ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 54 Questions
Question 1 of 5
Which divisions are the two divisions of the nervous system?
Correct Answer: D
Rationale: The central and the peripheral are the two divisions of the nervous system. The autonomic and the somatic are the division of the peripheral nervous system.
Question 2 of 5
Which cranial nerve supplies most of the organs in the thoracic and abdominal cavities and carries motor fibers to glands that produce digestive juices and other secretions?
Correct Answer: D
Rationale: The vagus nerve extends from the throat, larynx, and organs in the thoracic and abdominal cavities. It is responsible for sensations and will accelerate peristalsis when stimulated.
Question 3 of 5
The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses that are slow and unintelligible. Which position is most appropriate for the patient?
Correct Answer: A
Rationale: The patient is experiencing increased intracranial pressure.
To assist with reducing the intracranial pressure, place the patient's neck in a neutral position (not flexed or extended) to promote venous drainage.
Question 4 of 5
Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?
Correct Answer: C
Rationale: For patients with suspected neurologic conditions, the presence of many symptoms or subjective data may be significant. Offering leading questions is not beneficial and may allow the patient to give misinformation. Questions should be specific about symptoms.
Question 5 of 5
Which sign is the cardinal sign of increased intracranial pressure in a patient who has sustained a brain injury?
Correct Answer: D
Rationale: Collection of objective data includes a change in level of consciousness. A change in the level of consciousness is the earliest sign of increased intracranial pressure.