ATI RN
Questions to Ask About the Neurological System Questions
Question 1 of 9
To prevent Mr. Smith from developing increased intracranial pressure, which nursing measure is INAPPROPRIATE?
Correct Answer: D
Rationale: Postural drainage and coughing can increase intracranial pressure and is thus inappropriate.
Question 2 of 9
A patient is admitted to a unit diagnosed with advanced ALS. Which is the priority intervention?
Correct Answer: C
Rationale: In advanced ALS, communication can become severely impaired, so developing a method of communication is crucial.
Question 3 of 9
An older patient is describing increased rigidity in the shoulders, back, and hips. The loss of elasticity in what tissue contributes to this?
Correct Answer: D
Rationale: Cartilage elasticity decreases with age.
Question 4 of 9
Which of the following symptoms should the nurse specifically monitor while assessing a client with a femoral neck fracture?
Correct Answer: A
Rationale: Severe pain is a hallmark symptom of femoral neck fractures.
Question 5 of 9
Which patient should you, as charge nurse, assign to a new graduate RN who is orienting to the neurologic unit?
Correct Answer: D
Rationale: A stable patient with Parkinson's requiring assistance with bathing is appropriate for a new graduate nurse.
Question 6 of 9
What is one indication for early surgical therapy of the patient with a spinal cord injury?
Correct Answer: D
Rationale: Surgical decompression is indicated if there is ongoing cord compression.
Question 7 of 9
To assess for neurologic status in a patient with a fractured humerus, what should the nurse ask the patient to do?
Correct Answer: B
Rationale: These movements test the function of nerves affected by humerus fractures.
Question 8 of 9
A patient is started on alendronate (Fosamax) once weekly for the treatment of osteoporosis. The nurse determines that further instruction about the drug is needed when what is said by the patient?
Correct Answer: A
Rationale: Alendronate should be taken on an empty stomach.
Question 9 of 9
During the acute phase of a stroke, the nurse assesses the patient's vital signs and neurologic status every 4 hours. What is a cardiovascular sign that the nurse would see as the body attempts to increase cerebral blood flow?
Correct Answer: A
Rationale: Hypertension is a compensatory mechanism to maintain cerebral perfusion pressure after a stroke