ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has increased intracranial pressure and has a worsening neurologic condition. Which of the following cues should the nurse recognize as a worsening condition? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Changes to pupil size and shape, swelling of the optic nerve (papilledema), and decreasing Glasgow Coma scores are direct indicators of worsening intracranial pressure due to brainstem compression, optic disc congestion, and deteriorating consciousness. A normal respiratory rate (12/min) and blood pressure (108/74 mm Hg) do not indicate worsening in this context.
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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