ATI LPN
Neurological Questions Questions
Question 1 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 2 of 5
Post-concussion, which finding prompts a physician call?
Correct Answer: D
Rationale: Nasal discharge (D) may indicate CSF leak.
Question 3 of 5
Admission VS: BP 128/68, pulse 110, RR 26. Most concerning VS 1 hr later?
Correct Answer: A
Rationale: Cushing’s triad in A (HTN, bradycardia, low RR) signals ICP rise.
Question 4 of 5
Subdural hematoma post-MVA. VS change indicating ICP increase?
Correct Answer: C
Rationale: Bradycardia (C) is part of Cushing’s triad (text note).
Question 5 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.