ATI MEDSURG 2 NUR 265 DETAILED KEY NEURO SHOCK
AND BURNS PRACTICE 200 QUESTIONS AND ANSWERS
UPDATED 2026 2027 COURSE MEDICAL SURGICAL
NURSING REVIEW NEUROLOGICAL EMERGENCIES SHOCK
AND BURNS CARE VERIFIED QUESTIONS HIGH-YIELD
STUDY GUIDE COMPLETE TEST BANK GRADED A+
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
,A nurse is caring for a client who is postoperative following a
laminectomy with spinal fusion. Which of the following actions should
the nurse take? A. Monitor sensory perception of the lower
extremities.
B. Assist the client into a knee-chest position to manage postoperative
discomfort.
C. Maintain strict bed rest for the first 48 hr postoperative.
D. Position the client in a high-Fowler's position if clear drainage is noted
on the dressing.
A. Monitor sensory perception of the lower extremities.
A nurse on a medical unit is caring for a client who suddenly becomes
confused and drowsy. Additional data includes pulse 100/min, respiratory
rate 24/min, BP 132/76 mm Hg, and temperature 36.8º C (98.2º F).
Which of the following actions should the nurse perform?
A. Complete a neurological check.
B. Administer the prescribed PRN antihypertensive medication.
C. Increase the client's fluid intake.
D. Hold the client's evening dose of digoxin.
A. Complete a neurological check.
A nurse suspects that a client admitted for treatment of bacterial
meningitis is experiencing increased intracranial pressure (ICP). Which
of the following assessment findings by the nurse supports this
suspicion?
A. Photophobia
B. Nuchal rigidity
C. Positive Kernig's sign
D. Restlessness
D. Restlessness
A nurse is caring for the client who has Ménière's disease and asks if he
is allowed to ambulate independently. Which of the following responses
should the nurse make?
A. "Yes, you are free to move around as you wish."
B. "No, you are on strict bedrest and must not be up."
C. "Please ring for assistance when you wish to get out of bed." D. "We
will have to get a prescription from your provider."
C. "Please ring for assistance when you wish to get out of bed."
, A nurse is caring for a child who is having a tonic-clonic seizure and
vomiting.
Which of the following actions is the nurse's priority?
A. Place a pillow under the child's head.
B. Position the child side-lying.
C. Loosen restrictive clothing.
D. Clear the area of hazards.
B. Position the child side-lying.
A nurse observes an adolescent client who has paraplegia sitting in a
wheelchair crying. The client says, "Go away; no one can help me."
Which of the following responses should the nurse make?
A. "Everything will be okay."
B. "I will come back later and we can talk."
C. "Why are you crying?"
D. "Do you think crying will help?"
B. "I will come back later and we can talk."
A nurse is caring for an older adult client who had a cerebrovascular
accident and has right-sided paralysis and aphasia. The client's son tells
the nurse it is his fault because he did not insist that his mother live with
him. Which of the following responses should the nurse make?
A. "So, it seems that you feel responsible for what happened to your
mother."
B. "Your mother will be fine. You shouldn't worry so much."
C. "Why do you blame yourself? You could not have prevented the
stroke." D. "You are not responsible for your mother's stroke, but
many people in your situation feel this way."
A. "So, it seems that you feel responsible for what happened to your
mother."
A nurse is caring for an older adult client who had a cerebrovascular
accident and has left-sided weakness. The client's partner tells the nurse
she is worried about the next steps of treatment for her partner. Which of
the following responses should the nurse make?
A. "We have begun plans to send your partner to a rehabilitation
facility as soon as he is stable."
B. "Your partner is too critical to consider what tomorrow will bring.
Let's just concentrate on today."
AND BURNS PRACTICE 200 QUESTIONS AND ANSWERS
UPDATED 2026 2027 COURSE MEDICAL SURGICAL
NURSING REVIEW NEUROLOGICAL EMERGENCIES SHOCK
AND BURNS CARE VERIFIED QUESTIONS HIGH-YIELD
STUDY GUIDE COMPLETE TEST BANK GRADED A+
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
,A nurse is caring for a client who is postoperative following a
laminectomy with spinal fusion. Which of the following actions should
the nurse take? A. Monitor sensory perception of the lower
extremities.
B. Assist the client into a knee-chest position to manage postoperative
discomfort.
C. Maintain strict bed rest for the first 48 hr postoperative.
D. Position the client in a high-Fowler's position if clear drainage is noted
on the dressing.
A. Monitor sensory perception of the lower extremities.
A nurse on a medical unit is caring for a client who suddenly becomes
confused and drowsy. Additional data includes pulse 100/min, respiratory
rate 24/min, BP 132/76 mm Hg, and temperature 36.8º C (98.2º F).
Which of the following actions should the nurse perform?
A. Complete a neurological check.
B. Administer the prescribed PRN antihypertensive medication.
C. Increase the client's fluid intake.
D. Hold the client's evening dose of digoxin.
A. Complete a neurological check.
A nurse suspects that a client admitted for treatment of bacterial
meningitis is experiencing increased intracranial pressure (ICP). Which
of the following assessment findings by the nurse supports this
suspicion?
A. Photophobia
B. Nuchal rigidity
C. Positive Kernig's sign
D. Restlessness
D. Restlessness
A nurse is caring for the client who has Ménière's disease and asks if he
is allowed to ambulate independently. Which of the following responses
should the nurse make?
A. "Yes, you are free to move around as you wish."
B. "No, you are on strict bedrest and must not be up."
C. "Please ring for assistance when you wish to get out of bed." D. "We
will have to get a prescription from your provider."
C. "Please ring for assistance when you wish to get out of bed."
, A nurse is caring for a child who is having a tonic-clonic seizure and
vomiting.
Which of the following actions is the nurse's priority?
A. Place a pillow under the child's head.
B. Position the child side-lying.
C. Loosen restrictive clothing.
D. Clear the area of hazards.
B. Position the child side-lying.
A nurse observes an adolescent client who has paraplegia sitting in a
wheelchair crying. The client says, "Go away; no one can help me."
Which of the following responses should the nurse make?
A. "Everything will be okay."
B. "I will come back later and we can talk."
C. "Why are you crying?"
D. "Do you think crying will help?"
B. "I will come back later and we can talk."
A nurse is caring for an older adult client who had a cerebrovascular
accident and has right-sided paralysis and aphasia. The client's son tells
the nurse it is his fault because he did not insist that his mother live with
him. Which of the following responses should the nurse make?
A. "So, it seems that you feel responsible for what happened to your
mother."
B. "Your mother will be fine. You shouldn't worry so much."
C. "Why do you blame yourself? You could not have prevented the
stroke." D. "You are not responsible for your mother's stroke, but
many people in your situation feel this way."
A. "So, it seems that you feel responsible for what happened to your
mother."
A nurse is caring for an older adult client who had a cerebrovascular
accident and has left-sided weakness. The client's partner tells the nurse
she is worried about the next steps of treatment for her partner. Which of
the following responses should the nurse make?
A. "We have begun plans to send your partner to a rehabilitation
facility as soon as he is stable."
B. "Your partner is too critical to consider what tomorrow will bring.
Let's just concentrate on today."
