ATI LPN
Medical-Surgical Nursing Neurological System Questions
Question 1 of 5
The nurse is caring for a patient experiencing a stroke understands the importance of establishing the onset of the stroke before administering a tissue plasminogen activator based on which recommendation?
Correct Answer: C
Rationale: tPA is effective for ischemic stroke within 3 hours of onset (up to 4.5 hours in some cases). Beyond 3 hours, bleeding risk outweighs benefits. Choice C accurately reflects this guideline.
Question 2 of 5
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of the following results should the nurse expect?
Correct Answer: A
Rationale: DKA features acidosis (pH 7.32), low HCO3 (14), and compensatory low PaCO2 (36), as in A.
Question 3 of 5
A patient is admitted to the hospital with acute pancreatitis and pain. What type of pain would the nurse note for this patient?
Correct Answer: D
Rationale: Acute pancreatitis pain is severe, unrelenting, epigastric, and radiates to the back (D) due to pancreatic inflammation.
Question 4 of 5
Being present during a code can assist family members in:
Correct Answer: D
Rationale: Family presence (D) helps them see all efforts were made, aiding closure.
Question 5 of 5
Nursing management of the patient with angina is directed toward
Correct Answer: C
Rationale: Assessing and documenting pain (C) guides angina management and treatment efficacy.