ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse is caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?
Correct Answer: C
Rationale: The cerebellum is responsible for balance and coordination, so injuries in this area increase the risk of falls. Ensuring the bed alarm is on provides immediate alerts if the patient attempts to get out of bed, helping to prevent falls.
Question 2 of 5
The healthcare provider has prescribed intravenous (IV) lorazepam for the patient in status epilepticus. During administration, which is the priority assessment by the nurse?
Correct Answer: C
Rationale: Pulse oximetry is the priority assessment as IV lorazepam can depress the respiratory system, leading to hypoxia. Monitoring oxygen saturation helps ensure the patient maintains adequate respiratory function during administration.
Question 3 of 5
The nurse is caring for a patient diagnosed with unstable angina who is prescribed metoprolol. The patient asks the nurse, 'Why do I have to take this medication?' What response by the nurse is most accurate?
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, decreases the heart rate and reduces myocardial oxygen demand by lowering the workload on the heart, which is beneficial for managing unstable angina.
Question 4 of 5
The nurse is caring for a patient with mitral valve disease. At which anatomic landmark will the nurse hear a heart murmur the loudest?
Correct Answer: A
Rationale: The fifth intercostal space at the left midclavicular line is the location of the mitral valve, where murmurs associated with mitral valve disease are best auscultated.
Question 5 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.