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AH2 Exam 1//ATI AH2 COMPREHENSIVE EXIT EXAM RETAKE WITH NGN QUESTIONS (ACTUAL EXAM) A client with weakness and tingling in both legs is admitted to the medical-surgical unit with a tentative diagnosis of Guillain-Barré syndrome. On admission, w$19.39
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AH2 Exam 1//ATI AH2 COMPREHENSIVE EXIT EXAM RETAKE WITH NGN QUESTIONS (ACTUAL EXAM) A client with weakness and tingling in both legs is admitted to the medical-surgical unit with a tentative diagnosis of Guillain-Barré syndrome. On admission, w
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Course
AH2
Institution
AH2
AH2 Exam 1//ATI AH2 COMPREHENSIVE
EXIT EXAM RETAKE WITH
NGN QUESTIONS (ACTUAL EXAM)
A client with weakness and tingling in both legs is
admitted to the medical-surgical unit with a tentative
diagnosis of Guillain-Barré syndrome. On admission,
which assessment is most important for this clie...
AH2 Exam 1// ATI AH2 COMPREHENSIVE
EXIT EXAM RETAKE 2023- 2024 WITH
NGN QUESTIONS (ACTUAL EXAM)
A client with weakness and tingling in both legs is
admitted to the medical-surgical unit with a tentative
diagnosis of Guillain-Barré syndrome. On admission,
which assessment is most important for this client? -
✔✔ANSWER✔✔>>Lung auscultation and
measurement of vital capacity and tidal volume
A nurse completes the Glasgow Coma Scale on a
patient with traumatic brain injury (TBI). Her
assessment results in a score of 6, which is
interpreted as: - ✔✔ANSWER✔✔>>Severe TBI.
Explanation:
A score of 13 to 15 is classified as mild TBI, 9 to 12 is
moderate TBI, and 3 to 8 is severe TBI. A score of 3
indicates severe impairment of neurologic function,
deep coma, brain death, or pharmacologic inhibition
of the neurologic response; a score of 8 or less
typically indicates an unconscious patient; a score of
15 indicates a fully alert and oriented patient.
A client comes to the clinic for evaluation because of
complaints of dizziness and difficulty walking. Further
,assessment reveals a staggering gait, marked
muscle incoordination, and nystagmus. A brain tumor
is suspected. Based on the client's assessment
findings, the nurse would suspect that the tumor is
located in which area of the brain? -
✔✔ANSWER✔✔>>Cerebellum
A client seeks care for lower back pain of 2 weeks'
duration. Which assessment finding suggests a
herniated intervertebral disk? -
✔✔ANSWER✔✔>>Pain radiating down the posterior
thigh
A nurse is working with a student nurse who is caring
for a client with an acute bleeding cerebral
aneurysm. Which action by the student nurse
requires further intervention? -
✔✔ANSWER✔✔>>Keeping the client in one position
to decrease bleeding
The nurse is caring for a client diagnosed with a
subarachnoid hemorrhage resulting from a leaking
aneurysm. The client is awaiting surgery. Which
nursing interventions would be appropriate for the
nurse to implement? Select all that apply. -
✔✔ANSWER✔✔>>Provide a dimly lit environment.
Elevate the head of bed 30 degrees.
Administer docusate per order.
, The nurse teaches the client diagnosed with
Huntington disease that it is transmitted as which
type of genetic disorder? -
✔✔ANSWER✔✔>>Autosomal dominant
When communicating with a client who has sensory
(receptive) aphasia, the nurse should: -
✔✔ANSWER✔✔>>use short, simple sentences.
Which of the following methods may be used by the
nurse to maintain the peripheral circulation in a
patient with increased intracerebral pressure (ICP)? -
✔✔ANSWER✔✔>>Apply elastic stockings to lower
extremities.
What clinical manifestations does the nurse
recognize when a patient has had a right hemispheric
stroke? - ✔✔ANSWER✔✔>>Left visual field deficit
When caring for a client diagnosed with a brain tumor
of the parietal lobe, the nurse expects to find: -
✔✔ANSWER✔✔>>tactile agnosia.
Explanation:
The nurse should expect to find tactile agnosia
(inability to identify objects by touch), a sign of a
parietal lobe tumor. Short-term memory impairment
occurs with a frontal lobe tumor. Contralateral
homonymous hemianopia suggests an occipital lobe
tumor
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