ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A client, who has tested positive for human immunodeficiency virus (HIV), now presents with a CD4+ count of less than 200 cells/mm and pneumocystic pneumonia. A normal range for a CD4+ count is 500-1500 cells/mm. How would the nurse evaluate these findings? The client:
Correct Answer: C
Rationale: AIDS is diagnosed when CD4+ count decreases below 200 cells/mm, coupled with opportunistic infections like pneumocystic pneumonia, indicating a weakened immune system due to advanced disease.
Question 2 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 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
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 5 of 5
The nurse is preparing to turn the patient who sustained a spinal cord injury. How should the nurse proceed?
Correct Answer: D
Rationale: Log rolling with coordinated assistance ensures spinal alignment, minimizing further injury.