Questions 63

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ATI RN Test Bank

ATI Med Surg Exam N300 Exam Day Questions

Extract:


Question 1 of 5

Which behavior(s) by the patient diagnosed with a chronic head injury would the nurse expect to find?

Correct Answer: C

Rationale: Difficulty with planning and organizing thoughts and behaviors is a common cognitive deficit in patients with chronic head injury due to impaired executive function, often resulting from damage to the frontal lobe.

Question 2 of 5

The nurse is caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?

Correct Answer: C

Rationale: The cerebellum is responsible for balance and coordination, so injuries in this area increase the risk of falls. Ensuring the bed alarm is on provides immediate alerts if the patient attempts to get out of bed, helping to prevent falls.

Question 3 of 5

Which statement made by a patient who is diagnosed with human immunodeficiency virus (HIV) and is prescribed three antiretroviral medications, indicates the need for further teaching about the medication combination?

Correct Answer: C

Rationale: Antiretroviral medications do not kill the virus; they suppress its replication. Lifelong adherence to antiretroviral therapy is necessary to manage HIV and prevent viral rebound.

Question 4 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 5 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.

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