ATI RN
ATI EW N300 Med Surg Exam Questions
Question 1 of 5
A nurse is assessing a previously alert client who has now become confused, lethargic, and does not follow commands appropriately. The blood glucose measures 48 mg/dL. What is the appropriate nursing intervention?
Correct Answer: C
Rationale: Dextrose 50% IV push rapidly raises blood glucose in symptomatic, confused patients, bypassing the gastrointestinal tract for immediate action.
Question 2 of 5
The nurse is caring for several patients in the Intensive Care Unit (ICU). Which of the following patients is at the greatest risk of anoxic brain injury?
Correct Answer: B
Rationale: Prolonged submersion compromises oxygen delivery, leading to diffuse cerebral hypoxia, the primary cause of anoxic brain injury.
Question 3 of 5
A 78-year-old client is admitted to the Emergency Department with numbness and weakness of the right arm and slurred speech. Which nursing intervention is a priority?
Correct Answer: B
Rationale: A STAT CT scan differentiates ischemic from hemorrhagic stroke, guiding appropriate intervention.
Question 4 of 5
A client with a severe stroke has been prescribed enteral feedings via a jejunostomy tube. For safe administration, the nurse should:
Correct Answer: C
Rationale: Abdominal distention, hypoactive bowel sounds, and RLQ tenderness suggest possible ileus or obstruction, requiring discussion with the prescriber for safe feeding.
Question 5 of 5
A nurse is caring for a patient in the ICU with a diagnosis of an acute closed head injury whose intracranial pressure (ICP) is 25 mmHg. What is the priority action by the nurse?
Correct Answer: C
Rationale: Raising the head of the bed promotes venous drainage, reducing ICP, and notifying the physician ensures timely intervention.