ATI LPN
Neurological Disorders in Medical Surgical Nursing Questions
Question 1 of 5
Which patient below with acute kidney injury is in the oliguric stage of AKI?
Correct Answer: A
Rationale: Oliguric stage features low urine output (<400 mL/day), as in A (350 mL/day), with metabolic acidosis and hyperkalemia.
Question 2 of 5
An important nursing intervention for the patient with an arteriovenous fistula is to: ( SELECT ONE THAT APPLY)
Correct Answer: D
Rationale: AV fistula care includes auscultating bruit (C) and palpating thrill (D) every 8 hours to confirm patency, not using it for draws (A).
Question 3 of 5
The nurse recognizes which statement is a potential ethical issue?
Correct Answer: B
Rationale: Questioning withdrawal of support (B) raises ethical concerns about autonomy and beneficence.
Question 4 of 5
Which finding on the ECG is most conclusive for infarction?
Correct Answer: A
Rationale: Pathological Q waves (A) indicate prior myocardial infarction due to necrosis.
Question 5 of 5
Which of the following effects occur due to sympathetic innervation?
Correct Answer: A
Rationale: The sympathetic nervous system (SNS) activates the 'fight or flight' response. Release of epinephrine from the adrenal medulla is a key SNS effect, enhancing energy and cardiovascular function. B is incorrect as SNS inhibits digestion. C is wrong as SNS increases heart contractility. D is context-specific (e.g., labor) but not a primary effect. [Level: Knowledge]