ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient has been diagnosed with a 4cm abdominal aortic aneurysm. Which of the following conditions would indicate surgical intervention may be necessary?
Correct Answer: B
Rationale: Marfan's syndrome increases AAA rupture risk due to weakened connective tissue, often necessitating surgery. Young age, controlled hypertension, or patient concerns do not directly indicate surgery.
Question 2 of 5
What effect does valvular regurgitation have on a patient?
Correct Answer: B
Rationale: Valvular regurgitation causes backward blood flow, leading to volume overload in the prior chamber. Fever, autoimmune reactions, and vessel narrowing are not direct effects.
Question 3 of 5
When teaching a patient about the long-term consequences of rheumatic fever, the nurse should discuss the possibility of
Correct Answer: C
Rationale: Rheumatic fever can damage heart valves, leading to valvular heart disease like stenosis or regurgitation. Right ventricular hypertrophy, superior vena cava syndrome, and pulmonary hypertension are not direct consequences.
Question 4 of 5
A patient is admitted with suspected cardiomyopathy. What diagnostic test would be most helpful with the identification of this disorder?
Correct Answer: A
Rationale: Echocardiogram visualizes heart muscle abnormalities, key for diagnosing cardiomyopathy. Cardiac enzymes are for heart attacks, catheterization is invasive, and ablation treats arrhythmias.
Question 5 of 5
The nurse is caring for a client who had a resection of an abdominal aortic aneurysm yesterday. The client has an IV infusion of maintenance fluid at a rate of 150 mL/hr, unchanged from the last 10 hours. The client's urine output for the last 3 hours has been 90ml, 50mL, and 24mL. Which nursing action is the priority?
Correct Answer: B
Rationale: A significant drop in urine output post-AAA resection may indicate acute renal failure, requiring immediate provider notification. Monitoring, specific gravity, and albumin checks are secondary.