ATI RN
ATI RN Pharmacology 2019 III Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a traumatic head injury to determine motor function response. Which of the following client responses to painful stimulus is expected?
Correct Answer: C
Rationale: The correct answer is C because in a client with a traumatic head injury, the expected response to painful stimulus is decorticate posturing, where the client would extend their body towards the painful stimulus due to damage in the cerebral cortex. This indicates abnormal motor function and neurological impairment.
Choice A is incorrect because it describes decerebrate posturing, which involves upper extremity extension and lower extremity extension, indicating more severe neurological damage.
Choice B is incorrect as pushing the stimulus away is not a typical response to a head injury.
Choice D is incorrect as showing no reaction would suggest a lack of response, which is concerning in this context.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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