ATI LPN
Medical Surgical Nursing Neurological Disorders Questions
Question 1 of 5
Which of the following best describes autonomic innervation of the heart?
Correct Answer: D
Rationale: The heart receives dual ANS innervation: SNS increases rate/force, PNS decreases them—opposite effects. C is incorrect as they oppose, not complement. [Level: Comprehension]
Question 2 of 5
On the first postoperative day, the nurse finds an older male client disoriented and trying to climb over the bed railing. Previously he was oriented to person, place, and time on admission. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Acute confusion post-op may stem from pain, hypoxia, or other causes. Assessment (e.g., pain) is the first step before intervention. [Level: Analysis]
Question 3 of 5
The Nurse is assessing a client diagnosed with medical diagnosis of a Bartholin cyst. Which physical assessment technique should the nurse use to observe the cyst?
Correct Answer: B
Rationale: Bartholin cysts (vulvar) are best assessed via pelvic exam in lithotomy position. Others are irrelevant. [Level: Application]
Question 4 of 5
Prior to initiating peritoneal dialysis, which nursing action is most important for the nurse to implement?
Correct Answer: B
Rationale: Baseline vital signs assess stability before dialysis. C is a typo (auscultate lungs?), others are secondary. [Level: Application]
Question 5 of 5
The intracranial pressure of a brain-injured client who is on a ventilator has increased from 15 mm Hg to 25 mm Hg within the last 30 minutes. The client is beginning to flex all extremities intermittently. Based on these findings, which immediate action should the nurse take?
Correct Answer: C
Rationale: Rising ICP and decorticate posturing suggest hypoxia or obstruction; airway patency is the first check. A/B follow if needed. [Level: Analysis]