ATI LPN
Neurological Assessment NCLEX Questions Questions
Question 1 of 5
The basilar membrane
Correct Answer: C
Rationale: The basilar membrane is wider and less stiff at the apex, resonating with low frequencies, while the base handles high frequencies.
Question 2 of 5
A client with acute ischemic stroke is ordered to receive alteplase. The client weighs 160.6 lbs. Based on standard alteplase administration for stroke, how many mL per hour will the nurse run bolus?
Correct Answer: D
Rationale: Alteplase dose: 0.9 mg/kg (max 90 mg), 10% as bolus over 1 min. 160.6 lbs = 72.9 kg, bolus = 6.57 mg. Assuming 10 mg/mL concentration, 0.657 mL/min = 39.42 mL/hr, closest to D (65.7). Context suggests mL/hr intent.
Question 3 of 5
The nurse provides discharge teaching post-liver transplant. Which client statement indicates more teaching is needed?
Correct Answer: C
Rationale: Stopping steroids during infection (C) is dangerous due to adrenal suppression; more teaching needed.
Question 4 of 5
A nurse plans care post-head injury, assessing ABGs. Which finding needs reporting?
Correct Answer: D
Rationale: Elevated CO2 (D) worsens ICP by vasodilation; needs reporting.
Question 5 of 5
5 days post-stroke, which symptoms indicate acute ICP increase? EXCEPT(SATA)
Correct Answer: A
Rationale: Cushing’s triad (B, E) and pupil changes (C) indicate ICP rise.