ATI LPN
Medical Surgical Neurology Questions
Question 1 of 5
Second ischemic stroke, symptoms 4 hr ago. What contraindicates IV alteplase? (SATA)
Correct Answer: A
Rationale: Warfarin (A) increases bleeding risk; 4 hr within window but INR matters.
Question 2 of 5
ICP 22 mm Hg, BP 174/88 mm Hg. CPP?
Correct Answer: C
Rationale: MAP = (88×2 + 174)/3 = 116. CPP = 116 - 22 = 94, closest to 95 (C).
Question 3 of 5
What is the normal value for central venous pressure?
Correct Answer: C
Rationale: Normal CVP is 2-6 mmHg (C), reflecting right atrial pressure in healthy adults.
Question 4 of 5
A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the following findings as an indication of hypocalcemia?
Correct Answer: C
Rationale: Hypocalcemia post-thyroidectomy causes tingling/numbness (C) due to nerve irritability from low calcium.
Question 5 of 5
Which of the following patients is at the highest risk for hyperosmolar hyperglycemic syndrome?
Correct Answer: A
Rationale: Elderly with type 2 DM and infection (A) are at highest risk for HHS due to dehydration and comorbidities.