A client admitted to ED poststroke this morning wi

ATI LPN

ATI LPN Test Bank

A client admitted to ED post-stroke this morning will receive tPA 90 mg. What’s its action?

A. Prevents further clots B. Prevents clot movement C. Reduces edema D. Dissolves thrombus/embolus

Correct Answer: D

Rationale: tPA dissolves clots (D) to restore cerebral blood flow.

An infant (4.5 kg) is ordered penicillin 25,000 units/kg q8h. Amount per dose?

A. 72 B. 337,500 C. 14,062.50 D. 112,500

Correct Answer: D

Rationale: 25,000 × 4.5 = 112,500 units (D).

Which observation raises safety concerns for a client with tactile agnosia?

A. Gas range in kitchen B. Throw rugs in apartment C. Bathroom down hall D. Two stairs at entry

Correct Answer: A

Rationale: Gas range (A) poses burn risk due to sensory deficit.

Rationale for elevating HOB, neutral head, no sharp flexion in head injury?

A. Prevent aspiration B. Avoid obstructing venous return C. Prevent contractures D. Decrease CPP

Correct Answer: B

Rationale: Positioning (B) maintains venous drainage, reducing ICP.

Assessing TBI, nurse notes uncoordinated balance, unsteady gait. Document as?

A. Anisocoria B. Ataxia C. Apraxia D. Anosognosia

Correct Answer: B

Rationale: Ataxia (B): gait/balance issues (text note).

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