Client with ICP. Which finding needs immediate int

ATI LPN

ATI LPN Test Bank

Client with ICP. Which finding needs immediate intervention?

A. Asymmetric pupils B. Sluggish pupils C. Confusion D. Lethargy

Correct Answer: A

Rationale: Asymmetric pupils (A) signal acute ICP rise (text note).

The nurse understands the cardinal features of acute kidney injury (AKI) are:

A. Azotemia and oliguria B. Decreased glomerular filtration C. Increase in urine output D. Uremia and fatigue

Correct Answer: A

Rationale: AKI features azotemia (nitrogen waste buildup) and oliguria (low urine output), making A correct.

The nurse caring for the critical care patient who is mildly stressed knows that which of the following are caloric requirements for their patient?

A. 30-35 kcal/kg/day B. 25 kcal/kg/day C. 25-30 kcal/kg/day D. 40 kcal/kg/day

Correct Answer: C

Rationale: Mildly stressed patients require 25-30 kcal/kg/day (C) per critical care nutrition guidelines.

Which of the following is a component of a healthy work environment?

A. Collaboration B. Use of many agency nurses C. Crew-resource training D. Evidence-based practice

Correct Answer: A

Rationale: Collaboration (A) is a key component of a healthy work environment per AACN standards.

Which is an advantage of nasotracheal intubation?

A. Easier to remove secretions from tube B. Less likely to kink C. More comfortable for the patient D. Reduces risk of sinusitis

Correct Answer: B

Rationale: Nasotracheal tubes (B) are less prone to kinking due to anatomical positioning.

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