Questions 63

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ATI RN Test Bank

ATI Med Surg Adult Care 2 Questions

Extract:


Question 1 of 5

A nurse suspects that a client has increasing intracranial pressure. Which of the following diagnostics does the nurse anticipate will be ordered?

Correct Answer: D

Rationale: Magnetic resonance imaging (MRI) is a noninvasive imaging technique that can detect changes in brain tissue, blood flow, and fluid accumulation that may indicate increased intracranial pressure.

Question 2 of 5

A client is extremely drowsy, minimally responsive, and has a difficult time following commands. With vigorous stimulation the client awakens but quickly falls back asleep. What level of consciousness does this describe?

Correct Answer: B

Rationale: Obtunded is a state of decreased alertness and responsiveness, where the client is difficult to arouse and has limited interaction with the environment.

Question 3 of 5

A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?

Correct Answer: D

Rationale: An epidural hematoma is caused by bleeding between the dura mater and the skull, usually from a ruptured artery. The bleeding can cause increased intracranial pressure, which can compress the brain and lead to a loss of consciousness.

Question 4 of 5

A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis. Assessment findings include nuchal rigidity and a petechial rash. After Implementing droplet precautions, which of the following actions should the nurse initiate next?

Correct Answer: B

Rationale: Assessing cranial nerves helps to identify any neurological deficits early, which is crucial for guiding treatment and monitoring progression.

Question 5 of 5

A client with multiple sclerosis has been prescribed interferon B. Which of the following statements indicates the client understands the teaching about this medication.

Correct Answer: B

Rationale: Interferon B can cause depression and suicidal ideation, so the client should monitor their mood and seek help if needed.

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