ATI RN ADVANCED MEDICAL SURGICAL
PROCTORED VERSION 1 AND 2 NEWEST 2025
ACTUAL EXAM COMPLETE 140 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
VERSION 1
A nurse plans care for a patient with increased intracranial
pressure with the knowledge that the best way to position the
patient is to
a. keep the head of the bed flat
b. elevate the head of the bed to 30 degrees
c. maintain patient on left side with head supported on a pillow
d. use a continuous rotation bed to continuously change patient
position - CORRECT ANSWER-b. elevate the head of the bed
to 30 degrees
The nurse is alerted to a possible acute subdural hematoma in
the patient who
a. has a linear skull fracture crossing a major artery
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b. has focal symptoms of brain damage with no recollection of a
head injury
c. develops decreased level of consciousness and a headache
within 48 hours of a head injury
d. has an immediate loss of consciousness with a brief lucid
interval followed by decreasing level of consciousness -
CORRECT ANSWER-c. develops decreased level of
consciousness and a headache within 48 hours of a head injury
During admission of a patient with a severe head injury to the
emergency department the nurse places the highest priority on
assessment for
a. patency of airway
b. presence of neck injury
c. neurologic status with the Glasgow Coma Scale
d. cerebrospinal fluid leakage from the ears or nose - CORRECT
ANSWER-a. patency of airway
A patient is suspected of having a brain tumor. The signs and
symptoms include memory deficits, visual disturbances,
weakness of right upper and lower extremities, and personality
changes. The nurse recognizes that the tumor is most likely
located in the
a. frontal lobe
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b. parietal lobe
c. occipital lobe
d. temporal lobe - CORRECT ANSWER-a. frontal lobe
Nursing management of a patient with a brain tumor includes
(SATA)
a. discussing with the patient methods to control inappropriate
behavior
b. using diversion techniques to keep the patient stimulated and
motivated
c. assisting and supporting the family in understanding any
changes in behavior
d. limiting self care activities until the patient has regained
maximum physical functioning
e. planning for seizure precautions and teaching the patient and
caregiver about anti-seizure drugs. - CORRECT ANSWER-c.
Assisting and supporting the family in understanding any
changes in behavior
e. planning for seizure precautions and teaching the patient and
caregiver about anti-seizure drugs.
The nurse on the clinical unit is assigned to four patients. Which
patient should she assess first?
a. patient with skull fracture whose nose is bleeding
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b. older patient with a stroke who is confused and whose
daughter is present
c. patient with meningitis who is suddenly agitated and reporting
a headache of 10 on a 0-10 scale
d. patient who had a craniotomy for a brain tumor and who is
now 3 days postoperative and has had continued vomitting -
CORRECT ANSWER-c. patient with meningitis who is
suddenly agitated and reporting a headache of 10 on a 0-10 scale
A nursing measure that is indicated to reduce the potential for
seizures and increased intracranial pressure in the patient with
bacterial meningitis is
a. administering codeine for relief of head and neck pain
b. controlling fever with prescribed drugs and cooling
techniques
c. keeping the room dark and quiet to minimize environmental
stimulation
d. maintaining the patient on strict bed rest with head of the bed
slightly elevated. - CORRECT ANSWER-b. controlling fever
with prescribed drugs and cooling techniques
The nurse suspects an ankle sprain when a patient at the urgent
care center describes
a. being hit by another soccer player during a gam e