ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
The nurse is providing care to a client who has survived cardiac arrest. Which of the following manifestations should alert the nurse to the development of PCAS?
Correct Answer: A
Rationale: Decreased circulation to the kidneys is a manifestation of post-cardiac arrest syndrome (PCAS) due to systemic ischemia/reperfusion injury, potentially leading to acute kidney injury.
Question 2 of 5
A nurse is reviewing laboratory results for a client who has atrial fibrillation. Which of the following blood test results should the nurse understand can be a possible cause of atrial fibrillation?
Correct Answer: B
Rationale: A common cause of atrial fibrillation is hyperthyroidism, which is characterized by an overactive thyroid gland and often presents with elevated TSH levels. Thyroid hormones play a significant role in regulating heart rate and rhythm. Excess thyroid hormone can lead to increased heart rate and irregular heart rhythms, including atrial fibrillation.
Question 3 of 5
A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?
Correct Answer: D
Rationale: Coronary artery disease involves narrowing of the coronary arteries due to atherosclerosis, reducing blood flow and oxygen to the heart muscle, causing symptoms like angina. Options A, B, and C are incorrect as they either misrepresent the pathology or include inaccurate mechanisms.
Question 4 of 5
A nurse is collecting neurologic data on a client who has a neurological injury and notes changes suggestive of Cushing's Triad. The nurse understands that Cushing's Triad is a nervous system response that might prevent which of the following conditions?
Correct Answer: D
Rationale: Cushing's Triad (hypertension, bradycardia, irregular respirations) is a response to increased intracranial pressure and impending brainstem herniation, associated with brainstem ischemia if untreated, not its prevention.
Question 5 of 5
A nurse is assessing a client who has peripheral artery disease. Which of the following findings should the nurse recognize as requiring immediate intervention?
Correct Answer: B
Rationale: Pain, pallor, and paresthesia indicate critical limb ischemia, a severe complication of peripheral artery disease requiring immediate intervention to prevent tissue damage and limb loss.