ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to turn the patient who sustained a spinal cord injury. How should the nurse proceed?
Correct Answer: D
Rationale: Log rolling with coordinated assistance ensures spinal alignment, minimizing further injury.
Question 2 of 5
The nurse is caring for a patient diagnosed with a traumatic head injury secondary to a work accident. In the morning assessment, the patient opened his eyes in response to noxious stimuli. Two hours later, what assessment finding would warrant immediate action by the nurse? The patient:
Correct Answer: D
Rationale: Extending extremities in response to painful stimuli, known as decerebrate posturing, is a severe neurologic deficit indicating brainstem dysfunction and requires immediate nursing intervention.
Question 3 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 4 of 5
The nurse is preparing to turn the patient who sustained a spinal cord injury. How should the nurse proceed?
Correct Answer: D
Rationale: Log rolling with coordinated assistance ensures spinal alignment, minimizing further injury.
Question 5 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.