ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who was given a new medical prescription for phenytoin. What would the nurse stress in the discharge instructions regarding this medication?
Correct Answer: D
Rationale: Regular dental visits are crucial for patients taking phenytoin because the medication can cause gingival hyperplasia, which necessitates careful dental hygiene and regular monitoring by a dentist.
Question 2 of 5
The nurse is caring for a patient who was given a new medical prescription for phenytoin. What would the nurse stress in the discharge instructions regarding this medication?
Correct Answer: D
Rationale: Regular dental visits are crucial for patients taking phenytoin because the medication can cause gingival hyperplasia, which necessitates careful dental hygiene and regular monitoring by a dentist.
Question 3 of 5
The nurse is caring for a patient who suffered a spinal cord injury (SCI) who has had halo traction placed for spinal immobilization. What emergency equipment should the nurse have at the bedside? (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: An Ambu bag and oxygen are crucial for respiratory support, especially if the patient has compromised breathing due to spinal cord injury. Wrenches should be readily available to quickly remove halo traction in case of an emergency. An oral suction tube is important for managing oral secretions.
Question 4 of 5
The nurse is caring for a patient diagnosed with unstable angina who is prescribed metoprolol. The patient asks the nurse, 'Why do I have to take this medication?' What response by the nurse is most accurate?
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, decreases the heart rate and reduces myocardial oxygen demand by lowering the workload on the heart, which is beneficial for managing unstable angina.
Question 5 of 5
A patient has returned to the unit following a peripheral arteriogram. During the assessment, the nurse notes that the dorsalis pedis pulse is not palpable and the foot is cold. What should be the nurse's immediate action?
Correct Answer: A
Rationale: A cold, pulseless foot indicates compromised blood flow, a medical emergency following an arteriogram. The nurse should immediately notify the physician to address potential vascular occlusion.