ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who experienced a traumatic brain injury 72 hours ago.
Question 1 of 5
Which finding should the nurse identify as a potential indication of increased intracranial pressure?
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Increasingly severe headache is a common symptom of increased intracranial pressure due to brain tissue compression. Bradycardia and hypertension can occur as a result of increased intracranial pressure affecting the autonomic nervous system. Dilated, non-reactive pupils may indicate brainstem compression.
Therefore, all of these findings are potential indications of increased intracranial pressure.
Choices A, B, and C all individually point towards different manifestations of increased intracranial pressure, making them incorrect if considered in isolation.
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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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