ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
A nurse is caring for a newborn whose parent asks why her baby is receiving vitamin K. The nurse should
b b b b b b b b b b b b b b b b b b b
explain to the parents that the newborn should receive vitamin K to prevent which of the following?
b b b b b b b b b b b b b b b b b
A. Bleeding
B. Potassium deficiency b
C. Infection
D. Hyperbilirubinemia - CORRECT RESPONSE ✔✔A. Bleeding b b b b b
Newborns should receive vitamin K at birth because they have low levels of vitamin K, which can lead to
b b b b b b b b b b b b b b b b b b
bleeding. Vitamin K does not prevent potassium deficiency, infection, or hyperbilirubinemia in a
b b b b b b b b b b b b b
newborn.
b
A charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube. Which of the
b b b b b b b b b b b b b b b b b
following actions by the newly licensed nurse indicates an understanding of the procedure?
b b b b b b b b b b b b b
A. Instills 100 mL of air into the NG tube after checking for residual.
b b b b b b b b b b b b
B. Flushes the NG tube with 0.9% sodium chloride irrigation every 2 hr.
b b b b b b b b b b b
C. Adds 20 mL of blue dye to each feeding to help detect aspiration.
b b b b b b b b b b b b
D. Keeps the head of the bed elevated to 45° for 1 hr after feedings. - CORRECT RESPONSE ✔✔D. Keeps
b b b b b b b b b b b b b b b b b b
the head of the bed elevated to 45° for 1 hr after feedings.
b b b b b b b b b b b b b
The nurse should keep the client's head elevated to 45° for 1 hr after feedings to decrease the risk for
b b b b b b b b b b b b b b b b b b b
aspiration. The nurse should inject 10 to 30 mL of air into the NG tube before checking residual to clear
b b b b b b b b b b b b b b b b b b b b
the tube of any feeding. Instilling excessive air into the tube can cause abdominal distention and
b b b b b b b b b b b b b b b b
discomfort. The nurse should use 20 mL of tap water to flush the NG tube before and after each feeding.
b b b b b b b b b b b b b b b b b b b
Using 0.9% sodium chloride irrigation can lead to hypernatremia. The nurse should avoid adding dye to the
b b b b b b b b b b b b b b b b
feeding to detect aspiration because using dye can increase the risk of death.
b b b b b b b b b b b b b
A nurse is teaching a client about foods high in vitamin A. Which of the following foods should the nurse
b b b b b b b b b b b b b b b b b b b
recommend as having the highest amount of vitamin A?
b b b b b b b b b
A. 1 medium raw carrot
b b b b
B. 1/2 cup cooked spinach
b b b b
C. 1/2 cup cooked butternut squash
b b b b b
D. 1 cup sliced cantaloupe - CORRECT RESPONSE ✔✔A. 1 medium raw carrot
b b b b b b b b b b b b
The nurse determines that carrots are the best source to recommend because 1 medium raw carrot
b b b b b b b b b b b b b b b
contains 2,025 mcg/dL of vitamin A. The nurse should recommend a different food, because 1/2 cup
b b b b b b b b b b b b b b b b
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
cooked spinach contains 737 mcg/dL, 1/2 cup cooked butternut squash contains 714 mcg/dL, and 1 cup
b b b b b b b b b b b b b b b
sliced cantaloupe contains 516 mcg/dL of vitamin A.
b b b b b b b b
An RN is planning care for a group of clients and is working with a licensed practical nurse (LPN) and an
b b b b b b b b b b b b b b b b b b b b
assistive personnel (AP). Which of the following tasks should the RN delegate to the LPN?
b b b b b b b b b b b b b b b
A. Collection of a stool specimen
b b b b b
B. Preparation of a client's postoperative bed
b b b b b b
C. Administration of a unit of packed RBCs
b b b b b b b
D. Insertion of a nasogastric tube - CORRECT RESPONSE ✔✔D. Insertion of a nasogastric tube
b b b b b b b b b b b b b b
The nurse should delegate the insertion of a nasogastric tube to the LPN because this task is within the
b b b b b b b b b b b b b b b b b b
LPN's scope of practice. The nurse should delegate collection of a stool specimen and preparation of a
b b b b b b b b b b b b b b b b b
client's postoperative bed to an AP because these tasks are within the AP's scope of practice. The RN
b b b b b b b b b b b b b b b b b b
should administer packed RBCs because this task is not within the scope of practice for an LPN or AP.
