ATI LPN
Neurological Disorders in Medical Surgical Nursing Questions
Question 1 of 5
Increased perspiration, a higher body temperature, and a rapidly beating heart are all possible responses to a stressful situation. These body responses are most likely a direct result of the interaction of the
Correct Answer: C
Rationale: Stress activates SNS (nervous) and adrenal hormones (endocrine), causing these responses. [Level: Comprehension]
Question 2 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 3 of 5
A client with renal calculus is complaining of severe right flank pain, nausea, and vomiting. Which nursing problem has the highest priority?
Correct Answer: A
Rationale: Pain is acute and immediate; it’s the priority per Maslow’s hierarchy. Others are secondary. [Level: Analysis]
Question 4 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 5 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]