A client in ICU has a leaking cerebral aneurysm. W

ATI LPN

ATI LPN Test Bank

A client in ICU has a leaking cerebral aneurysm. What’s the earliest sign of increased ICP?

A. Changes in LOC B. Drop in BP C. Altered sensation D. Pupillary changes

Correct Answer: A

Rationale: Decreased LOC (A) is the earliest ICP sign (text chart 46).

A client receiving plasmapheresis has which possible complications? EXCEPT(SATA)

A. Serum calcium 6.4 B. Potassium 4.2 C. Weight next day D. Urticarial rash

Correct Answer: C

Rationale: Hypocalcemia (A) and allergic rash (D) are plasmapheresis risks.

Which are characteristics of chronic kidney rejection?

A. Pain at site B. Conservative management until dialysis C. Temp >100°F D. Increased immunosuppressants

Correct Answer: B

Rationale: Chronic rejection (B) progresses slowly, managed until dialysis needed.

The nurse prepares stroke family materials. What’s least effective to reduce stroke risk?

A. Heart-healthy diet B. Stress management C. Smoking cessation D. Weight reduction

Correct Answer: B

Rationale: Stress management (B) is less directly linked to stroke prevention.

Preop for severe TBI with bleeding, what’s most important?

A. Sedatives for anxiety B. Narcotics for headache C. Baseline neuro assessment D. Consent from significant other

Correct Answer: C

Rationale: Baseline neuro status (C) guides surgery.

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