ATI RN
ATI RN Custom Nursing 221 Exam 3 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: A
Rationale: Restlessness is an early sign of increased ICP due to brain pressure.
Question 2 of 5
A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?
Correct Answer: C
Rationale: Good cleaning practices prevent infection spread in AIDS patients.
Question 3 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department, confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: D
Rationale: Regular insulin's rapid onset is ideal for treating diabetic ketoacidosis.
Question 4 of 5
A nurse is reviewing the laboratory results of an adolescent female client and notes a WBC count of 16,000/mm² with increased immature neutrophils (bands) and normal monocytes. Which of the following is the appropriate analysis of the results?
Correct Answer: A
Rationale: An increased WBC count with increased bands (immature neutrophils) indicates an acute infectious process.
Question 5 of 5
A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?
Correct Answer: C
Rationale: Holding the wrist at a 90-degree flexion (Phalen's test) is a diagnostic test for carpal tunnel syndrome.