b b b b b b b b b b b b b b b b b b b
A nurse on a medical-surgical unit is caring for a client prior to a surgical procedure. Which of the
b b b b b b b b b b b b b b b b b b
following findings should indicate to the nurse that the client has the ability to sign the informed
b b b b b b b b b b b b b b b b b
consent?
b
A. The client's partner tells the nurse that the client understands the procedure.
b b b b b b b b b b b b
B. The nurse locates the provider's prescription for the surgical procedure.
b b b b b b b b b b
C. The nurse witnesses the provider's explanation of the procedure.
b b b b b b b b b
D. The client is able to accurately describe the upcoming procedure. - CORRECT RESPONSE ✔✔D. The
b b b b b b b b b b b b b b b
client is able to accurately describe the upcoming procedure.
b b b b b b b b b
The ability of the client to accurately describe the upcoming procedure indicates that the provider
b b b b b b b b b b b b b b
adequately informed the client, and that the client has the ability to sign the informed consent. The
b b b b b b b b b b b b b b b b b
client can tell his partner that he understands the procedure, but the nurse must speak directly to the
b b b b b b b b b b b b b b b b b b
client to ensure that the client understands what the provider has told him before being certain that the
b b b b b b b b b b b b b b b b b b
client has the ability to sign the form. A written prescription for a surgical procedure does not ensure
b b b b b b b b b b b b b b b b b b
that the provider has explained the procedure to the client or that the client has the knowledge to give
b b b b b b b b b b b b b b b b b b b
informed consent. Even though the provider has explained the procedure to the client, the nurse cannot
b b b b b b b b b b b b b b b b
assume that the client understands the information the provider gave.
b b b b b b b b b b
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
A nurse is caring for a client who is receiving total parenteral nutriton (TPN) solution by continuous IV i
b b b b b b b b b b b b b b b b b b
nfusion at 60 mL/hr. The nurse discovers the infusion pump has stopped working. Which of the followin
b b b b b b b b b b b b b b b b b
g actions should the nurse take while waiting for a new infusion pump?
b b b b b b b b b b b b b
A. Administer the TPN solution at the same rate using manual drip tubing.
b b b b b b b b b b b b
B. Offer the client oral fluids in place of the TPN solution.
b b b b b b b b b b b
C. Infuse 0.9% sodium chloride solution usingAmanual drip tubing at 30 mL/hr.
b b b b b b b b b b b
D. ProvideAdextroseA10%AinAwaterAsolutionAusingAmanualAdripAtubingAatA60AmL/hr.A-
ACORRECTARESPONSEAA✔✔D.AProvideAdextroseA10%AinAwaterAsolutionAusingAmanualAdripAtubingAatA60AmL
/hr.
The nurse should use an infusion pump when administering TPN solution to ensure accurate dosage an
b b b b b b b b b b b b b b b
bd should taper the infusion rate before discontinuing the solution to prevent hypoglycemia. If the nurse
b b b b b b b b b b b b b b b
is unable to continue the TPN infusion by infusion pump, the nurse should use manual drip tubing to i
b b b b b b b b b b b b b b b b b b b
nfuse dextrose 10% in water at the same rate as the TPN solution. The nurse should only administer th
b b b b b b b b b b b b b b b b b b b
be TPN solution using an infusion pump to deliver it at a controlled rate. The nurse must continue to pro
b b b b b b b b b b b b b b b b b b b
vide fluids by IV infusion to a client who has been receiving a continuous TPN infusion to prevent rebou
b b b b b b b b b b b b b b b b b b b
nd hypoglycemia. The nurse should infuse an IV solution that will maintain adequate blood glucose leve
b b b b b b b b b b b b b b b b
ls, 0.9% sodium chloride does not have adequate glucose.
