ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with a severe stroke has been prescribed enteral feedings via a jejunostomy tube. For safe administration, the nurse should:
Correct Answer: C
Rationale: Abdominal distention, hypoactive bowel sounds, and RLQ tenderness suggest possible ileus or obstruction, requiring discussion with the prescriber for safe feeding.
Question 2 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 3 of 5
A client required endotracheal intubation with sedation due to being in status epilepticus. An electroencephalogram (EEG) monitor is prescribed by the physician. The client's family member asks, 'if he's resting now, why does he need that monitor too?' The nurse instructs the family member that the EEG:
Correct Answer: C
Rationale: EEG identifies ongoing seizure activity via brain wave patterns, even in sedated patients.
Question 4 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 5 of 5
A patient presents to the emergency department with a cervical spinal cord injury immediately after a motor vehicle accident. What should the nurse explain to the family as the reason for the patient being placed on mechanical ventilation? The:
Correct Answer: A
Rationale: Cervical injuries at or above C3 disrupt the phrenic nerve, impairing diaphragm control, necessitating ventilation.