ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is educating on the placement of a ventriculostomy (intraventricular catheter) to the family of a patient diagnosed with a brain injury. The nurse states, 'The ventriculostomy is placed:
Correct Answer: B
Rationale: Ventriculostomies monitor ICP and drain excess CSF, managing elevated pressure.
Question 2 of 5
A 64-year-old client is prescribed bifocals to correct myopia and presbyopia. To evaluate the effectiveness of the lenses, the nurse will assess the client for:
Correct Answer: B
Rationale: Bifocals correct near and distant vision; effectiveness is assessed by improvements in both.
Question 3 of 5
The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures. The nurse is aware these symptoms indicate:
Correct Answer: A
Rationale: Automatisms, such as eye blinking and lip smacking, are repetitive, involuntary movements commonly associated with absence seizures due to brief interruptions in consciousness during seizure activity.
Question 4 of 5
A client, who has tested positive for human immunodeficiency virus (HIV), now presents with a CD4+ count of less than 200 cells/mm and pneumocystic pneumonia. A normal range for a CD4+ count is 500-1500 cells/mm. How would the nurse evaluate these findings? The client:
Correct Answer: C
Rationale: AIDS is diagnosed when CD4+ count decreases below 200 cells/mm, coupled with opportunistic infections like pneumocystic pneumonia, indicating a weakened immune system due to advanced disease.
Question 5 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.