Questions 169

ATI RN

ATI RN Test Bank

RN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is assessing a client who is postoperative following a lumbar laminectomy. Which of the following findings should the nurse report immediately?

Correct Answer: C

Rationale: Numbness in the lower extremities may indicate nerve compression or hematoma, requiring immediate reporting.

Question 2 of 5

A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: Nitroprusside is light-sensitive and degrades when exposed to light, reducing its potency and effectiveness.

Question 3 of 5

A nurse is assessing a client who has a suspected pulmonary embolism. Which of the following findings should the nurse report immediately?

Correct Answer: B

Rationale: Sudden dyspnea is a critical sign of pulmonary embolism, requiring immediate reporting.

Question 4 of 5

A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?

Correct Answer: B

Rationale: Cranial nerve XI (the spinal accessory nerve) controls the muscles involved in shoulder shrugging and head turning.

Question 5 of 5

A nurse is caring for a client who experienced a traumatic brain injury 72 hr ago. Which in the client's findings are potential indication of increased intracranial pressure?

Correct Answer: C

Rationale: An increasingly severe headache is a key sign of rising ICP due to increased pressure on pain-sensitive structures.

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