ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Severe headache is a characteristic symptom of meningitis, caused by the irritation of the meninges and nerve endings by the infectious agent and inflammatory response.
Question 2 of 5
A nurse is caring for a client with a closed skull injury who has an intracranial pressure (ICP) reading consistently over 20 mmHg, According to the MonroeKellie Doctrine, If Intracranial pressure continues to Increase, what will occur? Select All that Apply.
Correct Answer: B,C,D
Rationale: Increased ICP leads to ischemia due to reduced cerebral perfusion, hypotension as a late compensatory mechanism, and hyperventilation as a respiratory response to acidosis.
Question 3 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Severe headache is a characteristic symptom of meningitis, caused by the irritation of the meninges and nerve endings by the infectious agent and inflammatory response.
Question 4 of 5
A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis. Assessment findings include nuchal rigidity and a petechial rash. After Implementing droplet precautions, which of the following actions should the nurse initiate next?
Correct Answer: B
Rationale: Assessing cranial nerves helps to identify any neurological deficits early, which is crucial for guiding treatment and monitoring progression.
Question 5 of 5
A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
Correct Answer: A
Rationale: Increasing fluid intake can help replenish cerebrospinal fluid (CSF) that was lost during the lumbar puncture, which can reduce the pressure difference between the brain and spinal cord that causes the headache.