ATI LPN
Neurological Disorders in Medical Surgical Nursing Questions
Question 1 of 5
An older client who is agitated, dyspneic, orthopneic, and using accessory muscle to breathe is admitted for further treatment. Initial assessment indicates beats/minute and irregular, respirations 36 breaths/minute, blood pressure 168/100 mmHg. Wheezes and crackles in all lung fields. An hour after the administered mg IV, which assessment should the nurse obtain to determine the client’s response to treatment?
Correct Answer: C
Rationale: Lung sounds assess respiratory improvement (e.g., reduced wheezes/crackles) post-treatment (likely diuretics/bronchodilators). Others are less direct. [Level: Application]
Question 2 of 5
Which change in lab values would indicate to the nurse that treatment for gout is successful?
Correct Answer: D
Rationale: Gout results from high uric acid; successful treatment lowers it. Purine is dietary, not a lab value. [Level: Comprehension]
Question 3 of 5
A client admitted dehydration resulting from vomiting and diarrhea. The nurse knows that the client is at greatest risk of developing which condition?
Correct Answer: D
Rationale: Dehydration causes electrolyte imbalances (e.g., hypokalemia), risking dysrhythmias. Others are less directly linked. [Level: Comprehension]
Question 4 of 5
A female patient who had a stroke 24 hours ago has expressive aphasia. What is an appropriate nursing intervention to help the patient communicate?
Correct Answer: A
Rationale: Expressive aphasia impairs speech output; yes/no questions aid communication. B/C are therapy, D undermines autonomy. [Level: Application]
Question 5 of 5
Nurses in change-of-shift report are discussing the care of a patient with a stroke who has progressively increasing weakness and decreasing level of consciousness. Which patient problem do they determine has the highest priority for the patient?
Correct Answer: A
Rationale: Decreasing consciousness increases aspiration risk, a life-threatening issue. Others are chronic concerns. [Level: Analysis]