ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer intravenous mannitol, an osmotic diuretic, to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?
Correct Answer: B
Rationale: Reduce edema of the brain is the purpose of the medication because mannitol works by creating an osmotic gradient between the blood and the脳 tissue, drawing excess fluid out of the brain cells and into the blood vessels.
Question 2 of 5
A nurse is assessing a client who has a traumatic head injury to determine motor function response. Which of the following client responses to painful stimulus is expected?
Correct Answer: B
Rationale: Pushing the painful stimulus away is a normal response that indicates intact motor function and voluntary movement.
Question 3 of 5
A nurse receives a postsurgical endarterectomy client, what is the priority action for the nurse to take?
Correct Answer: B
Rationale: Performing a vascular assessment is essential to monitor the patency of the graft and the perfusion of the affected extremity.
Question 4 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Severe headache is a characteristic symptom of meningitis, caused by the irritation of the meninges and nerve endings by the infectious agent and inflammatory response.
Question 5 of 5
A nurse is caring for a client with a closed skull injury who has an intracranial pressure (ICP) reading consistently over 20 mmHg, According to the MonroeKellie Doctrine, If Intracranial pressure continues to Increase, what will occur? Select All that Apply.
Correct Answer: B,C,D
Rationale: Increased ICP leads to ischemia due to reduced cerebral perfusion, hypotension as a late compensatory mechanism, and hyperventilation as a respiratory response to acidosis.