ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
After receiving shift change report, which of the following patients should the nurse see first?
Correct Answer: C
Rationale: New-onset flank pain and hematuria in a patient with infective endocarditis suggest a life-threatening complication like renal infarction, requiring immediate attention. Mitral valve prolapse is not critical. Low urine output needs monitoring but is less urgent. The pacemaker patient is stable.
Question 2 of 5
A patient with a sinus node dysfunction has a permanent pacemaker inserted. Before discharge, what should the nurse include when teaching the patient?
Correct Answer: A
Rationale: Avoiding chest trauma protects the pacemaker. Arm lifting is restricted initially, microwaves are safe, and pacing does not typically cause spasms.
Question 3 of 5
A nurse is completing discharge teaching with a client who has a permanent pacemaker. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: C
Rationale: Notifying airport screeners about the pacemaker prevents interference, showing understanding. Hiccups are not expected, garage door openers are safe, and pulse checks may be needed more frequently.
Question 4 of 5
The nurse is caring for a patient diagnosed with pericarditis. What serious complication should this patient be monitored for?
Correct Answer: C
Rationale: Cardiac tamponade, from fluid accumulation in the pericardial space, is a life-threatening complication of pericarditis. Left ventricular hypertrophy, increased cardiac output, and hypertension are not direct complications.
Question 5 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.