ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse knows that an important contraindication for valproic acid use is:
Correct Answer: B
Rationale: Pre-existing liver disease contraindicates valproic acid due to increased risk of hepatic toxicity.
Question 2 of 5
A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss. Which point is appropriate for the nurse to teach?
Correct Answer: C
Rationale: Facing the individual directly ensures clear visual cues, aiding communication with sensorineural hearing loss.
Question 3 of 5
The nurse is caring for a trauma patient with a suspected brain injury and Battle's Sign. The nurse notices a yellow stain around fluid dripping from the patient's ear. The nurse's priority intervention will be as follows:
Correct Answer: B
Rationale: Allowing fluid to drain onto gauze prevents build-up of intracranial pressure and confirms CSF leakage, which requires immediate provider notification.
Question 4 of 5
When considering the pharmacologic management of a patient who has sustained a traumatic head injury, the nurse can anticipate an order for which of the following medications to manage increases in intracranial pressure (ICP)?
Correct Answer: B
Rationale: Hypertonic saline (3%) reduces ICP by drawing fluid from brain tissue into the bloodstream, effectively lowering intracranial pressure.
Question 5 of 5
The patient diagnosed with acquired immunodeficiency syndrome (AIDS) states that they have developed purple, brown spots on their body. Which opportunistic infection does the nurse suspect?
Correct Answer: A
Rationale: Kaposi's Sarcoma is a vascular malignancy associated with AIDS caused by human herpesvirus 8. It presents as purple or brown skin lesions due to abnormal angiogenesis and endothelial proliferation in immunocompromised patients.