ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A client has had a stapedectomy for otosclerosis 24 hours ago. What must the nurse teach the client about post-operative care?
Correct Answer: A
Rationale: Avoiding coughing or nose blowing prevents dislodging the stapes prosthesis, reducing complications.
Question 2 of 5
The nurse is caring for a patient who has a spinal cord injury at the level of C-6. The patient displays the following symptoms: loss of motor function on the ipsilateral side of the injury, and loss of temperature and pain sensation on the contralateral side. What type of incomplete injury did this patient most likely suffer?
Correct Answer: A
Rationale: Brown-Sequard injury results in ipsilateral motor function loss and contralateral pain/temperature loss due to hemisection of the spinal cord.
Question 3 of 5
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
Correct Answer: C
Rationale: A curtain-like loss of vision arises from retinal detachment, disrupting visual fields as the retina separates from its vascular supply and neural connections.
Question 4 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.
Question 5 of 5
The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures. The nurse is aware these symptoms indicate:
Correct Answer: A
Rationale: Automatisms, such as eye blinking and lip smacking, are repetitive, involuntary movements commonly associated with absence seizures due to brief interruptions in consciousness during seizure activity.