b b b b b b b b b
AAnurse is assessing a client who has schizophrenia and is taking chlorpromazine. Which of the followin g
b b b b b b b b b b b b b b b b
findings is the priority for the nurse to report the provider?
b b b b b b b b b b b
A. TemperatureA39.4°ACA(103°AF)
B. Headache
b
C. Constipation
b
D. Vomiting - CORRECT RESPONSE ✔✔A. Temperature 39.4° C (103° F)
b b b b b b b b b b
The greatest risk to the client is injury from neuroleptic malignant syndrome, a potentially life-
b b b b b b b b b b b b b b
threatening adverse effect of chlorpromazine in which the client can have a high temperature, dysrhyth
b b b b b b b b b b b b b b
mia, decreased level of consciousness, and labile blood pressure. Therefore, the priority finding for the
b b b b b b b b b b b b b b b
nurse report to the provider is hyperpyrexia. Headache, constipation, and vomiting are common advers
b b b b b b b b b b b b b b
e effects of chlorpromazine. The nurse should report the headache and vomiting to the provider and re
b b b b b b b b b b b b b b b b b
quest analgesia and an antiemetic, respectively. The nurse should encourage the client to increase fiber
b b b b b b b b b b b b b b b
and fluid intake as well as activity for constipation.
b b b b b b b b b
, ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
A nurse is teaching the parent of a school-
b b b b b b b b
age child about administering ear drops. Which of the following responses by the parent indicates an u
b b b b b b b b b b b b b b b b
nderstanding of the teaching?
b b b b
A. "I should administer the ear drops as soon as I remove them from the refrigerator."
b b b b b b b b b b b b b b b
B.A"IAshouldApullAtheAtopAofAherAearAupwardAandAbackAwhileAinstillingAtheAmedication."
C. "I should massage behind her ear after I instill the drops."
b b b b b b b b b b b
D. "I should have her lie on the affected side for a few minutes after I put the drops in the ear." -
b b b b b b b b b b b b b b b b b b b b b b
CORRECT RESPONSE ✔✔B. "I should pull the top of her ear upward and back while instilling the medi
b b b b b b b b b b b b b b b b b
cation."
b
The nurse should instruct the parent to pull the pinna upward and back in children older than 3 years o
b b b b b b b b b b b b b b b b b b b
bf age to straighten the ear canal and allow the medication to reach the entire canal. For children young
b b b b b b b b b b b b b b b b b b
er than 3 years of age the parent should gently pull the pinna downward and back. The nurse should in
b b b b b b b b b b b b b b b b b b b b
struct the parent to allow otic medication she stores in the refrigerator to warm to room temperature p
b b b b b b b b b b b b b b b b b b
rior to administration to prevent dizziness and pain. The nurse should instruct the parent to gently mas
b b b b b b b b b b b b b b b b b
sage the tragus on the area anterior to the ear to allow the medication to reach the entire canal. The n
b b b b b b b b b b b b b b b b b b b b b
urse should instruct the parent to have the child remain lying on the unaffected side for a few minutes
b b b b b b b b b b b b b b b b b b b
after instilling the medication to allow the medication to remain in the ear canal.
b b b b b b b b b b b b b b
AAnurse is assessing a client who is experiencing autonomic dysreflexia. Which of the following findings
b b b b b b b b b b b b b b
should the nurse expect? (Select all that apply.)
b b b b b b b b
A. Nystagmus
b
B.AFacialAflushing
C. Diplopia
b
D. Nasal congestion
b b
E. Headache - CORRECT RESPONSE ✔✔B. Facial flushing
b b b b b b b
D. Nasal congestion
b b
E. Headache
b
The nurse should expect a client who has autonomic dysreflexia to have facial flushing, nasal congestio
b b b b b b b b b b b b b b b
n, and a severe headache. The nurse should expect a client who has autonomic dysreflexia to have blur
b b b b b b b b b b b b b b b b b b
red vision (not nystagmus) and blurred vision (not diplopia).
