ATI LPN
Neurological Questions Questions
Question 1 of 5
The nurse caring for a severely head-injured comatose client observes which signs indicating late stages of intracranial HTN?
Correct Answer: B
Rationale: Cushing’s triad (text note): severe HTN, wide pulse pressure, bradycardia (B) indicate late ICP increase.
Question 2 of 5
Post-kidney transplant, a client asks what happens when the body realizes the kidney isn’t his. Best response?
Correct Answer: A
Rationale: Immunosuppression prevents rejection (A), the accurate response.
Question 3 of 5
The nurse plans care for a client with ICP receiving 3% NaCl. What should be monitored?
Correct Answer: B
Rationale: 3% NaCl affects BP and sodium (B) to manage ICP and prevent hypernatremia.
Question 4 of 5
An appropriate outcome for expressive aphasia is?
Correct Answer: C
Rationale: Expressive aphasia clients use alternatives (C) like gestures.
Question 5 of 5
Post-concussion, which finding prompts a physician call?
Correct Answer: D
Rationale: Nasal discharge (D) may indicate CSF leak.