ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 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 2 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 3 of 5
What will the nurse tell the patient who has cerebral atherosclerosis about taking clopidogrel (Plavix)?
Correct Answer: B
Rationale: Clopidogrel is an antiplatelet; tarry stools indicate bleeding, a key side effect to report. C/D are inaccurate—prevents clots, not dissolves/reduces plaque. [Level: Application]
Question 4 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 5 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]