ATI NEURO PRACTICE 225 QUESTIONS & ANSWERS
A nurse is caring for a client who has a traumatic brain injury. Which of the following
findings should the nurse
identify as an indication of increased intracranial pressure (ICP)?
A. Tachycardia
B. Amnesia
C. Hypotension
D. Restlessness - Answers :D. Restlessness
A client has been diagnosed with Parkinson's disease. Which of the following will the
nurse most likely assess in this client? (Select all that apply.)
A. Tremor
B. Muscle rigidity
C. Akinesia
D. Mask-like face
E. Dysphagia
F. Auditive disorders - Answers :A. Tremor
B. Muscle rigidity
C. Akinesia
D. Mask-like face
E. Dysphagia
While instructing a client on stroke prevention, the nurse mentions medications that are
useful in stroke prevention. The following medications are effective in preventing a
stroke, EXCEPT:
A. antihistamines
B. anticoagulants.
C. Blood pressure medication
D. antiplatelets - Answers :A. antihistamines
A client is being seen in the emergency department experiencing symptoms of a stroke.
The nurse realizes that
the administration of a medication to break clots, such as tPA, should be administered
within how many minutes of the client presenting the symptoms?
A. 180 minutes
B. 30 minutes
C. 60 minutes
D. 90 minutes - Answers :A. 180 minutes
The nurse, caring for a client with a traumatic brain injury, realizes that the major cause
of these types of injuries
is:
A. guns
B. sports
,C. falls
D. motor vehicle crashes - Answers :D. motor vehicle crashes
The nurse is planning care for a client diagnosed with increased intracranial pressure
after a head injury. Which of
the following interventions can be used to reduce increased intracranial pressure?
A. Administer antibiotics as prescribed.
B. Keep the head of the bed in the flat position.
C. Administer corticosteroids and osmotic diuretics as prescribed.
D. Perform range-of-motion exercises every hour. - Answers :C. Administer
corticosteroids and osmotic diuretics as prescribed.
A client diagnosed with a brain tumor is going to receive chemotherapy. The nurse
realizes that all of the following
are part of the Brain CA signs and symptoms EXCEPT:
A. Difficulty speaking, thinking or articulating words
B. Changes in cognition, mentation or personality
C. Headaches that are usually more severe on awakening in the morning
D. Pneumonia - Answers :D. Pneumonia
The nurse is instructing a client diagnosed with a brain tumor on symptoms to
immediately report to her physician. Which of the following should be included in these
instructions?
A. New onset of Seizures
B. Anemia
C. 3.Headache
D. GI problems and Loss of appetite - Answers :A. New onset of Seizures
The nurse, caring for a client diagnosed with a brain tumor. The following statements
would be appropriate interpretation by the nurse related to the disease EXCEPT:
A. Regardless of location tumors can expand and invade, compress and displace
normal brain tissue
B. Leading to brain tissue inflammation, edema, Increased ICP and neuro deficits
C. Malignant tumors require more aggressive treatment (SX, Radiation, Chemotherapy
D. Brain tumors are always malignant or metastatic. - Answers :D. Brain tumors are
always malignant or metastatic.
A client is diagnosed with a headache from a secondary cause. The nurse realizes this
type of headache can be
caused by
A. a tumor.
B. tension.
C. a migraine.
D. cluster - Answers :A. a tumor.
,A client tells the nurse that he sees flashing lights that occur prior to the onset of a
seizure. Which of the following phases of a seizure is this client describing to the nurse?
A. Aural phase
B. Prodromal phase
C. Ictal phase
D. Postictal phase - Answers :A. Aural phase
A client is experiencing a grand mal seizure. Which of the following interventions should
the nurse do during this seizure?
A. Leave the client alone.
B. Protect the client's head.
C. Give water to the client to avoid dehydration.
D. Place a finger in the client's mouth to avoid swallowing the tongue. - Answers :B.
Protect the client's head.
A client is prescribed phenytoin (Dilantin) for a seizure disorder. Which of the following
would indicate that the
client is adhering to the medication schedule?
A. Absence of seizures
B. The client is sleepy.
C. The client no longer has headaches.
D. The client is eating more food. - Answers :A. Absence of seizures
The nurse is instructing a client newly diagnosed with multiple sclerosis (MS). To
determine the effectiveness of
his teaching, the nurse would expect the client to state:
A. "It is best for me to be in a cold environment."
B. "I should avoid taking a hot bath."
C. "I should eat foods low in salt."
D. "I should be better in a week." - Answers :B. "I should avoid taking a hot bath."
An adult female in her 30s complains of numbness and tingling in the hands, fatigue,
loss of coordination, incontinence, nystagmus, and ataxia. Which of the following
neurological health problems do these symptoms
suggest to the nurse?
