ATI LPN
Medical-Surgical Nursing Neurological System Questions
Question 1 of 5
Magnesium hydroxide, 1.5 ounces P.O is prescribed for a client complaining of heartburn. After taking the prescribed dose 3 times today, how many mL of magnesium hydroxide has the client ingested?
Correct Answer: A
Rationale: 1.5 oz = 44.36 mL (1 oz ≈ 29.57 mL); 3 doses = 44.36 × 3 = 133.08 mL. [Level: Application]
Question 2 of 5
A client has a prescription for a viscous compound containing lidocaine HCL and diphenhydramine to relieve the discomfort of mucositis caused by radiation therapy. Which instructions should the nurse provide the client about administration of this prescription?
Correct Answer: D
Rationale: Mucositis affects oral mucosa; swishing numbs sores, swallowing is safe for this mix. Others are for external wounds. [Level: Application]
Question 3 of 5
A patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously. Health records show a history of several transient ischemic attacks (TIAs). What should the nurse anticipate for this patient?
Correct Answer: D
Rationale: Symptoms <3 hours suggest acute stroke; tPA is first-line if within window and ischemic. TIAs increase risk but don’t dictate C. [Level: Application]
Question 4 of 5
A patient with left-sided weakness that started 60 minutes earlier is admitted to the emergency department and diagnostic tests are ordered. Which test should be done first?
Correct Answer: C
Rationale: CT scan rules out hemorrhage before thrombolytics in acute stroke (<3 hours). Others follow. [Level: Analysis]
Question 5 of 5
When feeding a patient with a stroke on the left side, which position would the RN place the patient?
Correct Answer: C
Rationale: High Fowler’s (upright) reduces aspiration risk during feeding. Others increase risk. [Level: Application]