ATI RN
ATI n269 Med Surg Exam 1 Questions
Extract:
Question 1 of 5
A 70-year-old patient brought in the ED by family member after falling off the ladder. His medical history includes hypertension, osteoarthritis, and type 2 diabetes mellitus. Upon nursing assessment, he has laceration on his left side of temple and bruises on left patella. His speech is slightly slurred and a weak cough reflex. Patient is alert and oriented X2 and having restlessness. Vital signs: Blood pressure 152/59, pulse 87, respirations 20. Oxygen saturation is 90% room air. He reported having slight headache and tolerable pain of 3/10 on his left knee. The nurse is reviewing the client' assessment data to prepare the client's plan of care. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experience. 2 actions the nurse should take to address that condition and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: B,C,D,E
Rationale: The patient's fall, slurred speech, restlessness, and headache suggest increased ICP. Oxygen at 2 L/min improves brain oxygenation, and elevating the head reduces ICP. Monitoring LOC and vital signs tracks progress.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: