ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 of 5
The intracranial pressure of a brain-injured client who is on a ventilator has increased from 15 mm Hg to 25 mm Hg within the last 30 minutes. The client is beginning to flex all extremities intermittently. Based on these findings, which immediate action should the nurse take?
Correct Answer: C
Rationale: Rising ICP and decorticate posturing suggest hypoxia or obstruction; airway patency is the first check. A/B follow if needed. [Level: Analysis]
Question 2 of 5
A patient with a left-brain stroke suddenly bursts into tears when family members visit. How should the nurse respond?
Correct Answer: D
Rationale: Left-brain strokes affect emotional regulation; educating family normalizes this. A dismisses, B/C assume depression. [Level: Application]
Question 3 of 5
Which action would be beneficial to a patient with a right brain stroke?
Correct Answer: C
Rationale: Right-brain strokes impair spatial awareness; removing clutter prevents falls. B aids vision loss, not universal. [Level: Application]
Question 4 of 5
Which part of the neuron conducts electrical impulses away from the cell body?
Correct Answer: A
Rationale: The axon conducts impulses away to other neurons or effectors. Dendrites receive, synapses are gaps. [Level: Knowledge]
Question 5 of 5
Multipolar neurons have:
Correct Answer: B
Rationale: Multipolar neurons have many dendrites and one axon, typical of motor neurons. [Level: Knowledge]