ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who has sustained eye trauma as a result of a motor vehicle crash (MVC). Which intervention should the nurse provide regarding a foreign body?
Correct Answer: B
Rationale: Stabilizing the object and covering it prevents further injury until medical evaluation, which is critical in cases of eye trauma. Moving or removing a foreign body could lead to additional damage.
Question 2 of 5
A physician prescribes Vancomycin 20 mg/kg intravenous (IV). The patient weighs 110 lbs. The medication is available in vials which contain 500 mg per 8 mL. What should the nurse withdraw from the vial? (round to the nearest whole number)
Correct Answer: 16 mL
Rationale:
To calculate the dosage of Vancomycin, convert the patient's weight to kilograms (110 lbs / 2.2 = 50 kg). Multiply by the prescribed dosage (50 kg * 20 mg/kg = 1000 mg). The vials contain 500 mg per 8 mL, so 1000 mg requires 16 mL (1000 mg / (500 mg/8 mL)).
Question 3 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: B
Rationale: Pointing out the behavior as unacceptable provides immediate feedback and helps the patient understand social boundaries, which can be challenging post-brain injury. This approach is direct and respectful, focusing on redirection rather than punishment.
Question 4 of 5
The nurse is caring for a patient in the acute care setting with a spinal cord injury (SCI) at the level of C-3. What is the main cause of complications or death related to this injury?
Correct Answer: D
Rationale: Respiratory compromise is the primary cause of complications or death in patients with a high cervical spine injury (C-3 and above) due to loss of innervation to the diaphragm and intercostal muscles, which impairs spontaneous breathing.
Question 5 of 5
The nurse is caring for a patient diagnosed with epilepsy who is prescribed antiepileptic medications. The nurse would identify the need for further teaching when the patient states:
Correct Answer: C
Rationale: Doubling up on doses can lead to toxicity and adverse effects; missed doses should not be made up by doubling the next dose. This response indicates the need for further teaching.