ATI Exit Exam Med Surg II Study Guide | Practice Questions & Answers (RN Exit Prep)

ATIghnEXITghnEXAMghnMEDghnSURGghnII


Aghnnurseghnisghncaringghnforghnaghnclientghnwhoghnisghnpostprocedureghnfollowingghn
aghnlumbarghnpunctureghnandghnreportsghnaghnthrobbingghnheadacheghnwhenghnsittin
gghnupright.ghnWhichghnofghntheghnfollowingghnactionsghnshouldghntheghnnurseghntak
e?ghn(Selectghnallghnthatghnapply).


A.ghnUseghntheghnGlasgowghnComaghnScaleghnwhenghnassessingghntheghnclient.
B.ghnAssistghntheghnclientghntoghnaghnsupineghnposition.
C.ghnAdministerghnanghnopioidghnmedication.
D.ghnEncourageghntheghnclientghntoghnincreaseghnfluidghnintake.
E.ghnInstructghntheghnclientghntoghnperformghndeepghnbreathingghnandghncoughingghne
xercises.ghn-
ghnCORRECTghnANSWER✔B.ghnAssistghntheghnclientghntoghnaghnsupineghnpositi

on.
C.ghnAdministerghnanghnopioidghnmedication.
D.ghnEncourageghntheghnclientghntoghnincreaseghnfluidghnintake.


Rationale:ghn(B)ghnTheghnnurseghnshouldghnassistghntheghnclientghntoghnaghnsupineghnp
osition,ghnwhichghncanghnrelieveghnaghnheadacheghnfollowingghnaghnlumbarghnpunct
ure
(C)ghnTheghnnurseghnshouldghnadministerghnanghnopioidghnmedicationghnforghnaghncli
ent'sghnreportghnofghnheadacheghnpain.ghn(D)ghnTheghnnurseghnshouldghnencourageghn
increasedghnfluidghnintakeghntoghnmaintainghnaghnpositiveghnfluidghnbalance,ghnwhic
hghncanghnrelieveghnaghnheadacheghnfollowingghnaghnlumbarghnpuncture

,Aghnnurseghnisghncaringghnforghnaghnclientghnwhoghnexperiencedghnaghntraumaticghnhe
adghninjuryghnandghnhasghnanghnintraventricularghncatheterghn(ventriculostomy)ghnf
orghnICPghnmonitoring.ghnTheghnnurseghnshouldghnmonitorghntheghnclientghnforghnwh
ichghnofghntheghnfollowingghncomplicationsghnrelatedghntoghntheghnventriculostomy
?


A.ghnHeadache
B.ghnInfection
C.ghnAphasia
D.ghnHypertensionghn-ghnCORRECTghnANSWER✔B.ghnInfection


Rationale:ghnTheghnnurseghnshouldghnmonitorghnaghnclientghnwhoghnhasghnaghnventric
ulostomyghnforghninfection,ghnwhichghnisghnaghncomplication.ghnTheghnnurseghnshou
ldghnuseghnstrictghnasepsisghntoghnavoidghnthisghnlife-
threateningghncondition,ghnwhichghncanghnresultghninghnmeningitis.


Aghnnurseghnisghnassessingghnaghnclientghnforghnchangesghninghntheghnlevelghnofghncons
ciousnessghnusingghntheghnGlasgowghnComaghnScaleghn(GCS).ghnTheghnclientghnop
ensghnhisghneyesghnwhenghnspokenghnto,ghnspeaksghnincoherently,ghnandghnmovesghn
hisghnextremitiesghnwhenghnpainghnisghnapplied.ghnWhichghnofghntheghnfollowingghnG
CSghnscoresghnshouldghntheghnnurseghndocument?


A.ghnE2ghn+ghnV3ghn+ghnM5ghn=ghn10
B.ghnE3ghn+ghnV4ghn+ghnM4ghn=ghn11
C.ghnE4ghn+ghnV5ghn+ghnM6ghn=ghn15
D.ghnE2ghn+ghnV2ghn+ghnM4ghn=ghn8ghn-
ghnCORRECTghnANSWER✔B.ghnE3ghn+ghnV4ghn+ghnM4ghn=ghn11

,Rationale:ghnTheghnclient'sghnscoreghnisghncalculatedghncorrectly,ghnindicatingghnm
oderateghnheadghninjury.ghnE3ghnrepresentsghnopeningghneyesghnsecondaryghntoghnv
oiceghnstimulation,ghnV4ghnrepresentsghntheghnverbalghnconversationghnthatghnisghni
ncoherentghnandghndisorientedghnandghnM4ghnrepresentsghnmotorghnresponseghnasgh
ngeneralghnwithdrawalghntoghnpain.




