ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is performing an initial interview of a client who has a neurologic deficit. Which actions by the nurse are MOST appropriate? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D,E
Rationale: Establishing trust, observing physical signs, reviewing medications, and assessing substance use are critical for a comprehensive neurological assessment.
Question 2 of 5
The nurse is caring for a client who has an abdominal aortic aneurysm. The physician explains to the client that the aneurysm is small and that the client will be managed medically. Based on this information, it is most important that the nurse reinforces discharge teaching about:
Correct Answer: C
Rationale: Hypertension increases pressure on the aneurysm, increasing the risk of expansion and rupture. Strict adherence to antihypertensive medications is essential for preventing complications.
Question 3 of 5
The nurse is caring for a patient with major burns Total Body Surface Area (TBSA) of 63%. The nurse understands that this patient is at the highest risk for the combination of which types of shock? (Select All that Apply.)
Correct Answer: A,D
Rationale: Severe burns cause hypovolemic shock from fluid loss and distributive shock from systemic inflammatory response syndrome (SIRS).
Question 4 of 5
The client who is experiencing septic shock is started on norepinephrine by intravenous drip via pump. Which frequent assessments should the nurse prioritize while administering this medication? (Select All that Apply)
Correct Answer: C,D,E
Rationale: Norepinephrine is a vasopressor requiring frequent monitoring of the IV site to prevent extravasation, blood pressure and heart rate to assess therapeutic effect, and hourly urine output to evaluate organ perfusion.
Question 5 of 5
The client presents with a complaint of 'always dropping things and falling down.' During the neurologic assessment, the nurse notices the client is unable to perform rapid alternating movements. Instead the client's response is very slow and misses often. What neurologic dysfunction would the nurse suspect?
Correct Answer: C
Rationale: The cerebellum controls coordination and fine motor movements. Inability to perform rapid alternating movements (dysdiadochokinesia) suggests cerebellar dysfunction.