Practice Question
A nurse is caring for a 77-year-old African American male client in the emergency department.
Answer Choices:
Correct Answer:
The nurse should prepare to administer tPA.
Rationale:
Prepare to administer tPA
CT confirms ischemic stroke (no hemorrhage), and tPA is standard treatment for ischemic stroke
within the time window.
Anticipate the need for endotracheal intubation:
The client is unresponsive with worsening neurological status, risking airway compromise.
Prepare to administer antihypertensive medication:
The provider ordered BP management to prevent further stroke damage while maintaining
perfusion.
Use a calm and reassuring approach:
The client is unresponsive, but the family is distressed; a calming presence reduces anxiety.
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This question is from RN Medsurg Exam 15 which contains 50 questions.
More Questions from This Exam
A nurse is caring for a client admitted with meningitis. The student nurse asks, "I know that the client has a lot of edema in the brain, but what causes it?" Which of the following responses from the nurse best answers the student's query?
Answer Choices:
A. Cerebral edema is caused by osmotic cerebral edema.
B. Cerebral edema is caused by whole-body inflammation, which affects the brain the most.
C. Cerebral edema is caused by cerebrospinal fluid flowing from the intraventricular space to the interstitial area of the brain.
D. Cerebral edema is caused by the by-products of the pathogen that causes the meningitis.
A nurse is caring for a client who has phantom limb pain. The nurse should identify the client is experiencing which type of pain?
Answer Choices:
A. Neuropathic pain
B. Chronic pain
C. Acute pain
A nurse is caring for a client who has chronic migraine headaches. The client asks if they had a cerebral aneurysm; which of the following responses should the nurse use?
Answer Choices:
A. If you had a cerebral aneurysm, you would have a stiff neck.
B. If you have a cerebral aneurysm, you typically will have no symptoms.
C. If you have a cerebral aneurysm, you would be having seizures.
D. If you have a cerebral aneurysm, you will experience nausea and vomiting.
A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following secondary conditions should the nurse anticipate the client might develop?
Answer Choices:
A. Development of emotional disorders and acute pain
B. Loss of sensation and cognition difficulties
C. Body dysmorphia and neurofibrillary tangles
D. Decreased appetite and a lack of sleep.
A nurse is reinforcing teaching to a group of nursing students about possible psychosocial changes a client might have after sustaining a neurological injury. Which of the following should the nurse mention?
Answer Choices:
A. Improved rehabilitation outcomes and temporary behavior changes
B. Improved mood stability and improved temper control
C. Changes to social cognition and challenges to inhibitory control
D. Sense of purpose, improved motivation, and stable relationships
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 7