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ATI RN · ATI Medical Surgical · Questions to Ask About the Neurological System

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following actions should the nurse perform to monitor for electrolyte imbalances and dehydration in a client with neurologic deficit?

A. Measure intake and output

B. Use the Glasgow Coma Scale

C. Mini-Mental Status Examination

D. Assess vital signs

Expert Explanatory Rationale

Correct Answer: Measure intake and output

Question 2 of 5

When preparing a patient for discharge following fixation of a mandibular fracture, the nurse determines that teaching has been successful when the patient says what?

A. I can keep my mouth moist by sucking on hard candy.

B. I should cut the wires with scissors if I begin to vomit.

C. I may use a bulk-forming laxative if my liquid diet causes constipation.

D. I should use a moist swab to clean my mouth every time I eat something.

Expert Explanatory Rationale

Correct Answer: I may use a bulk-forming laxative if my liquid diet causes constipation.

Question 3 of 5

Mr. Smith is soon to be discharged. This morning he is complaining of soreness and stiffness and wants to be fed his breakfast. The best initial nursing action at this time is to

A. arrange to have someone feed him

B. delay his breakfast until he is ready to feed himself

C. ask him why he does not want to feed himself

D. encourage him to feed himself at his own pace

Expert Explanatory Rationale

Correct Answer: encourage him to feed himself at his own pace

Question 4 of 5

A patient is admitted to a unit diagnosed with advanced ALS. Which is the priority intervention?

A. Provide six small meals high in protein and assist with feeding.

B. Do not involve the patient in decisions about his healthcare because he does not have the mental status to respond.

C. Develop a method of communication.

D. Provide six normal meals high in protein and assist with feeding.

Expert Explanatory Rationale

Correct Answer: Develop a method of communication.

Question 5 of 5

During the acute phase of a stroke, the nurse assesses the patient's vital signs and neurologic status every 4 hours. What is a cardiovascular sign that the nurse would see as the body attempts to increase cerebral blood flow?

A. Hypertension

B. Fluid overload

C. Cardiac dysrhythmias

D. S3 and S4 heart sounds

Expert Explanatory Rationale

Correct Answer: Hypertension

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