MED-SURG 2 NEURO ATI EXAM QUESTIONS
AND ANSWERS 100% ACCURATE!
, A nurse is caring for a client who is postprocedure following a lumbar puncture and
reports a throbbing headache when sitting upright. Which of the following actions should
the nurse take? (SATA) [Ch.3] - ANSWER - Assist the client to a supine position
- Administer an opioid medication
- Encourage the client to increase fluid intake [Ch.3]
A nurse is caring for a client who experienced a traumatic head injury and has an
intraventricular catheter (vintriculostomy) for ICP monitoring. The nurse should monitor
the client for which of the following complications related to the ventriculostomy? [Ch.3]
- ANSWER Infection [Ch.3]
A nurse is assessing a client for changes in the level of consciousness using the
Glasgow Coma Scale. The client opens his eyes when spoken to, speaks incoherently,
and moves his extremities when pain is applied. Which of the following GCS scores
should the nurse document? [Ch.3] - ANSWER E3 + V4 + M4 = 11 [Ch.3]
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? (SATA) [Ch.3] - ANSWER - "I think I might be
pregnant"
- "I take warfarin"
- "I am allergic to shrimp"
- "I ate a light breakfast this morning" [Ch.3]
A nurse is providing education to a client who is to undergo an EEG the next day. Which
of the following information should the nurse include in the teaching? [Ch.3] - ANSWER
"Try to stay awake most of the night prior to the procedure" [Ch.3]
A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's
assessment reveals positive Kernig's and Brudzinski's sign in a client who has
suspected meningitis. Which of the following actions should the nurse perform first?
[Ch.5] - ANSWER Implement droplet precautions [Ch.5]
A nurse is assessing for the presence of Brudzinski's sign in a client who has suspected
meningitis. Which of the following actions should the nurse apply when performing this
technique? (SATA) [Ch.5] - ANSWER - Place client in supine position
- Place hands behind the client's neck
- Bend the client's head towards chest [Ch.5]
AND ANSWERS 100% ACCURATE!
, A nurse is caring for a client who is postprocedure following a lumbar puncture and
reports a throbbing headache when sitting upright. Which of the following actions should
the nurse take? (SATA) [Ch.3] - ANSWER - Assist the client to a supine position
- Administer an opioid medication
- Encourage the client to increase fluid intake [Ch.3]
A nurse is caring for a client who experienced a traumatic head injury and has an
intraventricular catheter (vintriculostomy) for ICP monitoring. The nurse should monitor
the client for which of the following complications related to the ventriculostomy? [Ch.3]
- ANSWER Infection [Ch.3]
A nurse is assessing a client for changes in the level of consciousness using the
Glasgow Coma Scale. The client opens his eyes when spoken to, speaks incoherently,
and moves his extremities when pain is applied. Which of the following GCS scores
should the nurse document? [Ch.3] - ANSWER E3 + V4 + M4 = 11 [Ch.3]
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? (SATA) [Ch.3] - ANSWER - "I think I might be
pregnant"
- "I take warfarin"
- "I am allergic to shrimp"
- "I ate a light breakfast this morning" [Ch.3]
A nurse is providing education to a client who is to undergo an EEG the next day. Which
of the following information should the nurse include in the teaching? [Ch.3] - ANSWER
"Try to stay awake most of the night prior to the procedure" [Ch.3]
A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's
assessment reveals positive Kernig's and Brudzinski's sign in a client who has
suspected meningitis. Which of the following actions should the nurse perform first?
[Ch.5] - ANSWER Implement droplet precautions [Ch.5]
A nurse is assessing for the presence of Brudzinski's sign in a client who has suspected
meningitis. Which of the following actions should the nurse apply when performing this
technique? (SATA) [Ch.5] - ANSWER - Place client in supine position
- Place hands behind the client's neck
- Bend the client's head towards chest [Ch.5]
