ATI Critical Neurologic Dysfunction
Assessment Questions and Correct
Answers/ Latest Update / Already Graded
A nurse is caring for a client who has a subarachnoid hemorrhage
(SAH). Which of the following should the nurse understand are risk
factors for SAH?
Ans: -hypertension
-smoking
-alcohol use disorder
A nurse is teaching a client who has had a subarachnoid hemorrhage
about changes to mobility, sensory perception, perfusion, and
cognition. Which of the following information should the nurse include
in the teaching?
Ans: The client may have hemiparesis and difficulty with
speech
A nurse is caring for a client who has a neurologic injury following a 10
foot fall. Which of the following actions would be the highest priority?
Ans: Maintaining the airway
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A nurse is caring for a client who has increased intercranial pressure
from a traumatic brain injury and a Glasgow Coma Score of 10 on
admission. Which of the following manifestations indicate to the nurse
a worsening neurological injury is occurring?
Ans: Breathing patterns become irregular
A nurse is explaining to a client's family about the Monro-Kellie
doctrine and how the components within the cranium change in
relation to inter cranial pressure (ICP) along with cerebral perfusion.
Which of the following processes of cerebral auto regulation maintains
a client's cerebral perfusion?
Ans: Constriction of cerebral blood vessels when mean arterial
pressure is high
A nurse is caring for a client who has a subarachnoid hemorrhage
involving a ruptured aneurysm. Which of the following options should
the nurse understand are evidence-based guidelines to treat
subarachnoid hemorrhage and reduce the 1 year mortality rate?
Ans: -administration of antihypertensives
-administration of nimodipine
-coiling or clipping of ruptured aneurysm
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