Questions 59

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ATI RN Test Bank

ATI EW N300 Med Surg Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a patient who had a serious head injury. The patient has recovered enough to be transferred to a rehabilitation facility. Which of the following rehabilitation goals would be most appropriate for the patient?

Correct Answer: C

Rationale: Active participation in rehabilitation is a realistic and appropriate goal, focusing on functional improvement.

Question 2 of 5

The nurse on the brain injury unit observes a patient who displays inappropriate sexual behavior. What would be the best response by the nurse?

Correct Answer: C

Rationale: Pointing out unacceptable behavior sets clear boundaries and educates the patient on appropriate conduct.

Question 3 of 5

A nurse is the first person on the scene of a motor vehicle accident. The victim was the driver and is in the driver's seat unconscious. The driver is breathing, has a pulse, and has minor lacerations on the head and face. What action should the nurse implement first?

Correct Answer: A

Rationale: Stabilizing the cervical spine prevents further spinal injury in trauma patients.

Question 4 of 5

When considering the pharmacologic management of a patient who has sustained a traumatic head injury, the nurse can anticipate an order for which of the following medications to manage increases in intracranial pressure (ICP)?

Correct Answer: B

Rationale: Hypertonic saline (3%) reduces ICP by drawing fluid from brain tissue into the bloodstream, effectively lowering intracranial pressure.

Question 5 of 5

A nurse is caring for a client who has heart failure and a prescription for digoxin 225 mcg PO daily. Available is digoxin PO 0.50 mg/tablet. How many tablets should the nurse administer per dose?

Correct Answer: 0.1 tablets

Rationale: Convert 225 mcg to 0.225 mg, then divide by 0.50 mg/tablet to get 0.1 tablets.

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