ATI LPN
Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status Questions
Question 1 of 5
When the nurse begins discharge instructions for a client and her spouse, the client who had an above the knee amputation for complications associated with diabetes, tells the nurse that she is not ready to go home and wants to stay home in the hospital another day, which intervention is important for the nurse to implement?
Correct Answer: C
Rationale: Exploring fears identifies barriers to discharge readiness, guiding support. Others assume or bypass the root issue. [Level: Application]
Question 2 of 5
Which information about the patient who had a subarachnoid hemorrhage is most important to communicate to the health care provider?
Correct Answer: B
Rationale: Hypotension (90/50) signals shock or rebleed in SAH, requiring urgent intervention. Others are expected findings. [Level: Analysis]
Question 3 of 5
Which expected outcome would be included in the plan of care for a patient who had a stroke and is experiencing residual expressive aphasia?
Correct Answer: C
Rationale: Expressive aphasia requires alternative communication (e.g., gestures); C is realistic. A is impaired, D premature. [Level: Application]
Question 4 of 5
Neurons communicate with each other by releasing chemical messengers known as:
Correct Answer: C
Rationale: Neurotransmitters cross synapses to transmit signals. Hormones are systemic, antibodies immune, enzymes catalytic. [Level: Knowledge]
Question 5 of 5
In the peripheral nervous system, Schwann cells wrap around the:
Correct Answer: C
Rationale: Schwann cells wrap axons, leaving nodes of Ranvier exposed for signal regeneration. [Level: Knowledge]