ATI MEDSURG 2 NUR 265 DETAILED KEY NEURO SHOCK AND
BURNS PRACTICE 200 QUESTIONS AND ANSWERS UPDATED
2026/2027 || MEDICAL-SURGICAL NURSING REVIEW ||
NEUROLOGICAL EMERGENCIES, SHOCK & BURNS CARE || VERIFIED
QUESTIONS WITH ACCURATE ANSWERS || HIGH-YIELD STUDY
GUIDE || COMPLETE TEST BANK || GRADED A+
200 real exam questions and correct answers
A nurse in the emergency department is implementing a plan of care for a
conscious client who has a suspected cervical cord injury. Which of the
following immediate interventions should the nurse implement? (Select all that
apply.)
A. Hypotension
B. Polyuria
C. Hyperthermia
D. Absence of bowel sounds
E. Weakened gag reflex
A. Hypotension
D. Absence of bowel sounds
E. Weakened gag reflex
A nurse is performing discharge teaching for a client who has seizures and a
new prescription for phenytoin. Which of the following statements by the client
indicates a need for further teaching?
A. "I will notify my doctor before taking any other medications."
B. "I have made an appointment to see my dentist next week."
C. "I know that I cannot switch brands of this medication."
D. "I'll be glad when I can stop taking this medicine."
D. "I'll be glad when I can stop taking this medicine."
A nurse at an ophthalmology clinic is providing teaching to a client who has
open angle glaucoma and a new prescription for timolol eye drops. Which of the
following instructions should the nurse provide?
A. The medication is to be applied when the client is experiencing eye pain.
B. The medication will be used until the client's intraocular pressure returns to
normal.
C. The medication should be applied on a regular schedule for the rest of the
client's life.
,D. The medication is to be used for approximately 10 days, followed by a
gradual tapering off.
C. The medication should be applied on a regular schedule for the rest of the
client's life.
A nurse is in a client's room when the client begins having a tonic-clonic
seizure. Which of the following actions
should the nurse take first?
A. Turn the client's head to the side.
B. Check the client's motor strength.
C. Loosen the clothing around the client's waist.
D. Document the time the seizure began.
A. Turn the client's head to the side.
A nurse is caring for a client following cataract surgery. Which of the following
comments from the client should the nurse report to the client's provider?
A. "My eye really itches, but I'm trying not to rub it."
B. "I need something for the pain in my eye. I can't stand it."
C. "It's hard to see with a patch on one eye. I'm afraid of falling."
D. "The bright light in this room is really bothering me."
B. "I need something for the pain in my eye. I can't stand it."
A nurse is caring for a client who is 1 day postoperative following a
transsphenoidal hypophysectomy. While assessing the client, the nurse notes a
large area of clear drainage seeping from the nasal packing. Which of the
following should be the nurse's initial action?
A. Document the amount of drainage.
B. Obtain a culture of the drainage.
C. Check the drainage for glucose.
D. Notify the client's provider.
C. Check the drainage for glucose.
A nurse is caring for a client who has expressive aphasia following a
cerebrovascular accident (CVA). Which of the following parameters should the
nurse use first in order to assess the client's pain level?
A. pulse and blood pressure findings
B. behavioral indicators and effect
C. scheduled treatments and client illness
D. a self-report pain rating scale
D. a self-report pain rating scale
,A nurse is caring for a client who reports a throbbing headache after a lumbar
puncture. Which of the following actions is most likely to facilitate resolution of
the headache?
A. Administer pain medication.
B. Darken the client's room and close the door.
C. Increase fluid intake.
D. Elevate the head of the bed to 30º.
C. Increase fluid intake.
A nurse is teaching a class of older adults about the expected physiologic
changes of aging. Which of the following changes should the nurse include in
the discussion? (Select all that apply.)
A. More difficulty seeing due to a greater sensitivity to glare
B. Decreased cough reflex
C. Decreased bladder capacity
D. Decreased systolic blood pressure
E. Dehydration of intervertebral discs
A. More difficulty seeing due to a greater sensitivity to glare
B. Decreased cough reflex
C. Decreased bladder capacity
E. Dehydration of intervertebral discs
A nurse enters a client's room and finds the client on the floor having a seizure.
