ATI RN
ATI EW N300 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient diagnosed with a traumatic head injury secondary to a work accident. In the morning assessment, the patient opened his eyes in response to noxious stimuli. Two hours later, what assessment finding would warrant immediate action by the nurse? The patient:
Correct Answer: D
Rationale: Extending extremities in response to painful stimuli, known as decerebrate posturing, is a severe neurologic deficit indicating brainstem dysfunction and requires immediate nursing intervention.
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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