ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for several patients in the Intensive Care Unit (ICU). Which of the following patients is at the greatest risk of anoxic brain injury?
Correct Answer: B
Rationale: Prolonged submersion compromises oxygen delivery, leading to diffuse cerebral hypoxia, the primary cause of anoxic brain injury.
Question 2 of 5
A client presents to the emergency department actively having seizure activity. The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications. The priority for this patient is:
Correct Answer: B
Rationale: Administering lorazepam IV halts seizure activity quickly, stabilizing the patient's condition.
Question 3 of 5
A client has had a stapedectomy for otosclerosis 24 hours ago. What must the nurse teach the client about post-operative care?
Correct Answer: A
Rationale: Avoiding coughing or nose blowing prevents dislodging the stapes prosthesis, reducing complications.
Question 4 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 5 of 5
A patient is prescribed metoprolol in the treatment of stable angina. What is the best outcome measure of decreased cardiac workload due to metoprolol for the nurse to evaluate?
Correct Answer: A
Rationale: Metoprolol decreases cardiac workload by reducing heart rate and myocardial oxygen demand. A heart rate of 62 is within normal limits, demonstrating effective beta-blocker action.