ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse in the rehabilitation unit is caring for a patient with a chronic head injury. During assessment, the nurse holds up a pen and asks the patient to identify the object. The patient replies, 'It's a key.' When considering the patient's response, which part of the brain is involved in injury?
Correct Answer: B
Rationale: The temporal lobe processes object recognition; injury causes errors like misidentifying a pen as a key.
Question 2 of 5
The patient diagnosed with acquired immunodeficiency syndrome (AIDS) states that they have developed purple, brown spots on their body. Which opportunistic infection does the nurse suspect?
Correct Answer: A
Rationale: Kaposi's Sarcoma is a vascular malignancy associated with AIDS caused by human herpesvirus 8. It presents as purple or brown skin lesions due to abnormal angiogenesis and endothelial proliferation in immunocompromised patients.
Question 3 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.
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 brain injury. Which of the following sets of vital signs would concern the nurse about increasing intracranial pressure (ICP)?
Correct Answer: A
Rationale: High systolic BP, bradycardia, and low respiratory rate suggest Cushing's triad, indicative of increased ICP.