ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The client is being discharged from the ambulatory care unit following cataract removal. The nurse provides instructions regarding home care. Which of the following, if stated by the client, indicates an understanding of the instructions?
Correct Answer: C
Rationale: Eye shields at night and glasses during the day protect the operative site, supporting proper healing post-cataract surgery.
Question 2 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 3 of 5
The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures. The nurse is aware these symptoms indicate:
Correct Answer: A
Rationale: Automatisms, such as eye blinking and lip smacking, are repetitive, involuntary movements commonly associated with absence seizures due to brief interruptions in consciousness during seizure activity.
Question 4 of 5
The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range for a patient with an acute head injury. Which actions should the nurse take to achieve this goal?
Correct Answer: A,B,D
Rationale: Elevating the head of the bed aids venous drainage, serial assessments monitor ICP changes, and sedatives/pain medications reduce cerebral metabolic rate, all helping maintain normal ICP.
Question 5 of 5
The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign. 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: B
Rationale: Allowing fluid to drain onto gauze prevents build-up of intracranial pressure and confirms CSF leakage, which requires immediate provider notification.