A client with increased ICP is admitted to the ICU

ATI LPN

ATI LPN Test Bank

A client with increased ICP is admitted to the ICU. On admission, GCS is 10. One hour later, it’s 13. Which interpretation would the nurse make?

A. The client’s condition has improved B. The client is ready for discharge C. The client is comatose D. The client’s condition is worsening

Correct Answer: A

Rationale: GCS increase from 10 to 13 (A) indicates neurological improvement.

In planning care for an acute stroke client, which can a nurse delegate to an LPN?

A. Assess swallowing ability B. Administer tPA C. Determine symptom onset D. Administer subcut enoxaparin

Correct Answer: D

Rationale: LPNs can administer subcut meds (D); tPA and assessments are RN scope.

A client with ischemic stroke received rtPA. Which meds are avoided for 24 hr?EXCEPT (SATA)

A. Sodium nitroprusside B. Enoxaparin C. Warfarin D. Labetalol

Correct Answer: A

Rationale: Anticoagulants (B, C) and antiplatelets (E) increase bleeding risk post-tPA.

A nurse in NICU gets furosemide 2 mg/kg PO for a 2.5 kg neonate (10 mg/mL). Dose in mL?

A. 1.1 B. 0.5 C. 2 D. 1

Correct Answer: B

Rationale: 2 mg/kg × 2.5 kg = 5 mg. 5 mg / 10 mg/mL = 0.5 mL (B).

For right homonymous hemianopia, what’s an important nursing activity?

A. Approach from right B. Maximize auditory stimulation C. Place objects in left field D. Minimize visual stimulation

Correct Answer: C

Rationale: Left field placement (C) aids visibility.

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