ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is performing an assessment on a client. How would the nurse best evaluate improvement or deterioration in the neurologic status?
Correct Answer: B
Rationale: Serial Glasgow Coma Scale exams track changes in neurologic status over time effectively.
Question 2 of 5
Due to cranial nerve involvement in Bell's palsy, which of the following would prevent a potential complication from the disorder?
Correct Answer: B
Rationale: Bell's palsy affects cranial nerve VII, causing incomplete eye closure. An eye patch at night prevents corneal injury from dryness.
Question 3 of 5
A heparin IV bolus is ordered: 80 units per kilogram. The unit's pharmacist prepares & labels a dose of heparin that is 5600 units. What is the patient's weight in kilograms?
Correct Answer: A
Rationale: 5600 units ÷ 80 units/kg = 70 kg.
Question 4 of 5
The nurse is caring for a client with 40% full thickness burned total body surface area (TBSA) in the Emergency Department. The nurse is awaiting transfer to a regional burn center within 20 minutes. What is the most appropriate initial wound care management while awaiting transfer?
Correct Answer: D
Rationale: Covering with a clean, dry sheet prevents hypothermia and infection before transfer.
Question 5 of 5
The nurse is testing the function of cranial nerve XI (Spinal accessory nerve). Which finding would the nurse expect if the nerve is intact?
Correct Answer: C
Rationale: Cranial nerve XI controls the sternocleidomastoid and trapezius muscles, enabling head turning and shoulder shrugging against resistance.