ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse is caring for a patient with mitral valve disease. At which anatomic landmark will the nurse hear a heart murmur the loudest?
Correct Answer: A
Rationale: The fifth intercostal space at the left midclavicular line is the location of the mitral valve, where murmurs associated with mitral valve disease are best auscultated.
Question 2 of 5
A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3 tablets
Rationale:
To administer the correct dose of clonidine, which is 0.3 mg, the nurse would need to calculate the number of 0.1 mg tablets required. Since each tablet contains 0.1 mg of clonidine, the nurse would need three tablets to make up the total dose of 0.3 mg.
Therefore, the nurse should administer three tablets per dose to the patient.
Question 3 of 5
The healthcare provider has prescribed intravenous (IV) lorazepam for the patient in status epilepticus. During administration, which is the priority assessment by the nurse?
Correct Answer: C
Rationale: Pulse oximetry is the priority assessment as IV lorazepam can depress the respiratory system, leading to hypoxia. Monitoring oxygen saturation helps ensure the patient maintains adequate respiratory function during administration.
Question 4 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.
Question 5 of 5
The nurse is caring for a patient who has a spinal cord injury at the level of C-6. The patient displays the following symptoms: loss of motor function on the ipsilateral side of the injury, loss of temperature and pain sensation on the contralateral side. What type of injury did this individual most likely suffer?
Correct Answer: D
Rationale: Brown-Sequard syndrome typically presents with motor function loss on the same (ipsilateral) side of the injury and loss of pain and temperature sensation on the opposite (contralateral) side, making this the most likely diagnosis.