ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is the first person on the scene of a motor vehicle accident. The victim was the driver and is in the driver's seat unconscious. The driver is breathing, has a pulse, and has minor lacerations on the head and face. What action should the nurse implement first?
Correct Answer: A
Rationale: Stabilizing the cervical spine prevents further spinal injury in trauma patients.
Question 2 of 5
To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:
Correct Answer: C
Rationale: Coughing increases intraocular pressure due to abrupt pressure changes, which can cause complications after cataract surgery.
Question 3 of 5
The nurse on the brain injury unit observes a patient who displays inappropriate sexual behavior. What would be the best response by the nurse?
Correct Answer: C
Rationale: Pointing out unacceptable behavior sets clear boundaries and educates the patient on appropriate conduct.
Question 4 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 5 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.