ATI LPN
Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status Questions
Question 1 of 5
A client with acute renal injury (AKI) weighs 50 kg and has potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse first administer?
Correct Answer: C
Rationale: Hyperkalemia (6.7, normal 3.5-5) risks cardiac arrest; sodium polystyrene sulfonate removes potassium fastest. Others address phosphate or anemia. [Level: Analysis]
Question 2 of 5
What concern should the nurse anticipate for a patient who had a right hemisphere stroke?
Correct Answer: C
Rationale: Right-brain strokes cause left-sided deficits and behavioral changes (denial, impulsivity). B is left-brain, A/D are less specific. [Level: Comprehension]
Question 3 of 5
Which information about the patient who had a subarachnoid hemorrhage is most important to communicate to the health care provider?
Correct Answer: B
Rationale: Hypotension (90/50) signals shock or rebleed in SAH, requiring urgent intervention. Others are expected findings. [Level: Analysis]
Question 4 of 5
Which expected outcome would be included in the plan of care for a patient who had a stroke and is experiencing residual expressive aphasia?
Correct Answer: C
Rationale: Expressive aphasia requires alternative communication (e.g., gestures); C is realistic. A is impaired, D premature. [Level: Application]
Question 5 of 5
Neurons communicate with each other by releasing chemical messengers known as:
Correct Answer: C
Rationale: Neurotransmitters cross synapses to transmit signals. Hormones are systemic, antibodies immune, enzymes catalytic. [Level: Knowledge]