ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss. Which point is appropriate for the nurse to teach?
Correct Answer: C
Rationale: Facing the individual directly ensures clear visual cues, aiding communication with sensorineural hearing loss.
Question 2 of 5
The nurse knows that an important contraindication for valproic acid use is:
Correct Answer: B
Rationale: Pre-existing liver disease contraindicates valproic acid due to increased risk of hepatic toxicity.
Question 3 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 4 of 5
The nurse is caring for a patient with a spinal cord injury at the level of C-7. The patient is having a severe headache, hypertension, bradycardia, diaphoresis, and flushing of the face with pale, cold skin below the level of the injury. What are the priority nursing interventions?
Correct Answer: A
Rationale: These interventions address autonomic dysreflexia by reducing blood pressure and removing triggers like catheter obstruction.
Question 5 of 5
The nurse is caring for a patient with an acute brain injury. Which of the following sets of vital signs would concern the nurse about increasing intracranial pressure (ICP)?
Correct Answer: A
Rationale: High systolic BP, bradycardia, and low respiratory rate suggest Cushing's triad, indicative of increased ICP.