ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who sustained a spinal cord injury (SCI) at T1. The alarm on the monitor sounds because the patient's blood pressure is 86/50 and the heart rate is 44. The nurse's priority action would be to:
Correct Answer: A
Rationale: Hypotension and bradycardia suggest neurogenic shock in T1 SCI. Assessing neurological status and repeating vital signs confirm the cause, guiding treatment. Other options are premature or inappropriate.
Question 2 of 5
The nurse is caring for a patient diagnosed with an injury to the cerebellum who cannot complete the Romberg Test. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury impairs balance, increasing fall risk. A bed alarm ensures safety, the priority intervention.
Question 3 of 5
The nurse is teaching a client with type 2 diabetes mellitus about self-monitoring of blood glucose. Which statement by the client indicates understanding?
Correct Answer: B
Rationale: Using the sides of fingers for blood glucose sampling reduces pain and nerve damage, indicating correct technique.
Question 4 of 5
The nurse is caring for a patient with an acute head injury. Which assessment finding would first alert the nurse that the patient is developing an increase in intracranial pressure (ICP)?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest sign of increased ICP, reflecting brain compression. Sluggish pupils and widening pulse pressure are later signs, and tachycardia with hypotension is not typical.
Question 5 of 5
The neurologic assessment of a patient indicated impaired function of the glossopharyngeal nerve (CN 10) and the vagus nerve (C.N X). Based on these findings, the nurse plans to:
Correct Answer: B
Rationale: Impaired CN IX and X increase aspiration risk due to swallowing difficulties, so withholding oral intake is priority to prevent pneumonia.