26
A patient presents with dilated pupils and vomiting. Which stage of intracranial pressure is this most likely indicative of?
A. Compensatory stageB. Refractory stageC. Initial stageD. Progressive stage
Ati rn 402 med surg proctored examATI RN 402 Med Surg Proctored Exam
50 questions · Page 2 of 2
ATI RN 402 Med Surg Proctored Exam is a nursing-school practice exam with 50 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
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Start Practice ExamQuestions 26–50 of 50
27
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
A. If you weigh yourself after breakfast, subtract whB. walking and other activities should be done graduaC. Notify the provider of a weight loss of 0.1 kg (1 D. Consistency doesn't matter when you weigh yourself
Ati rn 402 med surg proctored exam28
What diagnostic tests should be done immediately if meningitis is suspected?
A. Blood cultures and CT scanB. Stool culture and ultrasoundC. Urine analysis and chest X-rayD. ECG and pulmonary function tests
Ati rn 402 med surg proctored exam29
A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?
A. Decreased specific gravityB. Increased Heparin levelC. Decreased brain natriuretic peptide (BNP).D. Increased brain natriuretic peptide (BNP).
Ati rn 402 med surg proctored exam30
Which of the following conditions can lead to heart failure?
A. Gastroesophageal reflux diseaseB. Coronary artery diseaseC. OsteoarthritisD. Migraine headaches
Ati rn 402 med surg proctored exam31
What are the 3 essential components of the skull?
A. Brain tissue, blood, and CSFB. White matter, grey matter, and yellow matterC. synovial fluid, CSF, and spinal fluidD. WBCs, leukocytes, and plasma
Ati rn 402 med surg proctored exam32
What is decerebrate posturing?
A. Extension and rigidity of the arms and legs, indicB. tonic-clonic seizure indicating an injury to the fC. Involuntary twisting and repetitive movementsD. Uncontrolled jerking movements of the limbs and fi
Ati rn 402 med surg proctored exam33
An acute care nurse receives a shift report for a client who has increased intracranial pressure. The nurse is told that the client demonstrates decorticate posturing. Which of the following findings
A. Arms flexed at the elbows, with the hands and wrisB. Grimacing in pain when the neck is flexed, causingC. The nurse is unable to extend the leg when the hipD. Arms extended, rigidly held straight out with palm
Ati rn 402 med surg proctored exam34
What happens in stage four of intracranial pressure?
A. The brain tissue remains stable and does not shiftB. The cerebrospinal fluid levels decrease significanC. There is an increase in cerebral blood flow.D. Brain herniation occurs as the brain tissue shifts
Ati rn 402 med surg proctored exam35
A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?
A. "I should increase my sodium intake to keep my weiB. "I will read food labels and limit my sodium to 8 C. "If I experience chest pain or dyspnea while exercD. "I will take my diuretic before sleep and drink 4
Ati rn 402 med surg proctored exam36
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?
A. Dependent edemaB. Hacking coughC. Abdominal distensionD. Jugular venous distention
Ati rn 402 med surg proctored exam37
A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?
A. A change in the Glasgow Coma Scale score from 13 tB. Pupils that are equal, round, and reactive to lighC. A drop in heart rate from 76 to 70 bpmD. The patient makes repeated requests for narcotic p
Ati rn 402 med surg proctored exam38
A nurse plans care for the patient with increased intracranial pressure with the knowledge that the best way to position the patient is to
A. maintain patient in Trendelenburg positionB. use a continuous-rotation bed to continuously chanC. elevate the head of the bed to 30 degreesD. keep the head of the bed flat
Ati rn 402 med surg proctored exam39
Which of the following statements about encephalitis is true?
A. Encephalitis is caused exclusively by bacterial inB. Encephalitis is an inflammatory condition of the bC. The primary symptom of encephalitis is muscle painD. Encephalitis is always a mild condition that resol
Ati rn 402 med surg proctored exam40
Which condition could be indicated by nocturnal headaches or headaches in the morning?
A. Tension headacheB. SinusitisC. MigraineD. Brain tumor or space-occupying lesion
Ati rn 402 med surg proctored exam41
A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is the priority for the nurse review prior to administering the medication?
A. Blood urea nitrogenB. CreatinineC. HemoglobinD. Potassium
Ati rn 402 med surg proctored exam42
Which of the following is a common symptom of meningitis?
A. Left-sided weaknessB. Stiff neckC. FatigueD. Chest pain
Ati rn 402 med surg proctored exam43
Which assessment tool is commonly used to evaluate the level of consciousness in a neurologically impaired patient?
A. Numerical Rating ScaleB. Wong-Baker FACES Pain Rating ScaleC. Visual Analog ScaleD. Glasgow Coma Scale
Ati rn 402 med surg proctored exam44
A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?
A. HypoglycemiaB. HypervolemiaC. HypertensionD. Hypokalemia
Ati rn 402 med surg proctored exam45
Which of the following is a common manifestation of increased intracranial pressure?
A. HeadacheB. Increased urine outputC. Decreased heart rateD. Hypotension
Ati rn 402 med surg proctored exam46
Which of the following is a manifestation of cor pulmonale contributing to right-sided heart failure?
A. Fluid accumulation in the systemic venous system rB. Chest painC. Crackles in the lungsD. Hypotension
Ati rn 402 med surg proctored exam47
Which of the following statements about viral meningitis is true?
A. Viral meningitis is self-limiting and usually resuB. Viral meningitis requires long-term treatment withC. Viral meningitis is caused by bacterial infection.D. Viral meningitis is a life-threatening condition.
Ati rn 402 med surg proctored exam48
A nurse notes an increased heart rate in a patient with heart failure. Which compensatory mechanism is likely at play?
A. Increased secretion of natriuretic peptidesB. Activation of the sympathetic nervous systemC. Increased cardiac fibrosisD. Inhibition of the renin-angiotensin-aldosterone sy
Ati rn 402 med surg proctored exam49
A nurse is caring for a client who is experiencing Cushing's Triad following a subdural hematoma. Which of the following medications should the nurse plan to administer?
A. Mannitol 25%B. Heparin 25%C. Warfarin 70D. Acyclovir
Ati rn 402 med surg proctored exam50
Which of the following best describes the characteristics of the left ventricle in diastolic heart failure?
A. Thin and flexibleB. Weak and non-contractileC. Thick and stiffD. Enlarged and dilated
Ati rn 402 med surg proctored exam