ATI RN
ATI n300 Med Surg Exam Questions
Extract:
Question 1 of 5
What is included when the nurse performs the Glasgow Coma Score (GCS) on a client?
Correct Answer: B
Rationale: The GCS assesses eye opening, verbal response, and motor response to evaluate neurological status.
Question 2 of 5
The nurse is assessing a client for Brudzinski's sign as part of their neurologic assessment. Which of the following are appropriate actions by the nurse when performing this technique? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Flexing the neck in a supine position with a hand behind the head tests for Brudzinski's sign.
Question 3 of 5
A heparin IV bolus is ordered: 80 units per kilogram. The unit's pharmacist prepares & labels a dose of heparin that is 5600 units. What is the patient's weight in kilograms?
Correct Answer: A
Rationale: 5600 units ÷ 80 units/kg = 70 kg.
Question 4 of 5
What is included when the nurse performs the Glasgow Coma Score (GCS) on a client?
Correct Answer: B
Rationale: The GCS assesses eye opening, verbal response, and motor response to evaluate neurological status.
Question 5 of 5
The nurse is testing the function of cranial nerve XI (Spinal accessory nerve). Which finding would the nurse expect if the nerve is intact?
Correct Answer: C
Rationale: Cranial nerve XI controls the sternocleidomastoid and trapezius muscles, enabling head turning and shoulder shrugging against resistance.