Exam (elaborations)
ATI EXIT EXAM MED SURG II Questions And Answers Latest 2024/ 2025 Graded A+ | 100% Verified!
- Course
- Institution
ATI EXIT EXAM MED SURG II Questions And Answers Latest 2024/ 2025 Graded A+ | 100% Verified!
[Show more]
Content preview
ATI EXIT EXAM MED SURG II1.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? (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 and coughing exercises.:
B. Assist the client to a supine position.
C. Administer an opioid medication.
D. Encourage the client to increase fluid intake.
Rationale: (B) The nurse should assist the client to a supine position,
1/
106
,which can relieve a headache following a lumbar puncture
(C) The nurse should administer an opioid medication for a client's
report of headache pain. (D) The nurse should encourage increased
fluid intake to maintain a positive fluid balance, which can relieve a
headache following a lumbar puncture
2.A nurse is caring for a client who experienced a traumatic head injury
and 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
B. Infection
C. Aphasia
D. Hypertension: B. Infection
Rationale: The nurse should monitor a client who has a ventriculostomy
2/
106
,for infection, which is a complication. The nurse should use strict
asepsis to avoid this life-threat- ening condition, which can result in
meningitis.
3.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, and 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
3/
106
, D. E2 + V2 + M4 = 8: B. E3 + V4 + M4 = 11
Rationale: The client's score is calculated correctly, indicating moderate
head injury. E3 represents opening eyes secondary to voice stimulation,
V4 represents the verbal conversation that is incoherent and disoriented
and M4 represents motor response as general withdrawal to pain.
4.A nurse is developing a plan of care for a client who is scheduled for
cerebral angiography with contrast dye. Which of the following statements by
the client should the nurse report to the provider? (Select all that apply).
A. "I think I might be pregnant."
B. "I take warfarin."
C. "I take antihypertensive medication."
D. "I am allergic to shrimp."
E. "I ate a light breakfast this morning.": A. "I think I might be pregnant."
4/
106
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTGRADER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71184 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now