Admission vital signs for a brain-injured client are BP 128/68 mm Hg, pulse 110 BPM, respirations 25. Which set of vital signs, if taken 1 hour after admission, will be of most concern to the nurse?

Questions 72

ATI LPN

ATI LPN Test Bank

NCLEX Neurology Practice Questions Questions

Question 1 of 5

Admission vital signs for a brain-injured client are BP 128/68 mm Hg, pulse 110 BPM, respirations 25. Which set of vital signs, if taken 1 hour after admission, will be of most concern to the nurse?

Correct Answer: A

Rationale: Cushing’s triad (hypertension, bradycardia, low RR) in A suggests rising ICP, a critical concern.

Question 2 of 5

The nurse prepares to give mannitol for a severe head injury. What precaution is taken?

Correct Answer: B

Rationale: Mannitol requires a filtered needle (B) to remove crystals (text note).

Question 3 of 5

A nurse teaches a client with unilateral neglect post-ischemic stroke. What action helps?

Correct Answer: C

Rationale: Turning head (C) compensates for neglect by scanning affected side.

Question 4 of 5

Which is a major risk factor for embolic stroke?

Correct Answer: D

Rationale: AF (D) increases emboli risk, a key stroke cause.

Question 5 of 5

A client (160.6 lbs) with ischemic stroke gets alteplase. Bolus mL/hr?

Correct Answer: C

Rationale: 0.9 mg/kg, 10% bolus. 72.9 kg × 0.09 = 6.57 mg. 0.657 mL/min = 39.42 mL/hr, closest to 65.7 (C).

Access More Questions!

ATI LPN Basic


$89/ 30 days

ATI LPN Premium


$150/ 90 days

Similar Questions