ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3 tablets
Rationale:
To administer the correct dose of clonidine, which is 0.3 mg, the nurse would need to calculate the number of 0.1 mg tablets required. Since each tablet contains 0.1 mg of clonidine, the nurse would need three tablets to make up the total dose of 0.3 mg.
Therefore, the nurse should administer three tablets per dose to the patient.
Question 2 of 5
A patient is admitted to the Emergency Department (ED). The nurse documents 'postictal upon transfer' as evidenced by which observation?
Correct Answer: D
Rationale: The postictal state is characterized by drowsiness, confusion, and other altered mental statuses that follow a seizure. This period can vary in duration depending on the patient and seizure type.
Question 3 of 5
The nurse is assessing a patient with a cochlear implant and notices that there is drainage, swelling, and tenderness behind the ear with the implant. What is the priority nursing intervention?
Correct Answer: B
Rationale: Obtaining a culture of the drainage is necessary to identify any infection and guide appropriate antibiotic treatment.
Question 4 of 5
The nurse is caring for a patient who suffered a spinal cord injury (SCI) who has had halo traction placed for spinal immobilization. What emergency equipment should the nurse have at the bedside? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: An Ambu bag and oxygen are crucial for respiratory support, especially if the patient has compromised breathing due to spinal cord injury. Wrenches should be readily available to quickly remove halo traction in case of an emergency. An oral suction tube is important for managing oral secretions.
Question 5 of 5
The nurse is caring for a patient in the ICU with a diagnosis of acute closed head injury whose intracranial pressure (ICP) is 30mmHg. What is the priority action by the nurse?
Correct Answer: C
Rationale: Notifying the physician and raising the head of the bed helps to reduce ICP by promoting venous drainage. An ICP of 30 mmHg is critically high, requiring immediate intervention.