ATI Nur211 Capstone | Nurselytic

Questions 47

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ATI Nur211 Capstone Questions

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Question 1 of 5

A client arrives to the emergency department by ambulance. The client has a possible traumatic brain injury after a fall from a roof. Which of the following assessment findings will the triage nurse report to the provider immediately?

Question Image

Correct Answer: B

Rationale: The correct answer is B: Decreasing level of consciousness. This would be reported immediately because it indicates a worsening condition and potential deterioration in the client's neurological status. It suggests increased intracranial pressure, which is a medical emergency requiring prompt intervention to prevent further brain injury.

Choices A, C, and D do not indicate an immediate threat to the client's life or neurological status. A pupil response (choice
A) within normal limits, a temporal headache (choice
C), and a Glasgow coma score of 13 (choice
D) are concerning but do not signify an acute decline in neurological status that necessitates immediate action.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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