ATIkcEXITkcEXAMkcMEDkcSUR
GkcII
Studykc
1. Akcnurse onlinekcatkchttps://quizlet.com/_8cjl
kciskccaringkcforkcakcclientkcwhokciskcpostprocedurekcfollowingkcakclum
1g
barkcpuncturekcandkcreportskcakcthrobbingkcheadachekcwhenkcsittingkcupright.kcWhi
chkcofkcthekcfollowingkcactionskcshouldkcthekcnursekctake?kc(Selectkcallkcthatkcappl
y).
A. UsekcthekcGlasgowkcComakcScalekcwhenkcassessingkcthekcclient.
B. Assistkcthekcclientkctokcakcsupinekcposition.
C. Administerkcankcopioidkcmedication.
D. Encouragekcthekcclientkctokcincreasekcfluidkcintake.
E. Instructkcthekcclientkctokcperformkcdeepkcbreathingkcandkccoughingkcexercise
s.:kcB.kcAssistkcthekcclientkctokcakcsupinekcposition.
C.kcAdministerkcankcopioidkcmedication.
D.kcEncouragekcthekcclientkctokcincreasekcfluidkcintake.
Rationale:kc(B)kcThekcnursekcshouldkcassistkcthekcclientkctokcakcsupinekcposition,kcwhichkcc
nkcrelievekcakcheadachekcfollowingkcakclumbarkcpuncture
(C)kcThekcnursekcshouldkcadministerkcankcopioidkcmedicationkcforkcakcclient'skcreportkcofkc
headachekcpain.kc(D)kcThekcnursekcshouldkcencouragekcincreasedkcfluidkcintakekctokcmai
ntainkcakcpositivekcfluidkcbalance,kcwhichkccankcrelievekcakcheadachekcfollowingkcakclumb
arkcpuncture
2. Akcnursekciskccaringkcforkcakcclientkcwhokcexperiencedkcakctraumatickcheadkc
injurykcandkchaskcankcintraventricularkccatheterkc(ventriculostomy)kcforkcICPkc
monitoring.
Thekcnursekcshouldkcmonitorkcthekcclientkcforkcwhichkcofkcthekcfollowingkccomplica
onskcrelatedkctokcthekcventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension:kcB.kcInfection
Rationale:kcThekcnursekcshouldkcmonitorkcakcclientkcwhokchaskcakcventriculostomykcforkcinfe
ction,kcwhichkciskcakccomplication.kcThekcnursekcshouldkcusekcstrictkcasepsiskctokcavoidkcthi
skclife-threat-kceningkccondition,kcwhichkccankcresultkcinkcmeningitis.
3. Akcnursekciskcassessingkcakcclientkcforkcchangeskcinkcthekclevelkcofkcconscious
nesskcusingkcthekcGlasgowkcComakcScalekc(GCS).kcThekcclientkcopenskchiskceyeskcw
henkcspokenkcto,kcspeakskcincoherently,kcandkcmoveskchiskcextremitieskcwhenkcp
ainkciskcapplied.kcWhichkcofkcthekcfollowingkcGCSkcscoreskcshouldkcthekcnursekcd
ocument?
1kc/kc
64
, ATIkcEXITkcEXAMkcMEDkcSUR
GkcII
A. E2kc+Study
kcV3kc +kcM5
kconline kcat =https://quizlet.com/_8cjl
kckc kc10
1g
B. E3kc+kcV4kc+kcM4kc=kc11
C. E4kc+kcV5kc+kcM6kc=kc15
2kc/kc
64
, ATIkcEXITkcEXAMkcMEDkcSUR
GkcII
D. E2kc+Studykconlinekcatkchttps://quizlet.com/_8cjl
kcV2kc+kcM4kc=kc8:kcB.kcE3kc+kcV4kc+kcM4kc=kc11
1g
Rationale:kcThekcclient'skcscorekciskccalculatedkccorrectly,kcindicatingkcmoderatekcheadkcinj
ury.kcE3kcrepresentskcopeningkceyeskcsecondarykctokcvoicekcstimulation,kcV4kcrepresen
tskcthekcverbalkcconversationkcthatkciskcincoherentkcandkcdisorientedkcandkcM4kcreprese
ntskcmotorkcresponsekcaskcgeneralkcwithdrawalkctokcpain.
4. Akcnursekciskcdevelopingkcakcplankcofkccarekcforkcakcclientkcwhokciskcscheduledkcforkc
cerebralkcangiographykcwithkccontrastkcdye.kcWhichkcofkcthekcfollowingkcstatement
skcbykcthekcclientkcshouldkcthekcnursekcreportkctokcthekcprovider?kc(Selectkcallkcthat
kcapply).
A. "IkcthinkkcIkcmightkcbekcpregnant."
B. "Ikctakekcwarfarin."
C. "Ikctakekcantihypertensivekcmedication."
D. "Ikcamkcallergickctokcshrimp."
E. "Ikcatekcakclightkcbreakfastkcthiskcmorning.":kcA.kc"IkcthinkkcIkcmightkcbekcpregnant."
B.kc"Ikctakekcwarfarin."
