ATI PN Clinical Application Exam Neurologic B Graded A

1. A nurse notes a client who has Parkinson disease shows signs of dyskinesia. Which of the following physical manifestations should the nurse expect? A. Difficulty swallowing B. Difficulty speaking C. Difficulty moving D. Difficulty breathing 2. A nurse notes a client who has homonymous hemianopsia when eating, caused from a right sided cerebral accident. Which of the following actions should the nurse implement? A. Provide a nonskid mat to alleviate plate movement. B. Encourage the client to use the right hand when feeding self. C. Remind the client to look for food on the left side of the tray. D. Encourage the use of the wide grip utensils. 3. A nurse monitors a client who has a traumatic head injured. Which of the following manifestations should the nurse report immediately to the provider? A. Sudden sleepiness B. Diplopia C. Headache D. Slight ataxia 4. A nurse is shopping and finds a woman who has collapsed with right sided weakness and slurred speech. Which of the following are appropriate actions by the nurse? A. Obtain the number of the client’s provider. B. Find a location for the client to sit. C. Call emergency management services. D. Drive the client to the nearest emergency treatment. 5. A nurse is reinforcing teaching for the family of a client who is receiving treatment for a spinal cord injury with a halo fixation device. Which of the following statements by the nurse is appropriate? A. “This device is used to treat injury to the lumbar spine.” B. “The purpose of this device is to immobilize the cervical spine.” C. “This device provides pain relief through compression of the spinal nerves.” D. “The purpose of this device is to allow for neck movement during the healing process.” 6. A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data? A. The client can follow simple motor commands. B. The client is unable to make vocal sound. C. The client is unconscious. D. The client opens his eyes when spoken to. 7. A nurse is monitoring a client who has a spinal cord injury and suspects autonomic dysreflexia. Which of the following actions should the nurse implement first? A. Check the client for a fecal impaction. B. Ensure the room temperature is warm. C. Check the client’s bladder for distention. D. Place the client in a sitting position. 8. A nurse is modifying the diet of a client who has Parkinson’s disease and is prescribed a monamine oxidase inhibitor (MAOI). Which of the following foods should the nurse eliminate? A. Cabbage B. Cheese C. Cherries D. Chicken 9. A nurse is implementing precautions for a client who has a cerebral aneurysm. Which of the following actions should the nurse take? A. Elevate the head of bed 30 degrees. B. Encourage self-care. C. Administer a cleansing enema. D. Dispense an anticoagulant. 10. A nurse is implementing a plan of care for a client who has a cerebral aneurysm. Which following nursing measures should the nurse implement? A. Allow bathroom privileges. B. Encourage exhaling through mouth when defecating. C. Allow natural sunlight in the room. D. Encourage family and friend visitation.