ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 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 2 of 5
The Emergency Department nurse is expecting a patient with a spinal cord transection at C1. Which of the following assessments take priority upon the patient's arrival? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Blood pressure monitoring is essential, as spinal cord injuries at high levels can cause disruptions in autonomic regulation, leading to significant blood pressure fluctuations. Heart rate is critical as high spinal cord injuries can impact cardiac function by affecting autonomic control, potentially leading to bradycardia. Respirations are a priority, as a C1 spinal cord injury can compromise respiratory function, necessitating immediate assessment to ensure adequate oxygenation and airway management.
Question 3 of 5
The nurse is caring for a trauma patient with suspected brain injury. The nurse notices a yellow stain around fluid dripping from the patient's ear. The nurse's priority intervention will be as follows:
Correct Answer: D
Rationale: Yellowish fluid from the ear, which creates a 'halo' or yellow ring around it on gauze, may indicate cerebrospinal fluid (CSF) leakage. This is a sign of a potential skull fracture and requires prompt provider notification.
Question 4 of 5
The emergency department nurse is caring for a patient who has had a chemical splash in both eyes. What is the priority nursing action?
Correct Answer: D
Rationale: Irrigating both eyes with normal saline is the priority action to dilute and flush out the chemical, reducing the risk of further injury.
Question 5 of 5
The nurse is caring for a patient diagnosed with unstable angina who is prescribed metoprolol. The patient asks the nurse, 'Why do I have to take this medication?' What response by the nurse is most accurate?
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, decreases the heart rate and reduces myocardial oxygen demand by lowering the workload on the heart, which is beneficial for managing unstable angina.