ATI CAPSTONE MED SURG TEST BANK 2023 /MED SURG
CAPSTONE ATI PROCTORED EXAM TESTBANK 400
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES| ALREADY GRADED A+
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”
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
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
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
A nurse is providing discharge instructions to a female client who as a prescription
for phenytoin. Which of the following information should the nurse include?
A. Consider taking oral contraceptives when on the medication
B. Watch for receding gums when taking the medication
C. Take the medication at the same time every day
D. Provide a urine sample to determine therapeutic levels of the medication –
ANSWER- C
A nurse is reviewing trigger factors that can cause seizures with a client who has a
new diagnosis of generalized seizures. Which of the following information should
the nurse include in this review? (Select all that apply)
A. Avoid overwhelming fatigue
B. Remove caffeinated products from the diet
C. Limit looking at flashing lights
D. Perform aerobic exercise
E. Limit episodes of hypoventilation
F. Use of aerosol hairspray is recommended – ANSWER- A, B, C
A nurse is completing discharge teaching to a client who has seizures and received
a vagal nerve stimulator to decrease seizure activity. Which of the following
statements should the nurse include in the teaching?
A. “It is safe to use microwaves that are 1,200 watts or less”
B. “You should avoid the use of CT scans with contrast”
C. “You should place a magnet over the implantable device when you feel an aura
occurring”