ATI EW N300 Med Surg Exam | Nurselytic

Questions 59

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ATI EW N300 Med Surg Exam Questions

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Question 1 of 5

A 21-year-old male was admitted to the emergency department following a high-speed motorcycle accident. He was reported to be unconscious at the scene, but upon arrival he was awake and oriented with a Glasgow Coma Scale (GCS) of 15. Suddenly, he becomes unconscious and mental status deteriorates to a GCS of 8. The nurse anticipates which of the following injuries?

Correct Answer: C

Rationale: Epidural hematoma presents with a lucid interval followed by sudden neurological decline due to rapid blood accumulation.

Question 2 of 5

A patient is prescribed metoprolol in the treatment of stable angina. What is the best outcome measure of decreased cardiac workload due to metoprolol for the nurse to evaluate?

Correct Answer: A

Rationale: Metoprolol decreases cardiac workload by reducing heart rate and myocardial oxygen demand. A heart rate of 62 is within normal limits, demonstrating effective beta-blocker action.

Question 3 of 5

A client with an intracranial aneurysm that resulted in a cerebral bleed is to be discharged to a rehabilitation facility. Which of the following rehabilitation outcomes would be appropriate for this client?

Correct Answer: D

Rationale: Medication adherence is a realistic outcome, supporting long-term health stability post-intracranial injury.

Question 4 of 5

The nurse is educating on the placement of a ventriculostomy (intraventricular catheter) to the family of a patient diagnosed with a brain injury. The nurse states, 'The ventriculostomy is placed:

Correct Answer: B

Rationale: Ventriculostomies monitor ICP and drain excess CSF, managing elevated pressure.

Question 5 of 5

When considering the pharmacologic management of a patient who has sustained a traumatic head injury, the nurse can anticipate an order for which of the following medications to manage increases in intracranial pressure (ICP)?

Correct Answer: B

Rationale: Hypertonic saline (3%) reduces ICP by drawing fluid from brain tissue into the bloodstream, effectively lowering intracranial pressure.

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