ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
An environmental service attendant is brought to an urgent care clinic after having bleach splash to their eyes and face. The client spent 10 minutes at the eyehintend eye wash station rinsing their face and eyes prior to arrival. The client reports 9 (0-10 scale) of burning to their eyes and periorbital area. The sclera of both eyes are deep red. The urgent care nurse will first:
Correct Answer: B
Rationale: Continuous irrigation removes chemical agents, preventing further eye damage, and checking pH ensures irritant removal.
Question 2 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 3 of 5
A client has had a stapedectomy for otosclerosis 24 hours ago. What must the nurse teach the client about post-operative care?
Correct Answer: A
Rationale: Avoiding coughing or nose blowing prevents dislodging the stapes prosthesis, reducing complications.
Question 4 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 5 of 5
The nurse is caring for a client who has had a stroke and who has received tissue plasminogen activator (t-PA). Which of the following symptoms would prompt the nurse to stop the infusion of t-PA?
Correct Answer: A,B,C
Rationale: Decreased consciousness, elevated blood pressure with headache, and vomiting with nausea suggest intracranial hemorrhage, a serious complication requiring immediate cessation of t-PA.