ATI LPN
Medical-Surgical Nursing Neurological System Questions
Question 1 of 5
A client returns to unit following a craniotomy for removal of brain tumor and is obtunded but arouses to painful stimuli. Which assessment is most important for the nurse to obtain?
Correct Answer: D
Rationale: Obtunded state post-craniotomy suggests possible increased ICP; BP/pulse trends indicate stability or deterioration. Others are secondary. [Level: Analysis]
Question 2 of 5
The nurse is conducting discharge teaching for a male client with a prescription for magnesium hydroxide 15 mL one time per day. His home medication cup is ounces. How many ounces should he take each dose?
Correct Answer: A
Rationale: 15 mL ≈ 0.5 oz (1 oz = 29.57 mL). [Level: Application]
Question 3 of 5
A client has a prescription for a viscous compound containing lidocaine HCL and diphenhydramine to relieve the discomfort of mucositis caused by radiation therapy. Which instructions should the nurse provide the client about administration of this prescription?
Correct Answer: D
Rationale: Mucositis affects oral mucosa; swishing numbs sores, swallowing is safe for this mix. Others are for external wounds. [Level: Application]
Question 4 of 5
A patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously. Health records show a history of several transient ischemic attacks (TIAs). What should the nurse anticipate for this patient?
Correct Answer: D
Rationale: Symptoms <3 hours suggest acute stroke; tPA is first-line if within window and ischemic. TIAs increase risk but don’t dictate C. [Level: Application]
Question 5 of 5
A patient with left-sided weakness that started 60 minutes earlier is admitted to the emergency department and diagnostic tests are ordered. Which test should be done first?
Correct Answer: C
Rationale: CT scan rules out hemorrhage before thrombolytics in acute stroke (<3 hours). Others follow. [Level: Analysis]