ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 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 2 of 5
The nurse admits a 35-year-old patient to the emergency department following a 3-day history of nausea and vomiting. Vital signs assessed by the nurse include a BP of 70/50 mm Hg, HR 145 beats/min, RR 36 breaths/min, and SpO2 of 92% on room air. The nurse recognizes which classification of shock?
Correct Answer: D
Rationale: Hypovolemic shock (D) matches fluid loss (vomiting), low BP, and tachycardia.
Question 3 of 5
Which of the following best describes autonomic innervation of the heart?
Correct Answer: D
Rationale: The heart receives dual ANS innervation: SNS increases rate/force, PNS decreases them—opposite effects. C is incorrect as they oppose, not complement. [Level: Comprehension]
Question 4 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 5 of 5
On the first postoperative day, the nurse finds an older male client disoriented and trying to climb over the bed railing. Previously he was oriented to person, place, and time on admission. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Acute confusion post-op may stem from pain, hypoxia, or other causes. Assessment (e.g., pain) is the first step before intervention. [Level: Analysis]