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ATI EW N300 Med Surg Exam Questions

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Question 1 of 5

The nurse is caring for a patient who has a spinal cord injury at the level of C-6. The patient displays the following symptoms: loss of motor function on the ipsilateral side of the injury, and loss of temperature and pain sensation on the contralateral side. What type of incomplete injury did this patient most likely suffer?

Correct Answer: A

Rationale: Brown-Sequard injury results in ipsilateral motor function loss and contralateral pain/temperature loss due to hemisection of the spinal cord.

Question 2 of 5

A nurse is caring for a patient in the ICU with a diagnosis of an acute closed head injury whose intracranial pressure (ICP) is 25 mmHg. What is the priority action by the nurse?

Correct Answer: C

Rationale: Raising the head of the bed promotes venous drainage, reducing ICP, and notifying the physician ensures timely intervention.

Question 3 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 4 of 5

A client has had a stapedectomy for otosclerosis 24 hours ago. What must the nurse teach the client about post-operative care?

Correct Answer: A

Rationale: Avoiding coughing or nose blowing prevents dislodging the stapes prosthesis, reducing complications.

Question 5 of 5

The nurse is educating on the placement of a ventriculostomy (intraventricular catheter) to the family of a patient diagnosed with a brain injury. The nurse states, 'The ventriculostomy is placed:

Correct Answer: B

Rationale: Ventriculostomies monitor ICP and drain excess CSF, managing elevated pressure.

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