional fatigue results from reduced cardiac output and inefficient heart function due to irregular heart rhythms.