ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
An environmental service attendant is brought to an urgent care clinic after having bleach splash to their eyes and face. The client spent 10 minutes at the eyehintend eye wash station rinsing their face and eyes prior to arrival. The client reports 9 (0-10 scale) of burning to their eyes and periorbital area. The sclera of both eyes are deep red. The urgent care nurse will first:
Correct Answer: B
Rationale: Continuous irrigation removes chemical agents, preventing further eye damage, and checking pH ensures irritant removal.
Question 3 of 5
The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care?
Correct Answer: B
Rationale: Glaucoma treatments, including eye drops, aim to manage intraocular pressure and are required lifelong to prevent optic nerve damage and preserve vision.
Question 4 of 5
A 78-year-old client is admitted to the Emergency Department with numbness and weakness of the right arm and slurred speech. Which nursing intervention is a priority?
Correct Answer: B
Rationale: A STAT CT scan differentiates ischemic from hemorrhagic stroke, guiding appropriate intervention.
Question 5 of 5
The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures. The nurse is aware these symptoms indicate:
Correct Answer: A
Rationale: Automatisms, such as eye blinking and lip smacking, are repetitive, involuntary movements commonly associated with absence seizures due to brief interruptions in consciousness during seizure activity.