ATI Nur211 Capstone | Nurselytic

Questions 47

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ATI Nur211 Capstone Questions

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Question 1 of 5

A nurse is doing rounds and notes a patient in the following position: How would the nurse document this finding?

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Correct Answer: D

Rationale: The correct answer is D: Decerebrate posturing. The nurse would document this finding by observing the patient's extended arms and legs, rigid posture, and clenched fists, indicating damage to the upper brainstem. Decerebrate posturing is a more severe form of abnormal posturing than decorticate posturing (choice
B), characterized by flexed arms and clenched fists. Spinal cord degeneration (choice
A) refers to progressive damage to the spinal cord, not a specific posture. Atypical hyperreflexia (choice
C) is not a recognized clinical term related to posture.
Therefore, the correct choice is D as it accurately describes the patient's posture and neurological condition.

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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