Which of the following actions should the nurse take?
A. Insert a tongue blade in the client's mouth.
B. Place the client on his side.
C. Hold the client's arms and legs from moving.
D. Place the client back in bed.
B. Place the client on his side.
A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis
and a new prescription for an ophthalmic ointment. Which of the following
instructions should the nurse provide?
A. "Apply the ointment in a thin line into the conjunctival sac."
B. "Ask the child to look down before applying the ointment."
C. "Always wipe from the outer to the inner canthus when wiping away
secretions."
D. "Use a sterile glove and applicator to apply the antibiotic ointment."
A. "Apply the ointment in a thin line into the conjunctival sac."
, A nurse is caring for a client who has a bacterial infection and is receiving
gentamicin. Which of the following actions should the nurse take to minimize
the risk of an adverse effect of the medication?
A. Limit the client's fluid intake
B. Instruct the client to report agitation.
C. Monitor the serum medication levels.
D. Administer the medicine with food.
C. Monitor the serum medication levels.
A nurse is caring for a client who was admitted to the facility in critical
condition following a cerebrovascular accident. The client's son says to the
nurse, "I wish I could stay, but I need to go home to see how my children are
doing. I really hate to leave." Which of the following responses should the nurse
make?
A. "Perhaps you could call your children to see how they are doing."
B. "Don't worry. We'll take good care of your parent while you are gone."
C. "You are feeling drawn in two separate directions."
D. "There's nothing you can do here. You should go home to your children."
C. "You are feeling drawn in two separate directions."
A nurse is caring for a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as an indication of increased
intracranial pressure (ICP)?
A. Tachycardia
B. Amnesia
C. Hypotension
D. Restlessness
D. Restlessness
A nurse is caring for an older adult client who was alert and oriented at
admission, but now seems increasingly
restless and intermittently confused. Which of the following actions should the
nurse take to address the client's
safety needs?
A. Call the family and ask them to stay with the client.
B. Move the client to a room closer to the nurses' station
C. Apply wrist and leg restraints to the client.
D. Administer medication to sedate the client.
B. Move the client to a room closer to the nurses' station
BURNS PRACTICE 200 QUESTIONS AND ANSWERS UPDATED
2026/2027 || MEDICAL-SURGICAL NURSING REVIEW ||
NEUROLOGICAL EMERGENCIES, SHOCK & BURNS CARE || VERIFIED
QUESTIONS WITH ACCURATE ANSWERS || HIGH-YIELD STUDY
GUIDE || COMPLETE TEST BANK || GRADED A+
200 real exam questions and correct answers
A nurse in the emergency department is implementing a plan of care for a
conscious client who has a suspected cervical cord injury. Which of the
following immediate interventions should the nurse implement? (Select all that
apply.)
A. Hypotension
B. Polyuria
C. Hyperthermia
D. Absence of bowel sounds
E. Weakened gag reflex
A. Hypotension
D. Absence of bowel sounds
E. Weakened gag reflex
A nurse is performing discharge teaching for a client who has seizures and a
new prescription for phenytoin. Which of the following statements by the client
indicates a need for further teaching?
A. "I will notify my doctor before taking any other medications."
B. "I have made an appointment to see my dentist next week."
C. "I know that I cannot switch brands of this medication."
D. "I'll be glad when I can stop taking this medicine."
D. "I'll be glad when I can stop taking this medicine."
A nurse at an ophthalmology clinic is providing teaching to a client who has
open angle glaucoma and a new prescription for timolol eye drops. Which of the
following instructions should the nurse provide?
A. The medication is to be applied when the client is experiencing eye pain.
B. The medication will be used until the client's intraocular pressure returns to
normal.
C. The medication should be applied on a regular schedule for the rest of the
client's life.
,D. The medication is to be used for approximately 10 days, followed by a
gradual tapering off.
C. The medication should be applied on a regular schedule for the rest of the
client's life.
A nurse is in a client's room when the client begins having a tonic-clonic
seizure. Which of the following actions
should the nurse take first?
