ATI LPN
Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status Questions
Question 1 of 5
Which client statement shows understanding of thrombolytic therapy?
Correct Answer: C
Rationale: Thrombolytics (C) dissolve clots to restore flow.
Question 2 of 5
Azathioprine post-kidney transplant. Why periodic CBCs? Serious side effect?
Correct Answer: A
Rationale: Azathioprine causes thrombocytopenia; bruising (A) is critical.
Question 3 of 5
The nurse understands that the rapid response teams (RRTs) have been implemented to function how?
Correct Answer: A
Rationale: RRTs aim to prevent arrests by addressing early deterioration. Choice A is the primary function, while D is an outcome, B is partial, and C is false (RRTs are 24/7).
Question 4 of 5
A patient has the following arterial blood gases: PaCO2=33, HCO3=15, pH=7.23. Which condition is presenting?
Correct Answer: B
Rationale: pH 7.23 (acidotic), low HCO3 (15) indicate metabolic acidosis. Low PaCO2 (33) shows partial respiratory compensation. Choice B is correct.
Question 5 of 5
A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Acute adrenal insufficiency requires IV hydrocortisone (A) to replace cortisol urgently.