ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse observes increased eye blinking and lip smacking in a client who has a history of absence seizures. The nurse is aware these symptoms indicate:
Correct Answer: A
Rationale: Automatisms, such as eye blinking and lip smacking, are repetitive, involuntary movements commonly associated with absence seizures due to brief interruptions in consciousness during seizure activity.
Question 3 of 5
A patient presents to the emergency department with a cervical spinal cord injury immediately after a motor vehicle accident. What should the nurse explain to the family as the reason for the patient being placed on mechanical ventilation? The:
Correct Answer: A
Rationale: Cervical injuries at or above C3 disrupt the phrenic nerve, impairing diaphragm control, necessitating ventilation.
Question 4 of 5
The nurse is caring for a patient who has a spinal cord injury at the level of C-6. The patient displays the following symptoms: loss of motor function on the ipsilateral side of the injury, and loss of temperature and pain sensation on the contralateral side. What type of incomplete injury did this patient most likely suffer?
Correct Answer: A
Rationale: Brown-Sequard injury results in ipsilateral motor function loss and contralateral pain/temperature loss due to hemisection of the spinal cord.
Question 5 of 5
A nurse is assessing a previously alert client who has now become confused, lethargic, and does not follow commands appropriately. The blood glucose measures 48 mg/dL. What is the appropriate nursing intervention?
Correct Answer: C
Rationale: Dextrose 50% IV push rapidly raises blood glucose in symptomatic, confused patients, bypassing the gastrointestinal tract for immediate action.