ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is developing a teaching plan for the client with glaucoma. Which of the following instructions would the nurse include in the plan of care?
Correct Answer: B
Rationale: Glaucoma treatments, including eye drops, aim to manage intraocular pressure and are required lifelong to prevent optic nerve damage and preserve vision.
Question 2 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.
Question 3 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 4 of 5
The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:
Correct Answer: B
Rationale: Handwashing interrupts the mode of transmission, preventing pathogens from reaching a portal of entry.
Question 5 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.