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ATI EXIT EXAM MED SURG II
MIDTERM EXAM WITH WELL
UPDATED QUESTIONS AND VERIFIED
ANSWERS, Exams of Nursing
A nurse is monitoring a client who is receiving opioid analgesia. Which of the following findings
should the nurse identify as adverse effects of opioid analgesics? (Select all that apply).
A. Urinary incontinence.
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea. - - ANS✔️--C. Bradypnea
D. Orthostatic hypotension
E. Nausea.
Rationale: (C) Respiratory depression, which causes respiratory rates to drop to dangerously low
levels, is a common adverse effect of opioid analgesia (D) Dizziness or lightheadedness when
changing positions is a common adverse effect of opioid analgesia (E) Nausea and vomiting are
common adverse effects of opioid analgesia
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A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's
assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions
should the nurse perform first?
A. Administer antibiotics
B. Implement droplets precautions.
C. Initiate IV access
D. Decrease bright lights. - - ANS✔️--B. Implement droplets precautions.
Rationale: When using the urgent vs. nonurgent approach to care, the nurse determines the
priority action is to initiate droplet precautions when meningitis is suspected to prevent spread of
the disease to others.
A nurse is assessing for the presence of Brudzinski's sign in a client who has suspected
meningitis. Which of the following actions should the nurse take when performing this
technique? (Select all that apply).
A. Place cilent in supine position.
B. Flex client's hip and knee.
C. Place hands behind the client's neck.
D. Bend client's head toward chest.
E. Straighten the client's flexed leg at the knee. - - ANS✔️--A. Place cilent in supine position.
C. Place hands behind the client's neck.
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D. Bend client's head toward chest.
Rationale: (A) The nurse should place the client in supine position when assessing for
Brudzinski's sign (C) The nurse should place her hands behind the client's neck when assessing
for Brudzinski's sign, in order to flex the client's neck (D) the nurse should bend the client's head
toward the chest when assessing for Brudzinski's sign.
A nurse is planning care for a client who has meningitis and is at risk for increased intracranial
pressure (ICP). Which of the following actions shoud the nurse plan to take? (Select all that
apply).
A. Implement seizure precautions.
B. Perform neurological checks four times a day.
C. Administer morphine for the report of neck and generalized pain.
D. Turn off room rights and television
E. Monitor for impaired extraocular movements.
F. Encourage the client to cough frequently. - - ANS✔️--A. Implement seizure precautions.
D. Turn off room rights and television
E. Monitor for impaired extraocular movements.
Rationale: (A) the client is at risk for seizures due to possible increased ICP. Therefore, the nurse
should implement seizure precautions to reduce the client's risk of injury. (D) the nurse should
turn off room lights and the television because they can increase neuron stimulation and cause a
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seizure when a client is at risk for increased ICP (E) The nurse should monitor for impaired
extraocular movements because this finding can indicate increased ICP.
A nurse is reviewing the use of the meningococcal vaccine (MCV4) for the prevention of
meningitis with a newly licensed nurse. Which of following information should the nurse
include?
A. The vaccine is indicated to reduce the risk of respiratory infection.
B. The vaccine is administered in a series of four doses.
C. The vaccine is recommended for adolescents before starting college
D. The vaccine is initially given at 2 months of age. - - ANS✔️--C. The vaccine is recommended
for adolescents before starting college
Rationale: The nurse should identify that the meningococcal vaccine is recommended for
adolescents prior to starting college due to the increased risk for infection in communal living
facilities
A nurse is planning care for a client who has bacterial meningitis. Which of the following actions
should the nurse include in the plan of care? (Select all that apply).
A. Monitor for bradycardia
B. Provide an emesis basin at the bedside
C. Administer antipyretic medication
ATI EXIT EXAM MED SURG II
MIDTERM EXAM WITH WELL
UPDATED QUESTIONS AND VERIFIED
ANSWERS, Exams of Nursing
A nurse is monitoring a client who is receiving opioid analgesia. Which of the following findings
should the nurse identify as adverse effects of opioid analgesics? (Select all that apply).
A. Urinary incontinence.
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea. - - ANS✔️--C. Bradypnea
D. Orthostatic hypotension
E. Nausea.
Rationale: (C) Respiratory depression, which causes respiratory rates to drop to dangerously low
levels, is a common adverse effect of opioid analgesia (D) Dizziness or lightheadedness when
changing positions is a common adverse effect of opioid analgesia (E) Nausea and vomiting are
common adverse effects of opioid analgesia
,2|Page
A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's
assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions
should the nurse perform first?
A. Administer antibiotics
B. Implement droplets precautions.
C. Initiate IV access
D. Decrease bright lights. - - ANS✔️--B. Implement droplets precautions.
Rationale: When using the urgent vs. nonurgent approach to care, the nurse determines the
priority action is to initiate droplet precautions when meningitis is suspected to prevent spread of
the disease to others.
A nurse is assessing for the presence of Brudzinski's sign in a client who has suspected
meningitis. Which of the following actions should the nurse take when performing this
technique? (Select all that apply).
A. Place cilent in supine position.
B. Flex client's hip and knee.
C. Place hands behind the client's neck.
D. Bend client's head toward chest.
E. Straighten the client's flexed leg at the knee. - - ANS✔️--A. Place cilent in supine position.
C. Place hands behind the client's neck.
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D. Bend client's head toward chest.
Rationale: (A) The nurse should place the client in supine position when assessing for
Brudzinski's sign (C) The nurse should place her hands behind the client's neck when assessing
for Brudzinski's sign, in order to flex the client's neck (D) the nurse should bend the client's head
toward the chest when assessing for Brudzinski's sign.
A nurse is planning care for a client who has meningitis and is at risk for increased intracranial
pressure (ICP). Which of the following actions shoud the nurse plan to take? (Select all that
apply).
A. Implement seizure precautions.
B. Perform neurological checks four times a day.
C. Administer morphine for the report of neck and generalized pain.
D. Turn off room rights and television
E. Monitor for impaired extraocular movements.
F. Encourage the client to cough frequently. - - ANS✔️--A. Implement seizure precautions.
D. Turn off room rights and television
E. Monitor for impaired extraocular movements.
Rationale: (A) the client is at risk for seizures due to possible increased ICP. Therefore, the nurse
should implement seizure precautions to reduce the client's risk of injury. (D) the nurse should
turn off room lights and the television because they can increase neuron stimulation and cause a
, 4|Page
seizure when a client is at risk for increased ICP (E) The nurse should monitor for impaired
extraocular movements because this finding can indicate increased ICP.
A nurse is reviewing the use of the meningococcal vaccine (MCV4) for the prevention of
meningitis with a newly licensed nurse. Which of following information should the nurse
include?
A. The vaccine is indicated to reduce the risk of respiratory infection.
B. The vaccine is administered in a series of four doses.
C. The vaccine is recommended for adolescents before starting college
D. The vaccine is initially given at 2 months of age. - - ANS✔️--C. The vaccine is recommended
for adolescents before starting college
Rationale: The nurse should identify that the meningococcal vaccine is recommended for
adolescents prior to starting college due to the increased risk for infection in communal living
facilities
A nurse is planning care for a client who has bacterial meningitis. Which of the following actions
should the nurse include in the plan of care? (Select all that apply).
A. Monitor for bradycardia
B. Provide an emesis basin at the bedside
C. Administer antipyretic medication
