ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 69 Questions
Question 1 of 5
A patient with possible bacterial meningitis is admitted to the ICU. What assessment finding would the nurse expect for a patient with this diagnosis?
Correct Answer: B
Rationale: A positive Brudzinski's sign, where neck flexion causes knee and hip flexion, is a hallmark of bacterial meningitis due to meningeal irritation. Pain on dorsiflexion (Homans' sign) relates to thrombosis, Romberg's sign to balance issues, and numbness to peripheral neuropathy, none of which are typical for meningitis.
Question 2 of 5
The nurse is planning discharge education for a patient with trigeminal neuralgia. The nurse knows to include information about factors that precipitate an attack. What would the nurse be correct in teaching the patient to avoid?
Correct Answer: A
Rationale: Washing the face can trigger pain in trigeminal neuralgia due to stimulation of the affected nerve. Sunlight exposure, artificial tears, and fluid intake do not typically precipitate attacks.
Question 3 of 5
The nurse is caring for a patient with multiple sclerosis (MS). The patient tells the nurse the hardest thing to deal with is the fatigue. When teaching the patient how to reduce fatigue, what action should the nurse suggest?
Correct Answer: B
Rationale: Resting in a cool, air-conditioned environment reduces body temperature, which can alleviate MS-related fatigue. Hot baths exacerbate fatigue, muscle relaxants may worsen it, and naps are beneficial.
Question 4 of 5
A patient with Guillain-Barr?© syndrome has experienced a sharp decline in vital capacity. What is the nurse's most appropriate action?
Correct Answer: C
Rationale: A sharp decline in vital capacity in Guillain-Barr?© syndrome indicates respiratory muscle weakness, necessitating preparation for intubation to ensure adequate oxygenation. Bronchodilators and oxygen are insufficient, and breathing exercises may be impossible.
Question 5 of 5
A patient diagnosed with Bell's palsy is being cared for on an outpatient basis. During health education, the nurse should promote which of the following actions?
Correct Answer: A
Rationale: Bell's palsy can impair eye closure, risking corneal damage, so a protective eye shield at night is essential. Chewing on the affected side is difficult, analgesics may be needed, and oral hygiene should continue.