ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 of 5
The nurse admits a 35-year-old patient to the emergency department following a 3-day history of nausea and vomiting. Vital signs assessed by the nurse include a BP of 70/50 mm Hg, HR 145 beats/min, RR 36 breaths/min, and SpO2 of 92% on room air. The nurse recognizes which classification of shock?
Correct Answer: D
Rationale: Hypovolemic shock (D) matches fluid loss (vomiting), low BP, and tachycardia.
Question 2 of 5
Any drug that can act on the central nervous system must first pass through the blood-brain barrier, which:
Correct Answer: D
Rationale: BBB protects CNS by separating blood from CSF. A is meninges, B/C are incorrect. [Level: Knowledge]
Question 3 of 5
On the first postoperative day, the nurse finds an older male client disoriented and trying to climb over the bed railing. Previously he was oriented to person, place, and time on admission. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Acute confusion post-op may stem from pain, hypoxia, or other causes. Assessment (e.g., pain) is the first step before intervention. [Level: Analysis]
Question 4 of 5
The Nurse is assessing a client diagnosed with medical diagnosis of a Bartholin cyst. Which physical assessment technique should the nurse use to observe the cyst?
Correct Answer: B
Rationale: Bartholin cysts (vulvar) are best assessed via pelvic exam in lithotomy position. Others are irrelevant. [Level: Application]
Question 5 of 5
Prior to initiating peritoneal dialysis, which nursing action is most important for the nurse to implement?
Correct Answer: B
Rationale: Baseline vital signs assess stability before dialysis. C is a typo (auscultate lungs?), others are secondary. [Level: Application]