ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which of the following is associated with this eye disorder?
Correct Answer: C
Rationale: A curtain-like loss of vision arises from retinal detachment, disrupting visual fields as the retina separates from its vascular supply and neural connections.
Question 2 of 5
To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:
Correct Answer: C
Rationale: Coughing increases intraocular pressure due to abrupt pressure changes, which can cause complications after cataract surgery.
Question 3 of 5
The nurse is caring for a patient with an acute brain injury. Which of the following sets of vital signs would concern the nurse about increasing intracranial pressure (ICP)?
Correct Answer: A
Rationale: High systolic BP, bradycardia, and low respiratory rate suggest Cushing's triad, indicative of increased ICP.
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
A nurse is assessing a client experiencing motor loss as the result of a left-sided stroke. Which clinical manifestations would the nurse document?
Correct Answer: A
Rationale: Hemiparesis on the right side and ataxia are common due to left-sided stroke affecting the contralateral motor cortex and coordination.