ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 of 5
Any drug that can act on the central nervous system must first pass through the blood-brain barrier, which:
Correct Answer: D
Rationale: BBB protects CNS by separating blood from CSF. A is meninges, B/C are incorrect. [Level: Knowledge]
Question 2 of 5
The Nurse is assessing a client diagnosed with medical diagnosis of a Bartholin cyst. Which physical assessment technique should the nurse use to observe the cyst?
Correct Answer: B
Rationale: Bartholin cysts (vulvar) are best assessed via pelvic exam in lithotomy position. Others are irrelevant. [Level: Application]
Question 3 of 5
Prior to initiating peritoneal dialysis, which nursing action is most important for the nurse to implement?
Correct Answer: B
Rationale: Baseline vital signs assess stability before dialysis. C is a typo (auscultate lungs?), others are secondary. [Level: Application]
Question 4 of 5
The intracranial pressure of a brain-injured client who is on a ventilator has increased from 15 mm Hg to 25 mm Hg within the last 30 minutes. The client is beginning to flex all extremities intermittently. Based on these findings, which immediate action should the nurse take?
Correct Answer: C
Rationale: Rising ICP and decorticate posturing suggest hypoxia or obstruction; airway patency is the first check. A/B follow if needed. [Level: Analysis]
Question 5 of 5
What will the nurse tell the patient who has cerebral atherosclerosis about taking clopidogrel (Plavix)?
Correct Answer: B
Rationale: Clopidogrel is an antiplatelet; tarry stools indicate bleeding, a key side effect to report. C/D are inaccurate—prevents clots, not dissolves/reduces plaque. [Level: Application]