ATI RN
ATI EW N300 Med Surg Exam 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: Restlessness and altered mental status are early signs of increasing ICP due to cerebral edema.
Question 2 of 5
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
Correct Answer: C
Rationale: A curtain-like loss of vision arises from retinal detachment, disrupting visual fields as the retina separates from its vascular supply and neural connections.
Question 3 of 5
Which behaviors by the patient diagnosed with a chronic head injury would the nurse expect to find?
Correct Answer: C
Rationale: Chronic head injuries impair executive functions, causing difficulty in planning and organizing.
Question 4 of 5
A nurse is caring for a client with dysphagia associated with a left-sided stroke and right-sided weakness. Which of the following strategies are appropriate to reduce the risk of aspiration?
Correct Answer: A
Rationale: Chin tuck improves epiglottic closure, reducing aspiration risk in dysphagia.
Question 5 of 5
The nurse is preparing to administer 1600 mL of total parental nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 66.7 mL/hr
Rationale:
Total volume (1600 mL) divided by 24 hours equals 66.7 mL/hr.