ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse is teaching a patient who is prescribed valproic acid for seizures. The nurse would identify that the patient understands the teaching for the medication when they state, 'I will notify my healthcare provider if I experience:
Correct Answer: B
Rationale: Severe abdominal pain may indicate pancreatitis or liver issues, both serious side effects of valproic acid that require prompt medical attention.
Question 2 of 5
The nurse is caring for a patient with mitral valve disease. At which anatomic landmark will the nurse hear a heart murmur the loudest?
Correct Answer: A
Rationale: The fifth intercostal space at the left midclavicular line is the location of the mitral valve, where murmurs associated with mitral valve disease are best auscultated.
Question 3 of 5
The nurse is caring for several patients in the Intensive Care Unit. Which of the following patients is at greatest risk of anoxic brain injury? A patient who:
Correct Answer: A
Rationale: A patient found facedown in water is at high risk of anoxic brain injury due to potential prolonged oxygen deprivation, which is directly associated with lack of oxygen to the brain.
Question 4 of 5
The nurse anticipates which antibiotic class, due to the lack of ototoxicity, will be ordered for a patient diagnosed with tympanic membrane rupture?
Correct Answer: C
Rationale: Fluoroquinolones, particularly those formulated for otic use, are preferred for tympanic membrane ruptures as they are not ototoxic and are safe for middle ear exposure.
Question 5 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 is the safest way to turn a patient with a spinal cord injury, maintaining spinal alignment and preventing further injury. It requires one person to stabilize the head while others turn the body as a single unit.