ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient is prescribed metoprolol in the treatment of stable angina. What is the best outcome measure of decreased cardiac workload due to metoprolol for the nurse to evaluate?
Correct Answer: A
Rationale: Metoprolol decreases cardiac workload by reducing heart rate and myocardial oxygen demand. A heart rate of 62 is within normal limits, demonstrating effective beta-blocker action.
Question 2 of 5
A client presents to the emergency department actively having seizure activity. The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications. The priority for this patient is:
Correct Answer: B
Rationale: Administering lorazepam IV halts seizure activity quickly, stabilizing the patient's condition.
Question 3 of 5
The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:
Correct Answer: B
Rationale: Handwashing interrupts the mode of transmission, preventing pathogens from reaching a portal of entry.
Question 4 of 5
The nurse is caring for a patient with a spinal cord injury at the level of C-7. The patient is having a severe headache, hypertension, bradycardia, diaphoresis, and flushing of the face with pale, cold skin below the level of the injury. What are the priority nursing interventions?
Correct Answer: A
Rationale: These interventions address autonomic dysreflexia by reducing blood pressure and removing triggers like catheter obstruction.
Question 5 of 5
The nurse is caring for a patient with an acute head injury. Which assessment finding would first alert the nurse that the patient is developing an increase in intracranial pressure (ICP)?
Correct Answer: A
Rationale: Restlessness and altered mental status are early signs of increasing ICP due to cerebral edema.