ESTUDYR
ATI NEURO PRACTICE 2025 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. A long‐term care resident with dementia has frequent urinary incontinence with no medical
cause. The best nursing intervention is:
a. Remind him to call for help when he needs to void
b. Use adult diapers to reduce linen changes
c. Take him to the bathroom every 2 hours
d. Request an indwelling catheter order
Rationale: Scheduled toileting reduces incontinence episodes without over‐medicalizing care.
2. A client on selegiline (an MAOI) must avoid tyramine-rich foods. Which is contraindicated?
a. Fresh fish
b. Cheddar cheese
c. Cherries
d. Chicken
Rationale: Aged cheeses contain tyramine and risk hypertensive crisis with MAOIs.
3. In CVA rehabilitation (left hemisphere), the priority goal is to:
a. Establish effective communication
b. Compensate for depth perception loss
c. Control impulsivity
d. Improve left‐side motor function
Rationale: Left‐sided lesions often impair language—communication is foundational.
4. Parkinson’s tremor relief can be aided by:
a. Delaying disease progression
b. Improving bladder function
c. Relieving depression
d. Decreasing tremors
Rationale: Diphenhydramine has anticholinergic effects that may reduce parkinsonian tremors.
5. A client with Alzheimer’s states, “My husband is waiting for me to cook.” The best response is:
a. “This is where you live now.”
b. “This facility is safer.”
c. “Tell me what you like to cook for dinner.”
d. “Your family said you can’t go home.”
, ESTUDYR
Rationale: Redirecting to pleasant memories reduces anxiety and respects reality orientation.
6. Left‐hemispheric stroke clients should be monitored for:
a. Impaired humor
b. Depth‐perception loss
c. Poor judgment
d. Intellectual impairment
Rationale: Left hemisphere mediates analytical and intellectual functions.
7. Alzheimer’s caregiver teaching should include (select all that apply):
a. Actions to reduce stress
b. Identifying a support system
c. Community resource referrals
d. Detailed med administration techniques
e. Expected disease changes
Rationale: Holistic support addresses stress, education, resources, and disease progression.
8. A bystander nurse finds an apparently stroke‐victim with slurred speech and paralysis. She
should:
a. Give water to test gag reflex
b. Perform carotid massage
c. Call emergency services
d. Drive him to the ED
Rationale: EMS activation ensures rapid, appropriate stroke care.
9. Dementia teaching:
a. “Dementia has sudden-onset confusion.”
b. “Altered consciousness occurs.”
c. “Signs are progressive and irreversible.”
d. “Fever can trigger it.”
Rationale: Dementia is chronic neurodegeneration, not acute or fully reversible.
10. Proper walker use by a new patient requires verifying that she:
a. Lifts walker then places it down in front
b. Walks in front guiding the patient
c. Moves one leg forward with walker
d. Has the walker’s handles at waist level
Rationale: A standard walker requires a lift‐and‐place technique; handle height is hip level.
ATI NEURO PRACTICE 2025 MOST TESTED QUESTIONS AND
ANSWERS GRADED A+ WITH RATIONALES
1. A long‐term care resident with dementia has frequent urinary incontinence with no medical
cause. The best nursing intervention is:
a. Remind him to call for help when he needs to void
b. Use adult diapers to reduce linen changes
c. Take him to the bathroom every 2 hours
d. Request an indwelling catheter order
Rationale: Scheduled toileting reduces incontinence episodes without over‐medicalizing care.
2. A client on selegiline (an MAOI) must avoid tyramine-rich foods. Which is contraindicated?
a. Fresh fish
b. Cheddar cheese
c. Cherries
d. Chicken
Rationale: Aged cheeses contain tyramine and risk hypertensive crisis with MAOIs.
3. In CVA rehabilitation (left hemisphere), the priority goal is to:
a. Establish effective communication
b. Compensate for depth perception loss
c. Control impulsivity
d. Improve left‐side motor function
Rationale: Left‐sided lesions often impair language—communication is foundational.
4. Parkinson’s tremor relief can be aided by:
a. Delaying disease progression
b. Improving bladder function
c. Relieving depression
d. Decreasing tremors
Rationale: Diphenhydramine has anticholinergic effects that may reduce parkinsonian tremors.
5. A client with Alzheimer’s states, “My husband is waiting for me to cook.” The best response is:
a. “This is where you live now.”
b. “This facility is safer.”
c. “Tell me what you like to cook for dinner.”
d. “Your family said you can’t go home.”
, ESTUDYR
Rationale: Redirecting to pleasant memories reduces anxiety and respects reality orientation.
6. Left‐hemispheric stroke clients should be monitored for:
a. Impaired humor
b. Depth‐perception loss
c. Poor judgment
d. Intellectual impairment
Rationale: Left hemisphere mediates analytical and intellectual functions.
7. Alzheimer’s caregiver teaching should include (select all that apply):
a. Actions to reduce stress
b. Identifying a support system
c. Community resource referrals
d. Detailed med administration techniques
e. Expected disease changes
Rationale: Holistic support addresses stress, education, resources, and disease progression.
8. A bystander nurse finds an apparently stroke‐victim with slurred speech and paralysis. She
should:
a. Give water to test gag reflex
b. Perform carotid massage
c. Call emergency services
d. Drive him to the ED
Rationale: EMS activation ensures rapid, appropriate stroke care.
9. Dementia teaching:
a. “Dementia has sudden-onset confusion.”
b. “Altered consciousness occurs.”
c. “Signs are progressive and irreversible.”
d. “Fever can trigger it.”
Rationale: Dementia is chronic neurodegeneration, not acute or fully reversible.
10. Proper walker use by a new patient requires verifying that she:
a. Lifts walker then places it down in front
b. Walks in front guiding the patient
c. Moves one leg forward with walker
d. Has the walker’s handles at waist level
Rationale: A standard walker requires a lift‐and‐place technique; handle height is hip level.
