ATI LPN
Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status Questions
Question 1 of 5
Which of the following effects occur due to parasympathetic innervation?
Correct Answer: A
Rationale: The parasympathetic nervous system (PNS) promotes 'rest and digest.' Erection occurs via PNS-mediated vasodilation (acetylcholine and nitric oxide). B is a sympathetic effect (goosebumps). C is incorrect as PNS stimulates salivation. D is a sympathetic effect. [Level: Knowledge]
Question 2 of 5
The function of the myelin sheath found on myelinated neurons is to:
Correct Answer: B
Rationale: Myelin insulates axons, speeding signal transmission. Others are secondary glial roles. [Level: Knowledge]
Question 3 of 5
The nurse is caring for an older male client with impaired skin integrity to sheering forces and pressure that is manifested as a draining stage 3 sacral ulcer. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Protein aids wound healing, critical for stage 3 ulcers. A/C/D are supportive but secondary to nutrition. [Level: Analysis]
Question 4 of 5
Which Technique should the nurse use when assessing for early signs of rheumatoid arthritis?
Correct Answer: A
Rationale: RA early signs include joint nodules (e.g., hands). D is vague, B/C are less specific. [Level: Application]
Question 5 of 5
A client with acute renal injury (AKI) weighs 50 kg and has potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse first administer?
Correct Answer: C
Rationale: Hyperkalemia (6.7, normal 3.5-5) risks cardiac arrest; sodium polystyrene sulfonate removes potassium fastest. Others address phosphate or anemia. [Level: Analysis]