ATI LPN
Neurological Questions Questions
Question 1 of 5
What are the first cells in the auditory system to fire action potential?
Correct Answer: C
Rationale: Spiral ganglion neurons fire action potentials in response to inner hair cell glutamate release, as hair cells do not generate action potentials.
Question 2 of 5
The nurse caring for a severely head-injured comatose client observes which signs indicating late stages of intracranial HTN?
Correct Answer: B
Rationale: Cushing’s triad (text note): severe HTN, wide pulse pressure, bradycardia (B) indicate late ICP increase.
Question 3 of 5
The charge nurse observes a novice nurse with a post-craniotomy client (hemorrhagic stroke). Which action requires intervention?
Correct Answer: B
Rationale: Routine suctioning (B) increases ICP; it should be as needed only.
Question 4 of 5
Post-kidney transplant, a client asks what happens when the body realizes the kidney isn’t his. Best response?
Correct Answer: A
Rationale: Immunosuppression prevents rejection (A), the accurate response.
Question 5 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.