ATI LPN
Medical Surgical Neurology Questions
Question 1 of 5
A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the following findings as an indication of hypocalcemia?
Correct Answer: C
Rationale: Hypocalcemia post-thyroidectomy causes tingling/numbness (C) due to nerve irritability from low calcium.
Question 2 of 5
Which device or activity is associated with the highest noise level?
Correct Answer: B
Rationale: Pneumatic tube arrival (B) generates the loudest noise in critical care settings due to mechanical impact.
Question 3 of 5
The nurse assesses a patient with an ETT and mechanical ventilation whose high peak pressure alarm is sounding. What is the cause of this alarm?
Correct Answer: B
Rationale: High peak pressure often results from ETT obstruction (B), e.g., biting or kinking.
Question 4 of 5
The nurse is caring for a patient being treated with an intraaortic balloon pump. Which intervention is most important to include in the patient’s plan of care?
Correct Answer: B
Rationale: IABP requires pulse checks (B) to monitor circulation due to femoral insertion.
Question 5 of 5
The defecation reflex is a parasympathetic polysynaptic reflex that leads to elimination of feces through relaxation of the internal anal sphincter. Where is(are) the synapses in this reflex arc located?
Correct Answer: A
Rationale: PNS defecation reflex synapses occur in the spinal cord lateral horn (S2-S4) and intramural ganglia in the gut wall. Collateral ganglia are SNS-related. [Level: Comprehension]