ATI RN
ATI Med Surg Exam N300 Exam Day Questions
Extract:
Question 1 of 5
The nurse suspects autonomic dysreflexia in the patient with a spinal cord injury at the level of C-7. After checking vital signs what are the priority nursing interventions?
Correct Answer: A
Rationale: Elevating the head of the bed, loosening clothing, and checking for urinary catheter obstruction are key steps to lower blood pressure and relieve triggers of autonomic dysreflexia, a potentially life-threatening condition.
Question 2 of 5
The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder. The nurse would provide discharge education to the patient and family regarding which bladder management technique?
Correct Answer: B
Rationale: Intermittent catheterization is the preferred management technique for a flaccid or atonic bladder, allowing the bladder to empty at regular intervals and reducing the risk of infection associated with continuous catheters.
Question 3 of 5
The nurse is caring for a patient diagnosed with epilepsy who is prescribed antiepileptic medications. The nurse would identify the need for further teaching when the patient states:
Correct Answer: C
Rationale: Doubling up on doses can lead to toxicity and adverse effects; missed doses should not be made up by doubling the next dose. This response indicates the need for further teaching.
Question 4 of 5
The nurse is caring for several patients with eye disorders. Which assessment finding correlates with each diagnosis? Note: each column must have one response option selected.
| Options | Loss of central vision | Loss of peripheral vision | Blurry vision | Gradual loss of visual acuity with age |
|---|---|---|---|---|
| Macular degeneration: Loss of central vision | ||||
| Presbyopia: Gradual loss of visual acuity with age | ||||
| Glaucoma: Loss of peripheral vision | ||||
| Cataracts: Blurry vision |
Correct Answer: A,B,C,D
Rationale: Macular degeneration leads to loss of central vision due to macula damage. Presbyopia is an age-related condition causing gradual loss of near visual acuity. Glaucoma causes loss of peripheral vision due to optic nerve damage. Cataracts cause blurry vision due to lens clouding.
Question 5 of 5
Which situation should be reported to the nursing supervisor as an exposure for the nurse caring for a patient diagnosed with acquired immunodeficiency syndrome (AIDS)? The nurse
Correct Answer: D
Rationale: Exposure of bodily fluids to mucous membranes (such as the eyes) is a significant occupational exposure risk and should be reported. This requires immediate response and evaluation for potential infection.