ATI LPN
Quizlet Adult Medical Surgical Head Injury Monitoring Neurological Status Questions
Question 1 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 2 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 3 of 5
What concern should the nurse anticipate for a patient who had a right hemisphere stroke?
Correct Answer: C
Rationale: Right-brain strokes cause left-sided deficits and behavioral changes (denial, impulsivity). B is left-brain, A/D are less specific. [Level: Comprehension]
Question 4 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 5 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]