D.kc"Ikcamkcallergickctokcshrimp."
E.kc"Ikcatekcakclightkcbreakfastkcthiskcmorning."
Rationale:kc(A)kcThekcnursekcshouldkcreportkcthekcclient'skcstatementkcofkcpossiblekcpregn
ancykctokcthekcproviderkcbecausekcthekccontrastkcdyekccankcplacekcthekcfetuskcatkcrisk.kc(B
)kcThekcnursekcshouldkcreportkcthatkcthekcclientkciskctakingkcwarfarinkctokcthekcproviderkcdue
ctokcthekcpotentialkcforkcbleedingkcfollowingkcangiographykc(D)kcThekcnursekcshouldkcreportkc
akcclientskcreportkcofkcallergykctokcshrimp,kcwhichkciskcakcshellfish,kctokcthekcproviderkcduekct
okcakcpotentialkcallergickcreactionkctokcthekccontrastkcdyekc(E)kcThekcnursekcshouldkcreportk
cakcclient'skcintakekcofkcfoodkctokcthekcproviderkcsincekcthekcclientkcshouldkcremainkcNPOkcf
orkc4kctokc6kchr.kcpriorkctokcthekcprocedure.
5. Akcnursekciskcprovidingkceducationkctokcakcclientkcwhokciskctokcundergokcankcele
ctroen-
kccephalogramkc(EEG)kcthekcnextkcday.kcWhichkcofkcthekcfollowingkcinformationkc
shouldkcthekcnursekcincludekcinkcthekcteaching?
A. "Dokcnotkcwashkcyourkchairkcthekcmorningkcofkcthekcprocedure."
B. "Trykctokcstaykcawaykcmostkcofkcthekcnightkcpriorkctokcthekcprocedure."
C. "Thekcprocedurekcwillkctakekcapproximatelykc15kcminutes."
D. "Youkcwillkcneedkctokcliekcflatkcforkc4kchourskcafterkcthekcprocedure.":kcB.kc"Trykctokcsta
ykcawaykcmostkcofkcthekcnightkcpriorkctokcthekcprocedure."
Rationale:kcThekcnursekcshouldkcteachkcthekcclientkctokcremainkcawakekcmostkcofkcthekcnig
3kc/kc
64
, ATIkcEXITkcEXAMkcMEDkcSUR
GkcII
kctokcprovide cranial
Studykconline kcstress
kcatkc kcandkcincreasekcthekcpossibilitykcofkcabnormalkcelectricalkca
https://quizlet.com/_8cjl
ivity. 1g
4kc/kc
64
GkcII
Studykc
1. Akcnurse onlinekcatkchttps://quizlet.com/_8cjl
kciskccaringkcforkcakcclientkcwhokciskcpostprocedurekcfollowingkcakclum
1g
barkcpuncturekcandkcreportskcakcthrobbingkcheadachekcwhenkcsittingkcupright.kcWhi
chkcofkcthekcfollowingkcactionskcshouldkcthekcnursekctake?kc(Selectkcallkcthatkcappl
y).
A. UsekcthekcGlasgowkcComakcScalekcwhenkcassessingkcthekcclient.
B. Assistkcthekcclientkctokcakcsupinekcposition.
C. Administerkcankcopioidkcmedication.
D. Encouragekcthekcclientkctokcincreasekcfluidkcintake.
E. Instructkcthekcclientkctokcperformkcdeepkcbreathingkcandkccoughingkcexercise
s.:kcB.kcAssistkcthekcclientkctokcakcsupinekcposition.
C.kcAdministerkcankcopioidkcmedication.
D.kcEncouragekcthekcclientkctokcincreasekcfluidkcintake.
Rationale:kc(B)kcThekcnursekcshouldkcassistkcthekcclientkctokcakcsupinekcposition,kcwhichkcc
nkcrelievekcakcheadachekcfollowingkcakclumbarkcpuncture
(C)kcThekcnursekcshouldkcadministerkcankcopioidkcmedicationkcforkcakcclient'skcreportkcofkc
headachekcpain.kc(D)kcThekcnursekcshouldkcencouragekcincreasedkcfluidkcintakekctokcmai
ntainkcakcpositivekcfluidkcbalance,kcwhichkccankcrelievekcakcheadachekcfollowingkcakclumb
arkcpuncture
2. Akcnursekciskccaringkcforkcakcclientkcwhokcexperiencedkcakctraumatickcheadkc
injurykcandkchaskcankcintraventricularkccatheterkc(ventriculostomy)kcforkcICPkc
monitoring.
Thekcnursekcshouldkcmonitorkcthekcclientkcforkcwhichkcofkcthekcfollowingkccomplica
onskcrelatedkctokcthekcventriculostomy?
A. Headache
B. Infection
C. Aphasia
D. Hypertension:kcB.kcInfection
Rationale:kcThekcnursekcshouldkcmonitorkcakcclientkcwhokchaskcakcventriculostomykcforkcinfe
ction,kcwhichkciskcakccomplication.kcThekcnursekcshouldkcusekcstrictkcasepsiskctokcavoidkcthi
skclife-threat-kceningkccondition,kcwhichkccankcresultkcinkcmeningitis.
