ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 of 5
Client in barbiturate coma with gurgling ETT. First action before suctioning?
Correct Answer: B
Rationale: Hyperoxygenation (B) prevents hypoxia (text note).
Question 2 of 5
A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Sodium 110 mEq/L (A) is severe hyponatremia in SIADH, requiring urgent reporting.
Question 3 of 5
Which practice guideline should the nurse implement when caring for the patient receiving enteral feedings?
Correct Answer: A
Rationale: GRV is typically checked every 4-6 hours (A), with 500 mL (C) as a concern threshold, not 100 mL (D).
Question 4 of 5
During the report using SBAR, the nurse states, 'Since we have just initiated a potassium replacement protocol, the patient will need a potassium level drawn at 1300.' This depicts:
Correct Answer: D
Rationale: This is a recommendation (D) in SBAR, suggesting a future action based on the situation.
Question 5 of 5
Which patient would probably not be a candidate for NPPV?
Correct Answer: C
Rationale: Drug overdose with shallow breathing (C) risks hypoventilation, contraindicating NPPV.