b b b b b b b b b
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
A nurse is caring for a newborn whose parent asks why her baby is receiving vitamin K. The nurse should
b b b b b b b b b b b b b b b b b b b
explain to the parents that the newborn should receive vitamin K to prevent which of the following?
b b b b b b b b b b b b b b b b b
A. Bleeding
B. Potassium deficiency b
C. Infection
D. Hyperbilirubinemia - CORRECT RESPONSE ✔✔A. Bleeding b b b b b
Newborns should receive vitamin K at birth because they have low levels of vitamin K, which can lead to
b b b b b b b b b b b b b b b b b b
bleeding. Vitamin K does not prevent potassium deficiency, infection, or hyperbilirubinemia in a
b b b b b b b b b b b b b
newborn.
b
A charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube. Which of the
b b b b b b b b b b b b b b b b b
following actions by the newly licensed nurse indicates an understanding of the procedure?
b b b b b b b b b b b b b
A. Instills 100 mL of air into the NG tube after checking for residual.
b b b b b b b b b b b b
B. Flushes the NG tube with 0.9% sodium chloride irrigation every 2 hr.
b b b b b b b b b b b
C. Adds 20 mL of blue dye to each feeding to help detect aspiration.
b b b b b b b b b b b b
D. Keeps the head of the bed elevated to 45° for 1 hr after feedings. - CORRECT RESPONSE ✔✔D. Keeps
b b b b b b b b b b b b b b b b b b
the head of the bed elevated to 45° for 1 hr after feedings.
b b b b b b b b b b b b b
The nurse should keep the client's head elevated to 45° for 1 hr after feedings to decrease the risk for
b b b b b b b b b b b b b b b b b b b
aspiration. The nurse should inject 10 to 30 mL of air into the NG tube before checking residual to clear
b b b b b b b b b b b b b b b b b b b b
the tube of any feeding. Instilling excessive air into the tube can cause abdominal distention and
b b b b b b b b b b b b b b b b
discomfort. The nurse should use 20 mL of tap water to flush the NG tube before and after each feeding.
b b b b b b b b b b b b b b b b b b b
Using 0.9% sodium chloride irrigation can lead to hypernatremia. The nurse should avoid adding dye to the
b b b b b b b b b b b b b b b b
feeding to detect aspiration because using dye can increase the risk of death.
b b b b b b b b b b b b b
A nurse is teaching a client about foods high in vitamin A. Which of the following foods should the nurse
b b b b b b b b b b b b b b b b b b b
recommend as having the highest amount of vitamin A?
b b b b b b b b b
A. 1 medium raw carrot
b b b b
B. 1/2 cup cooked spinach
b b b b
C. 1/2 cup cooked butternut squash
b b b b b
D. 1 cup sliced cantaloupe - CORRECT RESPONSE ✔✔A. 1 medium raw carrot
b b b b b b b b b b b b
The nurse determines that carrots are the best source to recommend because 1 medium raw carrot
b b b b b b b b b b b b b b b
contains 2,025 mcg/dL of vitamin A. The nurse should recommend a different food, because 1/2 cup
b b b b b b b b b b b b b b b b
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
cooked spinach contains 737 mcg/dL, 1/2 cup cooked butternut squash contains 714 mcg/dL, and 1 cup
b b b b b b b b b b b b b b b
sliced cantaloupe contains 516 mcg/dL of vitamin A.
b b b b b b b b
An RN is planning care for a group of clients and is working with a licensed practical nurse (LPN) and an
b b b b b b b b b b b b b b b b b b b b
assistive personnel (AP). Which of the following tasks should the RN delegate to the LPN?
