ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who has a traumatic brain injury and a ventriculostomy drain. The nurse should report which of the following findings as a complication of this therapeutic procedure? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Infection is a significant risk with ventriculostomy drains due to the invasive nature of the procedure. Vomiting and widening pulse pressure can indicate increased intracranial pressure, a serious complication requiring immediate attention. Equal pupils and normal ICP readings are not complications.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: