ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
A 67-year-old patient will be undergoing a mitral valve replacement for severe mitral valve stenosis. When reviewing the patient's chart, which of these infectious diseases would likely to be present in this patient's history?
Correct Answer: C
Rationale: Rheumatic fever is a known cause of rheumatic heart disease, leading to mitral valve stenosis. Meningitis, Haemophilus influenzae, and varicella are not associated with valvular heart disease.
Question 3 of 5
A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?
Correct Answer: B
Rationale: An echocardiogram is the most specific test for cardiac tamponade, visualizing fluid in the pericardial sac and its impact on heart function. ECG, CT, and chest x-ray are less definitive for this diagnosis.
Question 4 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.
Extract:
History and Physical
0900:
History of present illness:
Client presents to the emergency department reporting acute onset of back pain that started this morning. Client reports pain as 8 on a scale of Oto 10. Client also reports feeling dizzy and weak.
Past medical history: Diabetes mellitus type 2, hypertension
Surgical history: Appendectomy at age 23 years
Family history:
Father: History of prostate cancer Mother: Died of "old age"
Social history: Smokes 1 pack of cigarette
Vital Signs
0900:
Blood pressure 136/84 mm Hg
Heart rate 111/min
Respiratory rate 20/min
Temperature 37° C (98.6" F)
0920:
Blood pressure 150/86 mm Hg
Heart rate 120/min
Respiratory rate 24/min
Temperature 37° C (98.6° F)
Provider Prescriptions
Metoprolol succinate ER 100 mg PO x 1 dose
Diagnostic results
0915:
CT scan of the abdomen and pelvis: 4 cm infrarenal abdominal aortic aneurysm (AAA) Hemoglobin 11 g/dL (14 to 18 g/dL)
Hematocrit 40% (42% to 52%)
Question 5 of 5
A nurse is caring for a client in the emergency department. Which of the following interventions should the nurse expect when planning care for this client? (Select All that Apply)
Correct Answer: B,C,E,F
Rationale: Analyzing CBC monitors for bleeding, preparing for surgery addresses symptomatic AAA, antihypertensives control rupture risk, and arterial line aids monitoring. Back pain monitoring, transfusion, and education are secondary in the acute phase.