ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient diagnosed with a traumatic head injury secondary to a work accident. In the morning assessment, the patient opened his eyes in response to noxious stimuli. Two hours later, what assessment finding would warrant immediate action by the nurse? The patient:
Correct Answer: D
Rationale: Extending extremities in response to painful stimuli, known as decerebrate posturing, is a severe neurologic deficit indicating brainstem dysfunction and requires immediate nursing intervention.
Question 2 of 5
The client is diagnosed with a transient ischemic attack (TIA). Which statement by the client indicates teaching about clopidogrel has been effective?
Correct Answer: D
Rationale: Clopidogrel inhibits platelet aggregation, reducing the risk of clot formation, crucial for preventing ischemic events post-TIA.
Question 3 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 4 of 5
The nurse is caring for a patient in the acute care setting with a spinal cord injury at the level of C-3. The nurse understands that the main cause of complications or death related to this injury includes:
Correct Answer: D
Rationale: Respiratory compromise due to diaphragm paralysis at C-3 is the primary cause of morbidity or mortality.
Question 5 of 5
The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder. The nurse would provide discharge education to the patient and family regarding which bladder management technique?
Correct Answer: D
Rationale: Intermittent catheterization is the preferred method for managing flaccid bladder, ensuring complete bladder emptying while minimizing infection risks compared to indwelling catheters.