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ATI RN Adult Medical Surgical 2023 Questions Correct Answers Questions

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Question 1 of 5

A nurse is monitoring a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a manifestation of Cushing's triad?

Correct Answer: A

Rationale: The correct answer is A because Cushing's triad consists of hypertension, bradycardia, and irregular respirations. In a client with a traumatic brain injury, increased intracranial pressure can lead to Cushing's triad due to brainstem compression. Option A reflects an increase in blood pressure, which is a key component of Cushing's triad.

Choices B, C, and D do not align with the expected findings of Cushing's triad.
Choice B indicates a decrease in heart rate, which is contrary to the bradycardia seen in Cushing's triad.
Choice C mentions rapid respirations, whereas irregular or shallow respirations are more characteristic.
Choice E mentions hypotension, which is not part of Cushing's triad.
Therefore, option A is the correct choice as it aligns with the manifestation of hypertension in Cushing's triad.

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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