ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
Which of the following should the nurse understand is the cause of these manifestations?
Correct Answer: B
Rationale: Atrial fibrillation is characterized by rapid, chaotic, and irregular electrical signals in the atria, leading to ineffective atrial contractions and an irregular ventricular response. The irregularity and rapidity of the heart rate can lead to symptoms such as palpitations and dizziness.
Question 2 of 5
A nurse is admitting a client to the hospital unit. Which one of the following elements of the client's history and physical assessment increases the risk for the development of delirium?
Correct Answer: B
Rationale: B. A history of drug and alcohol use increases the risk of delirium by disrupting neurotransmitter function or through withdrawal effects, which can precipitate altered mental status.
Question 3 of 5
A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The aortic and mitral valves are the most commonly replaced due to their frequent involvement in conditions like aortic stenosis, aortic regurgitation, mitral regurgitation, and mitral stenosis, which often necessitate surgical intervention.
Question 4 of 5
A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?
Correct Answer: C
Rationale: In cases of traumatic falls, particularly when there is concern for head injury or intracranial bleeding, obtaining a non-contrast CT scan of the head is a priority. This imaging study helps identify any intracranial injuries such as hemorrhage or skull fractures, allowing for prompt intervention if necessary.
Question 5 of 5
A nurse is providing care for a group of clients who have coronary artery disease who are all scheduled for coronary artery bypass grafts (CABG). Which of the following clients is at the highest risk for complications following the surgical procedure?
Correct Answer: D
Rationale: COPD increases the risk of postoperative complications like atelectasis, pneumonia, and respiratory failure due to impaired respiratory function, making this client the highest risk.