b b b b b b b b b b b b b b b
A. Collection of a stool specimen
b b b b b
B. Preparation of a client's postoperative bed
b b b b b b
C. Administration of a unit of packed RBCs
b b b b b b b
D. Insertion of a nasogastric tube - CORRECT RESPONSE ✔✔D. Insertion of a nasogastric tube
b b b b b b b b b b b b b b
The nurse should delegate the insertion of a nasogastric tube to the LPN because this task is within the
b b b b b b b b b b b b b b b b b b
LPN's scope of practice. The nurse should delegate collection of a stool specimen and preparation of a
b b b b b b b b b b b b b b b b b
client's postoperative bed to an AP because these tasks are within the AP's scope of practice. The RN
b b b b b b b b b b b b b b b b b b
should administer packed RBCs because this task is not within the scope of practice for an LPN or AP.
b b b b b b b b b b b b b b b b b b b
A nurse on a medical-surgical unit is caring for a client prior to a surgical procedure. Which of the
b b b b b b b b b b b b b b b b b b
following findings should indicate to the nurse that the client has the ability to sign the informed
b b b b b b b b b b b b b b b b b
consent?
b
A. The client's partner tells the nurse that the client understands the procedure.
b b b b b b b b b b b b
B. The nurse locates the provider's prescription for the surgical procedure.
b b b b b b b b b b
C. The nurse witnesses the provider's explanation of the procedure.
b b b b b b b b b
D. The client is able to accurately describe the upcoming procedure. - CORRECT RESPONSE ✔✔D. The
b b b b b b b b b b b b b b b
client is able to accurately describe the upcoming procedure.
b b b b b b b b b
The ability of the client to accurately describe the upcoming procedure indicates that the provider
b b b b b b b b b b b b b b
adequately informed the client, and that the client has the ability to sign the informed consent. The
b b b b b b b b b b b b b b b b b
client can tell his partner that he understands the procedure, but the nurse must speak directly to the
b b b b b b b b b b b b b b b b b b
client to ensure that the client understands what the provider has told him before being certain that the
b b b b b b b b b b b b b b b b b b
client has the ability to sign the form. A written prescription for a surgical procedure does not ensure
b b b b b b b b b b b b b b b b b b
that the provider has explained the procedure to the client or that the client has the knowledge to give
b b b b b b b b b b b b b b b b b b b
informed consent. Even though the provider has explained the procedure to the client, the nurse cannot
b b b b b b b b b b b b b b b b
assume that the client understands the information the provider gave.
b b b b b b b b b b
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
A nurse is caring for a client who is receiving total parenteral nutriton (TPN) solution by continuous IV i
b b b b b b b b b b b b b b b b b b
nfusion at 60 mL/hr. The nurse discovers the infusion pump has stopped working. Which of the followin
b b b b b b b b b b b b b b b b b
g actions should the nurse take while waiting for a new infusion pump?
b b b b b b b b b b b b b
A. Administer the TPN solution at the same rate using manual drip tubing.
b b b b b b b b b b b b
B. Offer the client oral fluids in place of the TPN solution.
b b b b b b b b b b b
C. Infuse 0.9% sodium chloride solution usingAmanual drip tubing at 30 mL/hr.
b b b b b b b b b b b
D. ProvideAdextroseA10%AinAwaterAsolutionAusingAmanualAdripAtubingAatA60AmL/hr.A-
ACORRECTARESPONSEAA✔✔D.AProvideAdextroseA10%AinAwaterAsolutionAusingAmanualAdripAtubingAatA60AmL
/hr.
The nurse should use an infusion pump when administering TPN solution to ensure accurate dosage an
b b b b b b b b b b b b b b b
bd should taper the infusion rate before discontinuing the solution to prevent hypoglycemia. If the nurse
b b b b b b b b b b b b b b b
is unable to continue the TPN infusion by infusion pump, the nurse should use manual drip tubing to i
b b b b b b b b b b b b b b b b b b b
nfuse dextrose 10% in water at the same rate as the TPN solution. The nurse should only administer th
b b b b b b b b b b b b b b b b b b b
be TPN solution using an infusion pump to deliver it at a controlled rate. The nurse must continue to pro
b b b b b b b b b b b b b b b b b b b
vide fluids by IV infusion to a client who has been receiving a continuous TPN infusion to prevent rebou
b b b b b b b b b b b b b b b b b b b
nd hypoglycemia. The nurse should infuse an IV solution that will maintain adequate blood glucose leve
b b b b b b b b b b b b b b b b
ls, 0.9% sodium chloride does not have adequate glucose.
