ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client in the intensive care unit who was admitted with severe head trauma and cerebral edema. The client opens their eyes spontaneously, is oriented, and obeys commands. Which of the following findings indicate the client is experiencing a decline in their condition? (Select All that Apply.)
Correct Answer: B,D,E,F
Rationale: Eyes opening to painful stimuli, confusion, mumbling inappropriate words, and failure to open eyes to name indicate decreased consciousness and worsening neurological status. Responding to name and stating the day of the week suggest intact consciousness and orientation.
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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