ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign. The nurse notices a yellow stain around fluid dripping from the patient's ear. The nurse's priority intervention will be as follows:
Correct Answer: B
Rationale: Allowing fluid to drain onto gauze prevents build-up of intracranial pressure and confirms CSF leakage, which requires immediate provider notification.
Question 2 of 5
The nurse isa caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?
Correct Answer: A
Rationale: Cerebellar injury affects balance and coordination; ensuring bed alarm use prioritizes safety for patients at high fall risk due to impaired motor control.
Question 3 of 5
When considering the pharmacologic management of a patient who has sustained a traumatic head injury, the nurse can anticipate an order for which of the following medications to manage increases in intracranial pressure (ICP)?
Correct Answer: B
Rationale: Hypertonic saline (3%) reduces ICP by drawing fluid from brain tissue into the bloodstream, effectively lowering intracranial pressure.
Question 4 of 5
An environmental service attendant is brought to an urgent care clinic after having bleach splash to their eyes and face. The client spent 10 minutes at the eyehintend eye wash station rinsing their face and eyes prior to arrival. The client reports 9 (0-10 scale) of burning to their eyes and periorbital area. The sclera of both eyes are deep red. The urgent care nurse will first:
Correct Answer: B
Rationale: Continuous irrigation removes chemical agents, preventing further eye damage, and checking pH ensures irritant removal.
Question 5 of 5
The nurse in the rehabilitation unit is caring for a patient with a chronic head injury. During assessment, the nurse holds up a pen and asks the patient to identify the object. The patient replies, 'It's a key.' When considering the patient's response, which part of the brain is involved in injury?
Correct Answer: B
Rationale: The temporal lobe processes object recognition; injury causes errors like misidentifying a pen as a key.