ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a previously alert client who has now become confused, lethargic, and does not follow commands appropriately. The blood glucose measures 48 mg/dL. What is the appropriate nursing intervention?
Correct Answer: C
Rationale: Dextrose 50% IV push rapidly raises blood glucose in symptomatic, confused patients, bypassing the gastrointestinal tract for immediate action.
Question 2 of 5
The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder. The nurse would provide discharge education to the patient and family regarding which bladder management technique?
Correct Answer: D
Rationale: Intermittent catheterization is the preferred method for managing flaccid bladder, ensuring complete bladder emptying while minimizing infection risks compared to indwelling catheters.
Question 3 of 5
A nurse is calculating the intake of a client during the past 9 hours. The client's intake includes: Lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL, two IV bolus infusions of 250 mL of 0.9% sodium chloride, ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water. How many mL of intake should the nurse record?
Correct Answer: 2525 mL
Rationale:
Total intake is calculated as follows: Lactated Ringer's (150 mL/hr × 9 hrs = 1350 mL), cefazolin (100 mL), packed RBCs (275 mL + 250 mL = 525 mL), IV boluses (250 mL × 2 = 500 mL), ranitidine (50 mL). Summing these: 1350 + 100 + 525 + 500 + 50 = 2525 mL.
Question 4 of 5
A nurse is caring for a client with dysphagia associated with a left-sided stroke and right-sided weakness. Which of the following strategies are appropriate to reduce the risk of aspiration?
Correct Answer: A
Rationale: Chin tuck improves epiglottic closure, reducing aspiration risk in dysphagia.
Question 5 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.