ATI LPN
Neurological Questions Questions
Question 1 of 5
A young adult is burned when wearing a shirt that was splashed with lighter fluid and caught. The shirt immediately without unbuttoning. What should the nurse implement first?
Correct Answer: C
Rationale: Burns require immediate neurovascular assessment (sensation) to detect nerve damage or compartment issues. B follows, A is later. [Level: Analysis]
Question 2 of 5
A patient will attempt oral feedings for the first time after having a stroke. After assessing the gag reflex, what action should the nurse take?
Correct Answer: C
Rationale: Upright position (chair) reduces aspiration risk post-stroke if gag reflex is intact. D follows, A/B are secondary. [Level: Application]
Question 3 of 5
Which nursing intervention would be included in the plan of care for a patient who is admitted with stroke and is complaining about having liquid stools?
Correct Answer: C
Rationale: Liquid stools post-stroke may mask impaction (neurogenic bowel); checking ensures safety. A/B worsen, D is unrelated. [Level: Analysis]
Question 4 of 5
Which intervention would the RN delegate to the experienced UAP when working with a pt who had a stroke?
Correct Answer: C
Rationale: UAP can do ROM exercises. A/B/D require RN skill. [Level: Application]
Question 5 of 5
The nodes of Ranvier are found on:
Correct Answer: A
Rationale: Nodes of Ranvier are gaps in the myelin sheath on myelinated axons (D is incorrect; intent: A). [Level: Knowledge]