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: Decerebrate posturing (extending the body toward painful stimulus) indicates brainstem damage, often seen in severe head injuries.
Question 2 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: Decerebrate posturing (extending the body toward painful stimulus) indicates brainstem damage, often seen in severe head injuries.
Question 3 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed head injury. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The supine position with the head elevated to 30 degrees helps lower ICP by promoting venous drainage. Log rolling, coughing, and warming blankets can increase ICP.
Question 4 of 5
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct Answer: C
Rationale: A reddened area over the sacrum indicates a pressure injury, a common complication of immobility.
Question 5 of 5
A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings?
Correct Answer: C
Rationale: Left-hemisphere strokes often impair language and analytical skills, leading to intellectual impairment.