ATI LPN
Medical Surgical Nursing Neurological Disorders Quizlet Questions
Question 1 of 5
The nurse is starting a peripheral IV in the right hand of an unconscious patient. During the procedure, the client reaches over with his left hand and tries to remove the stimuli. How would the nurse document this response?
Correct Answer: B
Rationale: Reaching to remove stimuli is localization (B), GCS motor score 5, indicating purposeful movement.
Question 2 of 5
The nurse assesses a client pre-alteplase. What’s an important assessment?
Correct Answer: C
Rationale: Renal disease (C) affects drug clearance, critical for tPA safety.
Question 3 of 5
Joint Commission’s eight core measures for stroke care include which? (SATA)
Correct Answer: D
Rationale: Core measures: thrombolysis (A), statins (B), VTE (C), antithrombotic (D); E is partial.
Question 4 of 5
Interventions to prevent unilateral neglect in right-sided hemiplegia include?
Correct Answer: A
Rationale: Dressing affected side first (A) encourages attention to neglected side.
Question 5 of 5
The nurse’s priority action for a client with stroke symptoms?
Correct Answer: D
Rationale: Time of onset (D) determines tPA window.