ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an Indication of Increased Intracranial pressure (ICP)?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP, indicating decreased cerebral oxygenation and impaired cognition.
Question 2 of 5
A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Bradykinesia is a manifestation of Parkinson's disease. It is a term that means slow movement and refers to the difficulty in initiating and performing voluntary actions.
Question 3 of 5
A nurse is monitoring the vitals of a client who has a traumatic brain injury. Which of the following indicate that the client is in stage 3 of increased Intracranial pressure? Select all that apply
Correct Answer: B,C,D,E
Rationale: Stage 3 ICP is characterized by hypotension, widened pulse pressure, bradycardia with a bounding pulse, and uneven breathing due to severe brain compression.
Question 4 of 5
A nurse is providing education to a group of older adults about the risk of stroke. Which selections made by the group indicate an understanding of the teaching? Select All that Apply
Correct Answer: A,E
Rationale: Recognizing stroke symptoms (face, arm, speech changes) and lifestyle modifications (low sodium, limited alcohol, regular exercise) are correct stroke prevention strategies.
Question 5 of 5
When caring for the client with Alzheimer's disease, which of the following are appropriate items to include in the client's room?
Correct Answer: D
Rationale: Clocks, calendar, family photos are appropriate items to include in the room of a client with Alzheimer's disease. They can help the client maintain orientation to time, place, and person, and provide comfort and familiarity.