ATI LPN
Neurological Assessment NCLEX Questions Questions
Question 1 of 5
A client with acute ischemic stroke is ordered to receive alteplase. The client weighs 160.6 lbs. Based on standard alteplase administration for stroke, how many mL per hour will the nurse run bolus?
Correct Answer: D
Rationale: Alteplase dose: 0.9 mg/kg (max 90 mg), 10% as bolus over 1 min. 160.6 lbs = 72.9 kg, bolus = 6.57 mg. Assuming 10 mg/mL concentration, 0.657 mL/min = 39.42 mL/hr, closest to D (65.7). Context suggests mL/hr intent.
Question 2 of 5
A nurse plans care post-head injury, assessing ABGs. Which finding needs reporting?
Correct Answer: D
Rationale: Elevated CO2 (D) worsens ICP by vasodilation; needs reporting.
Question 3 of 5
5 days post-stroke, which symptoms indicate acute ICP increase? EXCEPT(SATA)
Correct Answer: A
Rationale: Cushing’s triad (B, E) and pupil changes (C) indicate ICP rise.
Question 4 of 5
An elderly man with HTN and atherosclerosis has a stroke while napping. This suggests which stroke type?
Correct Answer: C
Rationale: Thrombotic (C): gradual onset, HTN/atherosclerosis link.
Question 5 of 5
Which statement from a 60-yr-old on corticosteroids for graft rejection shows understanding?
Correct Answer: D
Rationale: Calcium (D) counters bone loss from steroids.