ATI > LPN

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ATI LPN Med Surg neuro test 2024

Total Questions : 44

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Question 1:

A nurse is caring for a client in the emergency department who has a preliminary diagnosis of a transient ischemic attack (TIA). Which of the following diagnostic testing should the nurse anticipate the provider to prescribe?

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Question 2:

A nurse is reinforcing discharge teaching to a client who has epilepsy. Which of the following instructions should be included in the teaching?

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Question 3:

A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management?

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Question 4:

Which signs and symptoms characterize expressive aphasia?

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Question 5:

On admission to the emergency department, a patient with a C5 compression fracture can move only his head and has flaccid paralysis of all extremities. The distraught family asks if the paralysis is permanent. Which is the best response by the nurse?

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Question 6:

Which neurologic finding would be considered abnormal in an 88-year-old patient?

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Question 7:

Which position should a nurse instruct a patient to assume after a lumbar puncture to prevent a headache?

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Question 8:

Which three symptoms are characteristic of Cushing triad associated with increased ICP?

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Question 9:

A patient is stuporous but reacts by withdrawing from painful stimuli. Which term is most appropriate for this patient?

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Question 10:

Which reason explains why a patient with amyotrophic lateral sclerosis (ALS) is uniquely prone to depression?

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Question 11:

A nurse is caring for a client who has multiple sclerosis and reports a tightening feeling around their torso. Which of the following conditions should the nurse recognize this finding indicates?

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Question 12:

A nurse is preparing to administer diazepam 3 mg IM. The amount available is diazepam for injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: 0.6 mL

Explanation

To calculate the dose of diazepam in mL, the nurse should use the formula:

Dose (mL) = Desired dose (mg) / Available dose (mg/mL)

Plugging in the values from the question, we get:

Dose (mL) = 3 mg / 5 mg/mL

Simplifying, we get:

Dose (mL) = 0.6 mL

Therefore, the nurse should administer 0.6 mL of diazepam IM.


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Question 13:

A nurse is preparing to administer amantadine 150 mg PO for a client who is experiencing parkinsonism due to an antipsychotic medication. Available is amantadine 50 mg/5 mL oral solution. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: 15 mL

Explanation

To calculate the dose of amantadine for a client with parkinsonism, the nurse needs to use the following formula:

Dose (mL) = Ordered dose (mg) / Concentration (mg/mL).

In this case, the ordered dose is 150 mg and the concentration is 50 mg/5 mL. Therefore, the dose in mL is:

Dose (mL) = 150 mg / (50 mg/5 mL)

Dose (mL) = 150 mg x (5 mL/50 mg)

Dose (mL) = 15 mL

The nurse should round the answer to the nearest whole number, which is 15 mL. The nurse should administer 15 mL of amantadine oral solution to the client.


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Question 14:

A few days after a Cerebral Vascular Accident, the patient's family asks the nurse if tissue plasminogen activator (tPA) is a drug therapy option now. The nurse's response based on the knowledge that this drug must be used within:

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Question 15:

The assessment that indicates a fluid volume excess in a patient in the acute phase of a CVA is:

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Question 16:

Parkinson's disease has which characteristic symptom(s)? SELECT ALL THAT APPLY

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Question 17:

The nurse is caring for a patient taking a cholinergic agent. When auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally. The best action for the nurse to take would be to:

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Question 18:

The nurse is preparing discharge instructions for a patient with a history of diabetes who has just been diagnosed with seizure disorder. The patient has been prescribed hydantoin therapy. What will the patient most likely experience?

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Question 19:

Which condition would indicate to the nurse that the patient has a phenytoin (Dilantin) toxicity?

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Question 20:

The nurse documents an abnormal finding from the Babinski reflex as a (the):

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Question 21:

A nurse is preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: 10 mL

Explanation

To calculate the dose of valproic acid oral solution, the nurse should use the following formula:

Dose (mL) = Ordered dose (mg) / Concentration (mg/mL) x Volume (mL)

Plugging in the values from the question, we get:

Dose (mL) = 500 mg / (250 mg / 5 mL) x 5 mL

Simplifying, we get:

Dose (mL) = 500 mg / 50 mg x 5 mL

Dose (mL) = 10 mL

Therefore, the nurse should administer 10 of valproic acid oral solution to the patient.


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Question 22:

A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: 15 mL

Explanation

To calculate the dose of phenytoin suspension, the nurse should use the following formula:

Dose (mL) = Desired dose (mg) / Concentration (mg/mL) x Volume (mL)

Plugging in the values from the question, we get:

Dose (mL) = 75 mg / (25 mg/5 mL) x 5 mL

Dose (mL) = 15 mL

Therefore, the nurse should administer 15 mL of phenytoin suspension to the patient


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Question 23:

A patient with Parkinson's disease asks the nurse why anticholinergics are used in the treatment. Which response by the nurse is most accurate?

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Question 24:

Which adverse effects associated with levodopa therapy would support the nursing diagnosis Risk for Injury?

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Question 25:

Which vitamin will reduce the therapeutic effects of levodopa?

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