Med Surg Exam 2 ATI Practice Questions
And Answers
A nurse is caring for a client who is post procedure following lumbar
puncture & reports a throbbing headache when sitting upright.
Which of the following actions should the nurse take? (Select all
that apply.)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing & coughing
exercises -
correct answer ✅B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
A nurse is caring for a client who experienced a traumatic head
injury & has an intraventricular catheter (ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy.
A. Headache
, Med Surg Exam 2 ATI Practice Questions
And Answers
B. Infection
C. Aphasia
D. Hypertension -
correct answer ✅B. Infection
A nurse is assessing a client for changes in the level of
consciousness using the Glasgow Coma Scale (GCS). The client
opens his eyes when spoken to, speaks incoherently, & moves his
extremities when pain is applied. Which of the following GCS scores
should the nurse document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8 -
correct answer ✅B. E3 + V4 + M4 = 11
A nurse is developing a plan of care for a client who is scheduled for
cerebral angiography with contrast media. Which of the following
statements by the client should the nurse report to the provider?
(Select all that apply.)
And Answers
A nurse is caring for a client who is post procedure following lumbar
puncture & reports a throbbing headache when sitting upright.
Which of the following actions should the nurse take? (Select all
that apply.)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing & coughing
exercises -
correct answer ✅B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
A nurse is caring for a client who experienced a traumatic head
injury & has an intraventricular catheter (ventriculostomy) for ICP
monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy.
A. Headache
, Med Surg Exam 2 ATI Practice Questions
And Answers
B. Infection
C. Aphasia
D. Hypertension -
correct answer ✅B. Infection
A nurse is assessing a client for changes in the level of
consciousness using the Glasgow Coma Scale (GCS). The client
opens his eyes when spoken to, speaks incoherently, & moves his
extremities when pain is applied. Which of the following GCS scores
should the nurse document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8 -
correct answer ✅B. E3 + V4 + M4 = 11
A nurse is developing a plan of care for a client who is scheduled for
cerebral angiography with contrast media. Which of the following
statements by the client should the nurse report to the provider?
(Select all that apply.)
