ATI LPN
Neurological Assessment Questions Questions
Question 1 of 5
Loss of which structure is most likely to contribute to the hearing deficit?
Correct Answer: B
Rationale: Noise-induced hearing loss primarily damages inner hair cells, the sensory receptors. TMP13 pp. 682, 683
Question 2 of 5
Which of the following provides about two thirds of the 59 diopters of refractive power of the eye?
Correct Answer: A
Rationale: The anterior cornea provides ~40 diopters due to its refractive index difference with air. TMP13 p. 638
Question 3 of 5
Which brain stem structure plays a major role in determining the direction from which a sound originates?
Correct Answer: D
Rationale: The superior olivary nucleus detects sound direction via intensity and time differences. TMP13 pp. 681-682
Question 4 of 5
When caring for a patient with a new right-sided homonymous hemianopsia resulting from a stroke, which intervention should the nurse include in the plan of care?
Correct Answer: C
Rationale: During the acute period, the nurse should place objects on the patient's unaffected side. Because there is a visual defect in the right half of each eye, an eye patch is not appropriate. The patient should be approached from the left side. The visual deficit may not resolve, although the patient can learn to compensate for the defect.
Question 5 of 5
Which of the following is a sign of increased intracranial pressure?
Correct Answer: D
Rationale: Increased intracranial pressure (ICP) often manifests as irritability, along with headache, vomiting, and altered consciousness. Hypotension (likely a typo for hypertension) is a late sign with bradycardia (Cushing’s triad), not tachycardia. Tinnitus is unrelated to ICP.