ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A client presents to the emergency department actively having seizure activity. The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications. The priority for this patient is:
Correct Answer: B
Rationale: Administering lorazepam IV halts seizure activity quickly, stabilizing the patient's condition.
Question 2 of 5
The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign. The nurse notices a yellow stain around fluid dripping from the patient's ear. The nurse's priority intervention will be as follows:
Correct Answer: B
Rationale: Allowing fluid to drain onto gauze prevents build-up of intracranial pressure and confirms CSF leakage, which requires immediate provider notification.
Question 3 of 5
The nurse isa caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury affects balance and coordination; ensuring bed alarm use prioritizes safety for patients at high fall risk due to impaired motor control.
Question 4 of 5
An environmental service attendant is brought to an urgent care clinic after having bleach splash to their eyes and face. The client spent 10 minutes at the eyehintend eye wash station rinsing their face and eyes prior to arrival. The client reports 9 (0-10 scale) of burning to their eyes and periorbital area. The sclera of both eyes are deep red. The urgent care nurse will first:
Correct Answer: B
Rationale: Continuous irrigation removes chemical agents, preventing further eye damage, and checking pH ensures irritant removal.
Question 5 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.