ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a spinal cord injury at C3. The nurse notices on the cardiac monitor a heart rate of 30 beats per minute & upon assessment of the patient, a change in mental status. What medication does the nurse anticipate will be ordered by the physician STAT?
Correct Answer: A
Rationale: Atropine is the first-line treatment for symptomatic bradycardia caused by disrupted sympathetic control in a C3 spinal cord injury.
Question 2 of 5
The nurse is caring for a client in the burn unit with burns to the head, neck, chest back left arm and hand following an explosion in their garage. Upon admission, the nurse auscultates wheezes throughout all lung fields and applies oxygen via non-rebreather. One hour later, upon reassessment, the patient is visibly anxious and short of breath, wheezes cannot be heard, lung sounds are decreased, voice is hoarse, and the client is coughing up gray sputum. What is the most appropriate nursing action?
Correct Answer: A
Rationale: The absence of wheezes, decreased lung sounds, hoarseness, and gray sputum indicate progressive airway obstruction from inhalation injury, requiring immediate intubation.
Question 3 of 5
The nurse is caring for a client who presents with a chemical burn to the right hand, what should the nurse do first?
Correct Answer: D
Rationale: Immediate irrigation with room temperature water removes the chemical and dilutes its effect, the first critical step.
Question 4 of 5
The nurse is performing an assessment on a client. How would the nurse best evaluate improvement or deterioration in the neurologic status?
Correct Answer: B
Rationale: Serial Glasgow Coma Scale exams track changes in neurologic status over time effectively.
Question 5 of 5
Due to cranial nerve involvement in Bell's palsy, which of the following would prevent a potential complication from the disorder?
Correct Answer: B
Rationale: Bell's palsy affects cranial nerve VII, causing incomplete eye closure. An eye patch at night prevents corneal injury from dryness.