ATI LPN
Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status Questions
Question 1 of 5
The function of the myelin sheath found on myelinated neurons is to:
Correct Answer: B
Rationale: Myelin insulates axons, speeding signal transmission. Others are secondary glial roles. [Level: Knowledge]
Question 2 of 5
Which Technique should the nurse use when assessing for early signs of rheumatoid arthritis?
Correct Answer: A
Rationale: RA early signs include joint nodules (e.g., hands). D is vague, B/C are less specific. [Level: Application]
Question 3 of 5
A client with acute renal injury (AKI) weighs 50 kg and has potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse first administer?
Correct Answer: C
Rationale: Hyperkalemia (6.7, normal 3.5-5) risks cardiac arrest; sodium polystyrene sulfonate removes potassium fastest. Others address phosphate or anemia. [Level: Analysis]
Question 4 of 5
When the nurse begins discharge instructions for a client and her spouse, the client who had an above the knee amputation for complications associated with diabetes, tells the nurse that she is not ready to go home and wants to stay home in the hospital another day, which intervention is important for the nurse to implement?
Correct Answer: C
Rationale: Exploring fears identifies barriers to discharge readiness, guiding support. Others assume or bypass the root issue. [Level: Application]
Question 5 of 5
What concern should the nurse anticipate for a patient who had a right hemisphere stroke?
Correct Answer: C
Rationale: Right-brain strokes cause left-sided deficits and behavioral changes (denial, impulsivity). B is left-brain, A/D are less specific. [Level: Comprehension]