ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is obtaining a health history from a 24-year-old patient with hypertrophic cardiomyopathy. Which information obtained by the nurse is most important in planning care?
Correct Answer: C
Rationale: A family history of sudden cardiac death indicates a high risk for similar outcomes in hypertrophic cardiomyopathy, critical for care planning. Infections, CAD, and past cocaine use are less directly relevant.
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
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 5 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.