A. Brain tumor
B. Myasthenia Gravis
C. Multiple sclerosis
D. Diabetes - Answers :C. Multiple sclerosis
For a client diagnosed with Parkinson's disease, which of the following teaching will the
nurse give to caregiver?
A. Isolate the patient
B. Let patient eat food hard to swallow
C. Instituting fall precautions
D. Encourage the patient do quick decisions - Answers :C. Instituting fall precautions
, A client diagnosed with Parkinson's disease is beginning medication therapy. The nurse
realizes that the goal of treatment for Parkinson's disease is to:
A. improve sleep.
B. reduce appetite.
C. control tremor and rigidity.
D. reduce the need for joint replacement surgery. - Answers :C. control tremor and
rigidity.
25.A client is suffering from Alzheimer's disease. All of the following are teaching
information the nurse will give to the caregiver Except?
A. Allow the patient extra time to answer questions.
B. Assign simple tasks to be completed by the client.
C. Assist the client with any needs associated with activities of daily living (ADLs).
D. Allow the client to have soul food (fat) instead of reach in fiber. - Answers :D. Allow
the client to have soul food (fat) instead of reach in fiber.
The nurse has administered prescribed IV mannitol (Osmitrol) to an unconscious
patient. Which parameter should the nurse monitor to determine the medication's
effectiveness?
A. Blood pressure
B. Oxygen saturation
C. Intracranial pressure
D. Hemoglobin and hematocrit - Answers :C. Intracranial pressure
The public health nurse is planning a program to decrease the incidence of meningitis in
teenagers and young adults. Which action is most likely to be effective to decrease
incidence in this population?
A. Emphasize the importance of hand washing.
B. Immunize adolescents and college freshman
C. Support serving healthy nutritional options in the college cafeteria.
D. Encourage adolescents and young adults to avoid crowds in the winter. - Answers
:B. Immunize adolescents and college freshman
A patient is being evaluated for a possible spinal cord tumor. Which finding by the nurse
requires the most
immediate action?
A. The patient has new-onset weakness of both legs.
B. The patient complains of chronic severe back pain.
C. The patient starts to cry and says, "I feel hopeless."
D. The patient expresses anxiety about having surgery. - Answers :A. The patient has
new-onset weakness of both legs.
The nurse will explain to the patient who has a T2 spinal cord transection injury that
A. use of the shoulders will be limited.
B. function of both arms should be retained.
A nurse is caring for a client who has a traumatic brain injury. Which of the following
findings should the nurse
identify as an indication of increased intracranial pressure (ICP)?
A. Tachycardia
B. Amnesia
C. Hypotension
D. Restlessness - Answers :D. Restlessness
A client has been diagnosed with Parkinson's disease. Which of the following will the
nurse most likely assess in this client? (Select all that apply.)
A. Tremor
B. Muscle rigidity
C. Akinesia
D. Mask-like face
E. Dysphagia
F. Auditive disorders - Answers :A. Tremor
B. Muscle rigidity
C. Akinesia
D. Mask-like face
E. Dysphagia
While instructing a client on stroke prevention, the nurse mentions medications that are
useful in stroke prevention. The following medications are effective in preventing a
stroke, EXCEPT:
A. antihistamines
B. anticoagulants.
C. Blood pressure medication
D. antiplatelets - Answers :A. antihistamines
A client is being seen in the emergency department experiencing symptoms of a stroke.
The nurse realizes that
the administration of a medication to break clots, such as tPA, should be administered
within how many minutes of the client presenting the symptoms?
A. 180 minutes
B. 30 minutes
C. 60 minutes
D. 90 minutes - Answers :A. 180 minutes
The nurse, caring for a client with a traumatic brain injury, realizes that the major cause
of these types of injuries
is:
A. guns
B. sports
,C. falls
D. motor vehicle crashes - Answers :D. motor vehicle crashes
The nurse is planning care for a client diagnosed with increased intracranial pressure
after a head injury. Which of
the following interventions can be used to reduce increased intracranial pressure?
A. Administer antibiotics as prescribed.
B. Keep the head of the bed in the flat position.
C. Administer corticosteroids and osmotic diuretics as prescribed.
D. Perform range-of-motion exercises every hour. - Answers :C. Administer
corticosteroids and osmotic diuretics as prescribed.
A client diagnosed with a brain tumor is going to receive chemotherapy. The nurse
realizes that all of the following
are part of the Brain CA signs and symptoms EXCEPT:
A. Difficulty speaking, thinking or articulating words
B. Changes in cognition, mentation or personality
C. Headaches that are usually more severe on awakening in the morning
D. Pneumonia - Answers :D. Pneumonia
The nurse is instructing a client diagnosed with a brain tumor on symptoms to
immediately report to her physician. Which of the following should be included in these
instructions?
