ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
A patient diagnosed with a seizure disorder tells the nurse that they feel like they have 'butterflies' in their stomach. The patient has felt this in the past before having a seizure. The nurse recognizes that this feeling is:
Correct Answer: C
Rationale: An aura is a perceptual disturbance experienced by some patients with seizure disorders that precedes a seizure. It can manifest as various sensations, including gastrointestinal feelings like 'butterflies,' which serve as a warning sign.
Question 2 of 5
A nurse is assigned a patient diagnosed with acquired immunodeficiency syndrome (AIDS). Which type of precaution should be used when providing direct care?
Correct Answer: A
Rationale: Standard precautions should be used for all patients, including those with AIDS, as they are designed to prevent the transmission of infections regardless of the patient's diagnosis.
Question 3 of 5
A patient is ordered 1 mg of Morphine IV push. The medication is supplied in vials 2 mg/1 mL. What should the nurse administer? (round to the nearest tenth)
Correct Answer: 0.5 mL
Rationale:
To administer the correct dose of Morphine, the nurse needs to calculate the volume of medication to deliver 1 mg of Morphine. Since the medication is supplied in a concentration of 2 mg per 1 mL, the nurse would administer half of the volume of the vial to provide the ordered 1 mg dose.
Therefore, the nurse should administer 0.5 mL of Morphine to the patient.
Question 4 of 5
The nurse is caring for a patient with an acute brain injury. Which of the following sets of vital signs would concern the nurse about increasing intracranial pressure (ICP)?
Correct Answer: B
Rationale: This set of vital signs is concerning due to the extremely high blood pressure (220/46) combined with a very low heart rate (30) and low respiratory rate (6), which can indicate an autonomic response to increased ICP, potentially leading to Cushing's triad.
Question 5 of 5
The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this injury?
Correct Answer: D
Rationale: Respiratory compromise is the primary cause of complications or death in patients with a high cervical spine injury (C-3 and above) due to loss of innervation to the diaphragm and intercostal muscles, which impairs spontaneous breathing.