ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac tamponade. Which observation would indicate that the procedure was effective?
Correct Answer: D
Rationale: Effective pericardiocentesis relieves symptoms like chest pain and shortness of breath by removing pericardial fluid. Muffled heart sounds, jugular distention, and dyspnea indicate ongoing tamponade.
Question 3 of 5
Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?
Correct Answer: A
Rationale: Rheumatic fever is a complication of untreated streptococcal pharyngitis. Timely antibiotic treatment prevents its development. Prophylactic antibiotics are for secondary prevention, not broad community strategy. No streptococcal vaccine is widely available. Monitoring temperature is less effective than ensuring treatment.
Question 4 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.
Question 5 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: D
Rationale: An AAA is a dilation of the aorta greater than 30 mm. Most occur infrarenally, rupture risk increases with high blood pressure, and the wall is weakened, not thickened.