A. New onset of Seizures
B. Anemia
C. 3.Headache
D. GI problems and Loss of appetite - Answers :A. New onset of Seizures
The nurse, caring for a client diagnosed with a brain tumor. The following statements
would be appropriate interpretation by the nurse related to the disease EXCEPT:
A. Regardless of location tumors can expand and invade, compress and displace
normal brain tissue
B. Leading to brain tissue inflammation, edema, Increased ICP and neuro deficits
C. Malignant tumors require more aggressive treatment (SX, Radiation, Chemotherapy
D. Brain tumors are always malignant or metastatic. - Answers :D. Brain tumors are
always malignant or metastatic.
A client is diagnosed with a headache from a secondary cause. The nurse realizes this
type of headache can be
caused by
A. a tumor.
B. tension.
C. a migraine.
D. cluster - Answers :A. a tumor.
,A client tells the nurse that he sees flashing lights that occur prior to the onset of a
seizure. Which of the following phases of a seizure is this client describing to the nurse?
A. Aural phase
B. Prodromal phase
C. Ictal phase
D. Postictal phase - Answers :A. Aural phase
A client is experiencing a grand mal seizure. Which of the following interventions should
the nurse do during this seizure?
A. Leave the client alone.
B. Protect the client's head.
C. Give water to the client to avoid dehydration.
D. Place a finger in the client's mouth to avoid swallowing the tongue. - Answers :B.
Protect the client's head.
A client is prescribed phenytoin (Dilantin) for a seizure disorder. Which of the following
would indicate that the
client is adhering to the medication schedule?
A. Absence of seizures
B. The client is sleepy.
C. The client no longer has headaches.
D. The client is eating more food. - Answers :A. Absence of seizures
The nurse is instructing a client newly diagnosed with multiple sclerosis (MS). To
determine the effectiveness of
his teaching, the nurse would expect the client to state:
A. "It is best for me to be in a cold environment."
B. "I should avoid taking a hot bath."
C. "I should eat foods low in salt."
D. "I should be better in a week." - Answers :B. "I should avoid taking a hot bath."
An adult female in her 30s complains of numbness and tingling in the hands, fatigue,
loss of coordination, incontinence, nystagmus, and ataxia. Which of the following
neurological health problems do these symptoms
suggest to the nurse?
A. Brain tumor
B. Myasthenia Gravis
C. Multiple sclerosis
D. Diabetes - Answers :C. Multiple sclerosis
For a client diagnosed with Parkinson's disease, which of the following teaching will the
nurse give to caregiver?
A. Isolate the patient
B. Let patient eat food hard to swallow
C. Instituting fall precautions
D. Encourage the patient do quick decisions - Answers :C. Instituting fall precautions
, A client diagnosed with Parkinson's disease is beginning medication therapy. The nurse
realizes that the goal of treatment for Parkinson's disease is to:
A. improve sleep.
B. reduce appetite.
C. control tremor and rigidity.
D. reduce the need for joint replacement surgery. - Answers :C. control tremor and
rigidity.
25.A client is suffering from Alzheimer's disease. All of the following are teaching
information the nurse will give to the caregiver Except?
A. Allow the patient extra time to answer questions.
B. Assign simple tasks to be completed by the client.
C. Assist the client with any needs associated with activities of daily living (ADLs).
D. Allow the client to have soul food (fat) instead of reach in fiber. - Answers :D. Allow
the client to have soul food (fat) instead of reach in fiber.
The nurse has administered prescribed IV mannitol (Osmitrol) to an unconscious
patient. Which parameter should the nurse monitor to determine the medication's
effectiveness?
A. Blood pressure
B. Oxygen saturation
C. Intracranial pressure
D. Hemoglobin and hematocrit - Answers :C. Intracranial pressure
The public health nurse is planning a program to decrease the incidence of meningitis in
teenagers and young adults. Which action is most likely to be effective to decrease
incidence in this population?
A. Emphasize the importance of hand washing.
B. Immunize adolescents and college freshman
C. Support serving healthy nutritional options in the college cafeteria.
D. Encourage adolescents and young adults to avoid crowds in the winter. - Answers
:B. Immunize adolescents and college freshman
A patient is being evaluated for a possible spinal cord tumor. Which finding by the nurse
requires the most
immediate action?
A. The patient has new-onset weakness of both legs.
B. The patient complains of chronic severe back pain.
C. The patient starts to cry and says, "I feel hopeless."
D. The patient expresses anxiety about having surgery. - Answers :A. The patient has
new-onset weakness of both legs.
The nurse will explain to the patient who has a T2 spinal cord transection injury that
A. use of the shoulders will be limited.
B. function of both arms should be retained.
