ATI LPN
Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status Questions
Question 1 of 5
The function of the Visual system include all of the following EXCEPT
Correct Answer: A
Rationale: The visual system detects relative intensity differences, not absolute intensity, for contrast; it also regulates rhythms (via SCN) and controls optics.
Question 2 of 5
High resolution tactile discrimination by the fingertips
Correct Answer: D
Rationale: Fine tactile discrimination relies on the dorsal column-medial lemniscus system, using small-receptive-field receptors like Merkel’s disks.
Question 3 of 5
A client with a serious head injury has been admitted. Which finding denotes the most serious prognosis?
Correct Answer: C
Rationale: Decerebrate posturing (C) scores 2 on GCS motor, indicating severe brainstem dysfunction and worse prognosis.
Question 4 of 5
A post-craniotomy client developed SIADH. How does the nurse determine treatment effectiveness?
Correct Answer: D
Rationale: SIADH causes water retention; increased urine output (D) indicates correction.
Question 5 of 5
A client post-kidney transplant needs teaching on acute rejection signs. Which are they?
Correct Answer: D
Rationale: Acute rejection: fever, oliguria, HTN, lethargy (D) per transplant norms.