ATI RN
ATI Rn 46 Med Surg Exam Questions
Extract:
Question 1 of 5
What should the nurse teach the patient who has endocarditis about preventing recurrence of the infections?
Correct Answer: C
Rationale: Prophylactic antibiotics before invasive procedures prevent endocarditis recurrence. Continuous antibiotics, aspirin, and antibiotics for exposure are not standard prevention strategies.
Question 2 of 5
Which of the following are risk factors for abdominal aortic aneurysm (AAA)? (Select all that apply.)
Correct Answer: A,B
Rationale: Smoking and family history increase AAA risk by weakening arterial walls and genetic predisposition. High HDL and normal total cholesterol are protective. Diabetes is not a direct risk factor.
Question 3 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.
Question 4 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 5 of 5
The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?
Correct Answer: D
Rationale: Recent dental work is a known risk factor for IE due to potential bacteremia. Immunizations, family history, and heart attack history are less directly related.