3. Akcnursekciskcassessingkcakcclientkcforkcchangeskcinkcthekclevelkcofkcconscious
nesskcusingkcthekcGlasgowkcComakcScalekc(GCS).kcThekcclientkcopenskchiskceyeskcw
henkcspokenkcto,kcspeakskcincoherently,kcandkcmoveskchiskcextremitieskcwhenkcp
ainkciskcapplied.kcWhichkcofkcthekcfollowingkcGCSkcscoreskcshouldkcthekcnursekcd
ocument?
1kc/kc
64
, ATIkcEXITkcEXAMkcMEDkcSUR
GkcII
A. E2kc+Study
kcV3kc +kcM5
kconline kcat =https://quizlet.com/_8cjl
kckc kc10
1g
B. E3kc+kcV4kc+kcM4kc=kc11
C. E4kc+kcV5kc+kcM6kc=kc15
2kc/kc
64
, ATIkcEXITkcEXAMkcMEDkcSUR
GkcII
D. E2kc+Studykconlinekcatkchttps://quizlet.com/_8cjl
kcV2kc+kcM4kc=kc8:kcB.kcE3kc+kcV4kc+kcM4kc=kc11
1g
Rationale:kcThekcclient'skcscorekciskccalculatedkccorrectly,kcindicatingkcmoderatekcheadkcinj
ury.kcE3kcrepresentskcopeningkceyeskcsecondarykctokcvoicekcstimulation,kcV4kcrepresen
tskcthekcverbalkcconversationkcthatkciskcincoherentkcandkcdisorientedkcandkcM4kcreprese
ntskcmotorkcresponsekcaskcgeneralkcwithdrawalkctokcpain.
4. Akcnursekciskcdevelopingkcakcplankcofkccarekcforkcakcclientkcwhokciskcscheduledkcforkc
cerebralkcangiographykcwithkccontrastkcdye.kcWhichkcofkcthekcfollowingkcstatement
skcbykcthekcclientkcshouldkcthekcnursekcreportkctokcthekcprovider?kc(Selectkcallkcthat
kcapply).
A. "IkcthinkkcIkcmightkcbekcpregnant."
B. "Ikctakekcwarfarin."
C. "Ikctakekcantihypertensivekcmedication."
D. "Ikcamkcallergickctokcshrimp."
E. "Ikcatekcakclightkcbreakfastkcthiskcmorning.":kcA.kc"IkcthinkkcIkcmightkcbekcpregnant."
B.kc"Ikctakekcwarfarin."
D.kc"Ikcamkcallergickctokcshrimp."
E.kc"Ikcatekcakclightkcbreakfastkcthiskcmorning."
Rationale:kc(A)kcThekcnursekcshouldkcreportkcthekcclient'skcstatementkcofkcpossiblekcpregn
ancykctokcthekcproviderkcbecausekcthekccontrastkcdyekccankcplacekcthekcfetuskcatkcrisk.kc(B
)kcThekcnursekcshouldkcreportkcthatkcthekcclientkciskctakingkcwarfarinkctokcthekcproviderkcdue
ctokcthekcpotentialkcforkcbleedingkcfollowingkcangiographykc(D)kcThekcnursekcshouldkcreportkc
akcclientskcreportkcofkcallergykctokcshrimp,kcwhichkciskcakcshellfish,kctokcthekcproviderkcduekct
okcakcpotentialkcallergickcreactionkctokcthekccontrastkcdyekc(E)kcThekcnursekcshouldkcreportk
cakcclient'skcintakekcofkcfoodkctokcthekcproviderkcsincekcthekcclientkcshouldkcremainkcNPOkcf
orkc4kctokc6kchr.kcpriorkctokcthekcprocedure.
5. Akcnursekciskcprovidingkceducationkctokcakcclientkcwhokciskctokcundergokcankcele
ctroen-
kccephalogramkc(EEG)kcthekcnextkcday.kcWhichkcofkcthekcfollowingkcinformationkc
shouldkcthekcnursekcincludekcinkcthekcteaching?
A. "Dokcnotkcwashkcyourkchairkcthekcmorningkcofkcthekcprocedure."
B. "Trykctokcstaykcawaykcmostkcofkcthekcnightkcpriorkctokcthekcprocedure."
C. "Thekcprocedurekcwillkctakekcapproximatelykc15kcminutes."
D. "Youkcwillkcneedkctokcliekcflatkcforkc4kchourskcafterkcthekcprocedure.":kcB.kc"Trykctokcsta
ykcawaykcmostkcofkcthekcnightkcpriorkctokcthekcprocedure."
Rationale:kcThekcnursekcshouldkcteachkcthekcclientkctokcremainkcawakekcmostkcofkcthekcnig
3kc/kc
64
, ATIkcEXITkcEXAMkcMEDkcSUR
GkcII
kctokcprovide cranial
Studykconline kcstress
kcatkc kcandkcincreasekcthekcpossibilitykcofkcabnormalkcelectricalkca
https://quizlet.com/_8cjl
ivity. 1g
4kc/kc
64