Aghnnurseghnisghndevelopingghnaghnplanghnofghncareghnforghnaghnclientghnwhoghnisghnsche
duledghnforghncerebralghnangiographyghnwithghncontrastghndye.ghnWhichghnofghntheg
hnfollowingghnstatementsghnbyghntheghnclientghnshouldghntheghnnurseghnreportghntoghnt

heghnprovider?ghn(Selectghnallghnthatghnapply).


A.ghn"IghnthinkghnIghnmightghnbeghnpregnant."
B.ghn"Ighntakeghnwarfarin."
C.ghn"Ighntakeghnantihypertensiveghnmedication."
D.ghn"Ighnamghnallergicghntoghnshrimp."
E.ghn"Ighnateghnaghnlightghnbreakfastghnthisghnmorning."ghn-
ghnCORRECTghnANSWER✔A.ghn"IghnthinkghnIghnmightghnbeghnpregnant."



B.ghn"Ighntakeghnwarfarin."
D.ghn"Ighnamghnallergicghntoghnshrimp."
E.ghn"Ighnateghnaghnlightghnbreakfastghnthisghnmorning."


Rationale:ghn(A)ghnTheghnnurseghnshouldghnreportghntheghnclient'sghnstatementghnofg
hnpossible ghnpregnancyghntoghntheghnproviderghnbecauseghntheghncontrastghndyeghnca

nghnplaceghntheghnfetusghnatghnrisk.ghn(B)ghnTheghnnurseghnshouldghnreportghnthatghntheg
hnclientghnisghntakingghnwarfaringhntoghntheghnproviderghndueghntoghntheghnpotentialghnf

orghnbleedingghnfollowingghnangiographyghn(D)ghnTheghnnurseghnshouldghnreportghn

, aghnclientsghnreportghnofghnallergyghntoghnshrimp,ghnwhichghnisghnaghnshellfish,ghntoghnt
heghnproviderghndueghntoghnaghnpotentialghnallergicghnreactionghntoghntheghncontrastghn
dyeghn(E)ghnTheghnnurseghnshouldghnreportghnaghnclient'sghnintakeghnofghnfoodghntoghnt
heghnproviderghnsinceghntheghnclientghnshouldghnremainghnNPOghnforghn4ghntoghn6ghnhr.
ghnpriorghntoghntheghnprocedure.




Aghnnurseghnisghnprovidingghneducationghntoghnaghnclientghnwhoghnisghntoghnundergoghn
anghnelectroencephalogramghn(EEG)ghntheghnnextghnday.ghnWhichghnofghntheghnfoll
owingghninformationghnshouldghntheghnnurseghnincludeghninghntheghnteaching?


A.ghn"Doghnnotghnwashghnyourghnhairghntheghnmorningghnofghntheghnprocedure."
B.ghn"Tryghntoghnstayghnawayghnmostghnofghntheghnnightghnpriorghntoghntheghnprocedure
."
C.ghn"Theghnprocedureghnwillghntakeghnapproximatelyghn15ghnminutes."
D.ghn"Youghnwillghnneedghntoghnlieghnflatghnforghn4ghnhoursghnafterghntheghnprocedure."
ghn-

ghnCORRECTghnANSWER✔B.ghn"Tryghntoghnstayghnawayghnmostghnofghntheghnnig

htghnpriorghntoghntheghnprocedure."


Rationale:ghnTheghnnurseghnshouldghnteachghntheghnclientghntoghnremainghnawakeghn
mostghnofghntheghnnightghntoghnprovideghncranialghnstressghnandghnincreaseghntheghnpo
ssibilityghnofghnabnormalghnelectricalghnactivity.


Aghnnurseghnisghnassessingghntheghnpainghnlevelghnofghnaghnclientghnwhoghncameghntoghnt
heghnemergencyghndepartmentghnreportingghnsevereghnabdominalghnpain.ghnTheghn
nurseghnasksghntheghnclientghnwhetherghnheghnhasghnnauseaghnandghnhasghnbeenghnvom
iting.ghnTheghnnurseghnisghnassessingghnwhichghnofghntheghnfollowingghncomponent
sghnofghnaghnpainghnassessment?