A. Turn the client's head to the side.
B. Check the client's motor strength.
C. Loosen the clothing around the client's waist.
D. Document the time the seizure began.
A. Turn the client's head to the side.
A nurse is caring for a client following cataract surgery. Which of the following
comments from the client should the nurse report to the client's provider?
A. "My eye really itches, but I'm trying not to rub it."
B. "I need something for the pain in my eye. I can't stand it."
C. "It's hard to see with a patch on one eye. I'm afraid of falling."
D. "The bright light in this room is really bothering me."
B. "I need something for the pain in my eye. I can't stand it."
A nurse is caring for a client who is 1 day postoperative following a
transsphenoidal hypophysectomy. While assessing the client, the nurse notes a
large area of clear drainage seeping from the nasal packing. Which of the
following should be the nurse's initial action?
A. Document the amount of drainage.
B. Obtain a culture of the drainage.
C. Check the drainage for glucose.
D. Notify the client's provider.
C. Check the drainage for glucose.
A nurse is caring for a client who has expressive aphasia following a
cerebrovascular accident (CVA). Which of the following parameters should the
nurse use first in order to assess the client's pain level?
A. pulse and blood pressure findings
B. behavioral indicators and effect
C. scheduled treatments and client illness
D. a self-report pain rating scale
D. a self-report pain rating scale
,A nurse is caring for a client who reports a throbbing headache after a lumbar
puncture. Which of the following actions is most likely to facilitate resolution of
the headache?
A. Administer pain medication.
B. Darken the client's room and close the door.
C. Increase fluid intake.
D. Elevate the head of the bed to 30º.
C. Increase fluid intake.
A nurse is teaching a class of older adults about the expected physiologic
changes of aging. Which of the following changes should the nurse include in
the discussion? (Select all that apply.)
A. More difficulty seeing due to a greater sensitivity to glare
B. Decreased cough reflex
C. Decreased bladder capacity
D. Decreased systolic blood pressure
E. Dehydration of intervertebral discs
A. More difficulty seeing due to a greater sensitivity to glare
B. Decreased cough reflex
C. Decreased bladder capacity
E. Dehydration of intervertebral discs
A nurse enters a client's room and finds the client on the floor having a seizure.
Which of the following actions should the nurse take?
A. Insert a tongue blade in the client's mouth.
B. Place the client on his side.
C. Hold the client's arms and legs from moving.
D. Place the client back in bed.
B. Place the client on his side.
A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis
and a new prescription for an ophthalmic ointment. Which of the following
instructions should the nurse provide?
A. "Apply the ointment in a thin line into the conjunctival sac."
B. "Ask the child to look down before applying the ointment."
C. "Always wipe from the outer to the inner canthus when wiping away
secretions."
D. "Use a sterile glove and applicator to apply the antibiotic ointment."
A. "Apply the ointment in a thin line into the conjunctival sac."
, A nurse is caring for a client who has a bacterial infection and is receiving
gentamicin. Which of the following actions should the nurse take to minimize
the risk of an adverse effect of the medication?
A. Limit the client's fluid intake
B. Instruct the client to report agitation.
C. Monitor the serum medication levels.
D. Administer the medicine with food.
C. Monitor the serum medication levels.
A nurse is caring for a client who was admitted to the facility in critical
condition following a cerebrovascular accident. The client's son says to the
nurse, "I wish I could stay, but I need to go home to see how my children are
doing. I really hate to leave." Which of the following responses should the nurse
make?
A. "Perhaps you could call your children to see how they are doing."
B. "Don't worry. We'll take good care of your parent while you are gone."
C. "You are feeling drawn in two separate directions."
D. "There's nothing you can do here. You should go home to your children."
C. "You are feeling drawn in two separate directions."
A nurse is caring for a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as an indication of increased
intracranial pressure (ICP)?
A. Tachycardia
B. Amnesia
C. Hypotension
D. Restlessness
D. Restlessness
A nurse is caring for an older adult client who was alert and oriented at
admission, but now seems increasingly
restless and intermittently confused. Which of the following actions should the
nurse take to address the client's
safety needs?
A. Call the family and ask them to stay with the client.
B. Move the client to a room closer to the nurses' station
C. Apply wrist and leg restraints to the client.
D. Administer medication to sedate the client.
B. Move the client to a room closer to the nurses' station
