ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 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: A
Rationale: Altered mental status, such as confusion, restlessness, or lethargy, is often the earliest sign of increasing ICP as it reflects brain tissue compression.
Question 2 of 5
The nurse is caring for a patient who had a serious head injury. The patient has recovered enough to be to be transferred to a rehabilitation facility. Which of the following rehabilitation goals would be most appropriate for the patient? The patient will:
Correct Answer: B
Rationale: Actively participating in rehabilitation is a realistic goal that focuses on the patient's engagement in the recovery process, which can improve functional outcomes.
Question 3 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 4 of 5
The nurse is preparing to turn the patient who sustained a spinal cord injury. How should the nurse proceed?
Correct Answer: D
Rationale: Log rolling is the safest way to turn a patient with a spinal cord injury, maintaining spinal alignment and preventing further injury. It requires one person to stabilize the head while others turn the body as a single unit.
Question 5 of 5
The nurse is caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?
Correct Answer: C
Rationale: The cerebellum is responsible for balance and coordination, so injuries in this area increase the risk of falls. Ensuring the bed alarm is on provides immediate alerts if the patient attempts to get out of bed, helping to prevent falls.