ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who will be discharged with a prescription for lisinopril. What discharge teaching should be provided related to this medication?
Correct Answer: B
Rationale: Lisinopril, an ACE inhibitor, can lead to elevated potassium levels. Periodic monitoring of potassium levels is essential to prevent hyperkalemia, a potentially dangerous side effect.
Question 2 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 3 of 5
The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range for the patient with an acute head injury. Which action(s) should the nurse take to achieve this goal? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Elevating the head of the bed to 30-45 degrees promotes venous drainage from the head, reducing ICP. Serial neurologic assessments help monitor any changes in the patient’s condition and ICP, allowing for timely intervention. Sustained ICP levels between 30-40 mmHg are significantly elevated and require immediate communication with the healthcare provider, as they are above the normal range and could lead to further complications.
Question 4 of 5
The provider has prescribed timolol ophthalmic drops for the patient diagnosed with glaucoma. The nurse should assess the patient for which of the following side effects?
Correct Answer: A
Rationale: Timolol is a beta-blocker that can be absorbed systemically, leading to side effects such as bradycardia and hypotension, which require monitoring.
Question 5 of 5
The nurse is caring for several patients with eye disorders. Which assessment finding correlates with each diagnosis? Note: each column must have one response option selected.
| Options | Loss of central vision | Loss of peripheral vision | Blurry vision | Gradual loss of visual acuity with age |
|---|---|---|---|---|
| Macular degeneration: Loss of central vision | ||||
| Presbyopia: Gradual loss of visual acuity with age | ||||
| Glaucoma: Loss of peripheral vision | ||||
| Cataracts: Blurry vision |
Correct Answer: A,B,C,D
Rationale: Macular degeneration leads to loss of central vision due to macula damage. Presbyopia is an age-related condition causing gradual loss of near visual acuity. Glaucoma causes loss of peripheral vision due to optic nerve damage. Cataracts cause blurry vision due to lens clouding.