ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a patient who will be discharged with a prescription for lisinopril. What discharge teaching should be provided related to this medication?
Correct Answer: B
Rationale: Lisinopril, an ACE inhibitor, can lead to elevated potassium levels. Periodic monitoring of potassium levels is essential to prevent hyperkalemia, a potentially dangerous side effect.
Question 3 of 5
The nurse is teaching a patient who is prescribed valproic acid for seizures. The nurse would identify that the patient understands the teaching for the medication when they state, 'I will notify my healthcare provider if I experience:
Correct Answer: B
Rationale: Severe abdominal pain may indicate pancreatitis or liver issues, both serious side effects of valproic acid that require prompt medical attention.
Question 4 of 5
The nurse is caring for several patients with eye disorders. Which assessment finding correlates with each diagnosis? Note: each column must have one response option selected.
| Options | Loss of central vision | Loss of peripheral vision | Blurry vision | Gradual loss of visual acuity with age |
|---|---|---|---|---|
| Macular degeneration: Loss of central vision | ||||
| Presbyopia: Gradual loss of visual acuity with age | ||||
| Glaucoma: Loss of peripheral vision | ||||
| Cataracts: Blurry vision |
Correct Answer: A,B,C,D
Rationale: Macular degeneration leads to loss of central vision due to macula damage. Presbyopia is an age-related condition causing gradual loss of near visual acuity. Glaucoma causes loss of peripheral vision due to optic nerve damage. Cataracts cause blurry vision due to lens clouding.
Question 5 of 5
A patient presents to the emergency department with a cervical spinal cord injury immediately after a motor vehicle crash. What should the nurse explain to the family as the reason for the patient being placed on mechanical ventilation? The:
Correct Answer: C
Rationale: The nerves that control lung function may be injured in a cervical spinal cord injury, particularly at higher levels like C3-C5, leading to respiratory muscle paralysis and necessitating mechanical ventilation.