The nurse plans care for a client with ICP receivi

ATI LPN

ATI LPN Test Bank

The nurse plans care for a client with ICP receiving 3% NaCl. Which assessment is implemented?

A. Serum sodium and HR B. HR and ventriculostomy pressure C. Cerebral oxygenation and BP D. BP and serum electrolytes

Correct Answer: D

Rationale: 3% NaCl affects electrolytes and BP (D) to monitor hypernatremia/fluid status.

A client had a TIA leading to stroke. What’s the purpose of carotid endarterectomy/angioplasty?

A. Minimize neuro deficits B. Prevent strokes in carotid stenosis C. Enhance CBF/reverse symptoms D. Decrease sensory deficits

Correct Answer: B

Rationale: These procedures (B) prevent strokes by relieving stenosis.

A client post-hemorrhagic stroke has BP 90/50. Priority action?

A. Elevate HOB B. Type/crossmatch blood C. Notify provider D. Reassess in 15 min

Correct Answer: C

Rationale: Hypotension (C) needs immediate provider attention.

Second ischemic stroke, symptoms 4 hr ago. What contraindicates IV alteplase? (SATA)

A. Warfarin, INR 1.5 B. Age 83 C. 10-yr DM2 history D. CT shows ischemia

Correct Answer: A

Rationale: Warfarin (A) increases bleeding risk; 4 hr within window but INR matters.

Post-head injury, which ABG finding needs reporting?

A. pH 7.34 B. PaCO2 52 C. Bicarb 26 D. PaO2 80

Correct Answer: B

Rationale: Elevated PaCO2 (B) worsens ICP.

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