ATI LPN
Neurological Disorders in Medical Surgical Nursing Questions
Question 1 of 5
The nurse working in the ER uses which diagnostic scale to assess the severity of presenting signs and symptoms of stroke?
Correct Answer: C
Rationale: The NIH Stroke Scale (NIHSS) quantifies stroke severity in the ER, assessing consciousness, motor function, etc. Cincinnati scale is for prehospital screening, Glasgow is for outcomes. Choice C is correct.
Question 2 of 5
A nurse is caring for a client who has type 2 diabetes mellitus and is experiencing a hyperglycemia hyperosmolar state (HHS). Which of the following laboratory finding should the nurse expect?
Correct Answer: D
Rationale: HHS typically has normal pH (7.45, D) and very high glucose (>600 mg/dL), but C (425) is closer than B.
Question 3 of 5
An important nursing intervention for the patient with an arteriovenous fistula is to: ( SELECT ONE THAT APPLY)
Correct Answer: D
Rationale: AV fistula care includes auscultating bruit (C) and palpating thrill (D) every 8 hours to confirm patency, not using it for draws (A).
Question 4 of 5
The nurse recognizes which statement is a potential ethical issue?
Correct Answer: B
Rationale: Questioning withdrawal of support (B) raises ethical concerns about autonomy and beneficence.
Question 5 of 5
Which finding on the ECG is most conclusive for infarction?
Correct Answer: A
Rationale: Pathological Q waves (A) indicate prior myocardial infarction due to necrosis.