b b b b b b b b b
AAnurse is assessing a client who has schizophrenia and is taking chlorpromazine. Which of the followin g
b b b b b b b b b b b b b b b b
findings is the priority for the nurse to report the provider?
b b b b b b b b b b b
A. TemperatureA39.4°ACA(103°AF)
B. Headache
b
C. Constipation
b
D. Vomiting - CORRECT RESPONSE ✔✔A. Temperature 39.4° C (103° F)
b b b b b b b b b b
The greatest risk to the client is injury from neuroleptic malignant syndrome, a potentially life-
b b b b b b b b b b b b b b
threatening adverse effect of chlorpromazine in which the client can have a high temperature, dysrhyth
b b b b b b b b b b b b b b
mia, decreased level of consciousness, and labile blood pressure. Therefore, the priority finding for the
b b b b b b b b b b b b b b b
nurse report to the provider is hyperpyrexia. Headache, constipation, and vomiting are common advers
b b b b b b b b b b b b b b
e effects of chlorpromazine. The nurse should report the headache and vomiting to the provider and re
b b b b b b b b b b b b b b b b b
quest analgesia and an antiemetic, respectively. The nurse should encourage the client to increase fiber
b b b b b b b b b b b b b b b
and fluid intake as well as activity for constipation.
b b b b b b b b b
, ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
b b b b b
b QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023 b b b b b b
EXAMS FOR NURSING GRADED A+
b b b b b
A nurse is teaching the parent of a school-
b b b b b b b b
age child about administering ear drops. Which of the following responses by the parent indicates an u
b b b b b b b b b b b b b b b b
nderstanding of the teaching?
b b b b
A. "I should administer the ear drops as soon as I remove them from the refrigerator."
b b b b b b b b b b b b b b b
B.A"IAshouldApullAtheAtopAofAherAearAupwardAandAbackAwhileAinstillingAtheAmedication."
C. "I should massage behind her ear after I instill the drops."
b b b b b b b b b b b
D. "I should have her lie on the affected side for a few minutes after I put the drops in the ear." -
b b b b b b b b b b b b b b b b b b b b b b
CORRECT RESPONSE ✔✔B. "I should pull the top of her ear upward and back while instilling the medi
b b b b b b b b b b b b b b b b b
cation."
b
The nurse should instruct the parent to pull the pinna upward and back in children older than 3 years o
b b b b b b b b b b b b b b b b b b b
bf age to straighten the ear canal and allow the medication to reach the entire canal. For children young
b b b b b b b b b b b b b b b b b b
er than 3 years of age the parent should gently pull the pinna downward and back. The nurse should in
b b b b b b b b b b b b b b b b b b b b
struct the parent to allow otic medication she stores in the refrigerator to warm to room temperature p
b b b b b b b b b b b b b b b b b b
rior to administration to prevent dizziness and pain. The nurse should instruct the parent to gently mas
b b b b b b b b b b b b b b b b b
sage the tragus on the area anterior to the ear to allow the medication to reach the entire canal. The n
b b b b b b b b b b b b b b b b b b b b b
urse should instruct the parent to have the child remain lying on the unaffected side for a few minutes
b b b b b b b b b b b b b b b b b b b
after instilling the medication to allow the medication to remain in the ear canal.
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AAnurse is assessing a client who is experiencing autonomic dysreflexia. Which of the following findings
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should the nurse expect? (Select all that apply.)
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A. Nystagmus
b
B.AFacialAflushing
C. Diplopia
b
D. Nasal congestion
b b
E. Headache - CORRECT RESPONSE ✔✔B. Facial flushing
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D. Nasal congestion
b b
E. Headache
b
The nurse should expect a client who has autonomic dysreflexia to have facial flushing, nasal congestio
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n, and a severe headache. The nurse should expect a client who has autonomic dysreflexia to have blur
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red vision (not nystagmus) and blurred vision (not diplopia).
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