ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased Intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?
Correct Answer: A
Rationale: A decrease in the Glasgow Coma Score indicates a deterioration in the level of consciousness, which is a sign of increased ICP.
Question 2 of 5
A nurse is preparing to administer Tissue plasminogen activator (tPA). What is the likely reason the client will receive this treatment?
Correct Answer: D
Rationale: The client experienced an ischemic stroke is a reason to administer tPA, which is the standard treatment for this condition if given within 4.5 hours of symptom onset.
Question 3 of 5
A client has a history of atrial fibrillation. Which of the following is the nurse likely to see on the clients medication history to prevent stroke?
Correct Answer: B
Rationale: Oral anticoagulants are used to prevent blood clots from forming or growing larger, which can cause stroke in patients with atrial fibrillation.
Question 4 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an Indication of Increased Intracranial pressure (ICP)?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP, indicating decreased cerebral oxygenation and impaired cognition.
Question 5 of 5
When considering the client with a neurocognitive deficit, the nurse understands that which of the following are excitatory neurotransmitters?
Correct Answer: B,C
Rationale: Norepinephrine and Dopamine are excitatory neurotransmitters that increase arousal, alertness, attention, motivation, reward, and movement.