Questions 113

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ATI Med Surg Exam 1 2024 Questions

Extract:


Question 1 of 5

Which of the following statements should the nurse include in the teaching to explain peripheral arterial disease?

Correct Answer: B

Rationale: This statement correctly explains the underlying pathology of peripheral arterial disease (PA
D). Atherosclerosis narrows or blocks blood flow, impairing the delivery of oxygen-rich blood to the tissues, resulting in symptoms such as pain, cramping, and tissue damage.

Question 2 of 5

A nurse is caring for a client who has Meniere's disease. The nurse identifies that which of the following manifestations is caused by an excessive accumulation of endolymph fluid?

Correct Answer: B

Rationale: Vertigo is a hallmark symptom of Meniere's disease and is caused by an excessive accumulation of endolymph fluid in the inner ear. Vertigo presents as a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance.

Question 3 of 5

A nurse is providing teaching to a group of clients about the changes that occur in the eye when clients experience retinal detachment. Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: Retinal detachment occurs when the retina pulls away from its normal position, disrupting its blood supply and causing vision changes. Symptoms include sudden floaters, flashes of light, and a shadow or curtain effect, accurately described by the statement about retinal tissue pulling away from blood vessels.

Question 4 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: C

Rationale: An echocardiogram is the most appropriate initial diagnostic test for suspected cardiac tamponade. It provides real-time imaging of the heart and can detect pericardial effusion, collapse of the right atrium and ventricle during diastole (diastolic collapse), and signs of hemodynamic compromise.

Question 5 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.

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