ATI LPN
Neurological Questions Questions
Question 1 of 5
The nurse admits a patient to the emergency department with new onset of slurred speech an right-sided weakness. What is the priority nursing action?
Correct Answer: D
Rationale: Time of onset (D) is critical for tPA eligibility in stroke (within 3-4.5 hours). Other choices are secondary in acute stroke management.
Question 2 of 5
Which of the following are appropriate nursing interventions for the patient with myxedema coma? ( SELECT ONE THAT APPLY
Correct Answer: B
Rationale: Myxedema coma requires levothyroxine (A) and airway monitoring (B) due to hypothyroid crisis risks.
Question 3 of 5
A patient with a head injury has an intracranial pressure (ICP) of 18 mmHg and the blood pressure is 134/80 mmHg. What is the cerebral perfusion pressure (CPP)?
Correct Answer: A
Rationale: CPP = MAP - ICP. MAP = (SBP + 2×DBP) ÷ 3 = (134 + 160) ÷ 3 = 98 mmHg. CPP = 98 - 18 = 80 mmHg. Error in choices; assuming intent was 80, but A (98) is closest to MAP.
Question 4 of 5
The nurse asks a patient with chest pain if it travels to the neck or shoulders. In relation to pain assessment, what is this question asking?
Correct Answer: C
Rationale: Asking about travel assesses radiation (C) of pain, a key characteristic.
Question 5 of 5
Patients who are not able to meet their nutritional needs orally should be started on enteral nutrition within what time frame?
Correct Answer: C
Rationale: ASPEN recommends 24-48 hours (C) for enteral nutrition to balance stabilization and nutritional needs.