ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with a spinal cord injury who is about to be transferred to a wheelchair for physical therapy. The patient complains of feeling dizzy and is diaphoretic. What would be the priority nursing action?
Correct Answer: C
Rationale: Lowering the head of the bed counters orthostatic hypotension, common in spinal cord injury patients, and vital signs guide further interventions.
Question 2 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 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
Which behaviors by the patient diagnosed with a chronic head injury would the nurse expect to find?
Correct Answer: C
Rationale: Chronic head injuries impair executive functions, causing difficulty in planning and organizing.
Question 5 of 5
A nurse is assessing a client experiencing motor loss as the result of a left-sided stroke. Which clinical manifestations would the nurse document?
Correct Answer: A
Rationale: Hemiparesis on the right side and ataxia are common due to left-sided stroke affecting the contralateral motor cortex and coordination.