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ATI LPN · Medical Surgical Nursing · Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client with a serious head injury has been admitted. Which finding denotes the most serious prognosis?

A. Decorticate posturing (3 on GCS)

B. GCS score of 12

C. Decerebrate posturing (2 on GCS)

D. Absence of Babinski reflex (normal)

Correct Answer: Decerebrate posturing (2 on GCS)

Question 2 of 5

The nurse understands that the rapid response teams (RRTs) have been implemented to function how?

A. Address changes in patients clinical conditions before a cardiac and/or respiratory arrest occurs

B. Ensure intervention are available quickly when a patient conditions become unstable

C. Be available monday-friday

D. Improve recognition of and response to deterioration in patients

Correct Answer: Address changes in patients clinical conditions before a cardiac and/or respiratory arrest occurs

Question 3 of 5

The part of the brain responsible for unconscious bodily functions is the:

A. cerebrum.

B. cerebellum.

C. brain stem.

D. crainial nerves.

Correct Answer: brain stem.

Question 4 of 5

Which expected outcome would be included in the plan of care for a patient who had a stroke and is experiencing residual expressive aphasia?

A. The patient will verbalize plans for rehabilitation

B. The pt will be satisfied with the care environment

C. The pt will demonstrate alternative communication techniques

D. The patient will demonstrate understanding that the aphasia is permanent

Correct Answer: The pt will demonstrate alternative communication techniques

Question 5 of 5

A client post-stroke has motor speech issues, understands but canâ€™t speak/read. This is consistent with?

A. Expressive aphasia

B. Agnosia

C. Dysphagia

D. Receptive aphasia

Correct Answer: Expressive aphasia

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