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CAPSTONE MED SURG RN ATI VERSION B NEWEST
2024 ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
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" - ANSWER- A, B, D, E
A nurse is providing education to a client who is to undergo an EEG the
next day. Which of the following information should the nurse include
in the teaching?
A. "Do not wash your hair the morning of the procedure"
B. "Try to stay awake most of the night prior to the procedure"
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C. "The procedure will take approximately 15 minutes"
D. "You will need to lie flat for 4 hours after the procedure" -
ANSWER- B
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 droplet precautions
C. Initiate IV access
D. Decrease bright lights - ANSWER- B
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 client 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 - ANSWER- A, C, D
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A nurse is planning care for a client who has meningitis and is at risk for
increased ICP. Which of the following actions should the nurse plan to
take? (Select all that apply)
A. Implement seizure precautions
B. Perform neurological checks 4x a day
C. Administer morphine for the report of neck and generalized pain
D. Turn off room lights and television
E. Monitor for impaired extraocular movements
F. Encourage the client to cough frequently - ANSWER- A, D, E
A nurse is reviewing the use of the meningococcal vaccine (MCV4) for
the prevention of meningitis with a newly licensed nurse. Which of the
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 - ANSWER- C
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
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B. Provide an emesis basin at the bedside
C. Administer antipyretic medication
D. Perform a skin assessment
E. Keep the HOB flat - ANSWER- B, C, D
A nurse is assessing a client who has a seizure disorder. The client
reports he thinks he is about to have a seizure. Which of the following
actions should the nurse implement? (Select all that apply)
A. Provide privacy
B. Ease the client to the floor if standing
C. Move furniture away from the client
D. Loosen the client's clothing
E. Protect the client's head with padding
F. Restrain the client - ANSWER- A, B, C, D, E
A nurse is caring for a client who just experienced a generalized seizure.
Which of the following actions should the nurse perform first?
A. Keep the client in a side-lying position
B. Document the duration of the seizure
C. Reorient the client to the environment
D. Provide client hygiene - ANSWER- A
CAPSTONE MED SURG RN ATI VERSION B NEWEST
2024 ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
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" - ANSWER- A, B, D, E
A nurse is providing education to a client who is to undergo an EEG the
next day. Which of the following information should the nurse include
in the teaching?
A. "Do not wash your hair the morning of the procedure"
B. "Try to stay awake most of the night prior to the procedure"
,2|Page
C. "The procedure will take approximately 15 minutes"
D. "You will need to lie flat for 4 hours after the procedure" -
ANSWER- B
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 droplet precautions
C. Initiate IV access
D. Decrease bright lights - ANSWER- B
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 client 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 - ANSWER- A, C, D
,3|Page
A nurse is planning care for a client who has meningitis and is at risk for
increased ICP. Which of the following actions should the nurse plan to
take? (Select all that apply)
A. Implement seizure precautions
B. Perform neurological checks 4x a day
C. Administer morphine for the report of neck and generalized pain
D. Turn off room lights and television
E. Monitor for impaired extraocular movements
F. Encourage the client to cough frequently - ANSWER- A, D, E
A nurse is reviewing the use of the meningococcal vaccine (MCV4) for
the prevention of meningitis with a newly licensed nurse. Which of the
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 - ANSWER- C
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
, 4|Page
B. Provide an emesis basin at the bedside
C. Administer antipyretic medication
D. Perform a skin assessment
E. Keep the HOB flat - ANSWER- B, C, D
A nurse is assessing a client who has a seizure disorder. The client
reports he thinks he is about to have a seizure. Which of the following
actions should the nurse implement? (Select all that apply)
A. Provide privacy
B. Ease the client to the floor if standing
C. Move furniture away from the client
D. Loosen the client's clothing
E. Protect the client's head with padding
F. Restrain the client - ANSWER- A, B, C, D, E
A nurse is caring for a client who just experienced a generalized seizure.
Which of the following actions should the nurse perform first?
A. Keep the client in a side-lying position
B. Document the duration of the seizure
C. Reorient the client to the environment
D. Provide client hygiene - ANSWER- A
