ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder. The nurse would provide discharge education to the patient and family regarding which bladder management technique?
Correct Answer: D
Rationale: Intermittent catheterization is the preferred method for managing flaccid bladder, ensuring complete bladder emptying while minimizing infection risks compared to indwelling catheters.
Question 2 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: C
Rationale: Pointing out unacceptable behavior sets clear boundaries and educates the patient on appropriate conduct.
Question 3 of 5
The nurse is reviewing discharge instructions for a patient with a spinal cord injury to T-10 going home with an indwelling urinary catheter. What would the nurse emphasize about catheter care?
Correct Answer: D,E
Rationale: Regular leg bag emptying prevents backflow and infection, and reporting foul-smelling, cloudy urine ensures early treatment of potential infections.
Question 4 of 5
A patient presents to the emergency department with a cervical spinal cord injury immediately after a motor vehicle accident. What should the nurse explain to the family as the reason for the patient being placed on mechanical ventilation? The:
Correct Answer: A
Rationale: Cervical injuries at or above C3 disrupt the phrenic nerve, impairing diaphragm control, necessitating ventilation.
Question 5 of 5
A nurse is the first person on the scene of a motor vehicle accident. The victim was the driver and is in the driver's seat unconscious. The driver is breathing, has a pulse, and has minor lacerations on the head and face. What action should the nurse implement first?
Correct Answer: A
Rationale: Stabilizing the cervical spine prevents further spinal injury in trauma patients.