ATI Medical-Surgical Practice Test:Neurosensory
A nurse is educating a client who was just diagnosed with open angel glaucoma
about the condition. Which of the following information should the nurse include
in the teaching? SATA
Do not take cold medications that contain pseudoephoephedrine
Expect impaired night vision
Driving may be dangerous due to loss of peripheral vision
Laser surgery can help reestablish the flow of aqueous humor
A nurse is assessing a client who is reporting a sore throat, pressure in the ear,
decreased hearing, and mild dizziness. The client has been treating himself for a
cold for 1 week. The nurse should expect an alternation of which of the following
structures?
Middle ear
Rationale: Eustachian tube provides a route for nasal and throat infection spread up into
the middle ear causing an earache.
A bolus of mannitol (Osmitrol) is ordered for a client with a closed-head injury
showing manifestations of increasing ICP. Prior to administration, assessment
show: Urine output 40 mL/hr, apical HR 88, and pupils equal and reactive. The
client is sleepy but easily aroused. After administering mannitol to the client,
which of the following should indicate to the nurse that the medication is having
the desired effect?
Urine output is 100 mL/hr
Rationale: Mannitol is an osmotic diuretic used to increase urinary output and if
effective, will result in decreased cerebral edema
A nurse obtains frequent VS on a client who is at risk for increased ICP. The
previous VS were a BP of 120/70 and a HR of 92. The nurse should be concerned
if the next set of VS obtained are a
BP 160/65 and HR 68
Rationale: VS associated with increasing ICP are widening of the pulse pressure (the
difference between the systolic and diastolic) and a decreasing HR and increasing temp
A nurse is preparing to admit a client with myasthenia gravis who has been
having increasingly frequent episodes of myasthenic crises. Because o the
client's history, which of the following equipment should the nurse ask the AP to
place at the client's bedside?
Suction machine and suction catheters
A client with myopia asks the nurse about the possibility of Laser-Assisted in Situ
Keratomileusis (LASIK) surgery. The nurse tells the client that which of the
following is a commonly experienced side effect following LASIK surgery?
Halos and glaring when driving at night
Rationale: Myopia is nearsightedness.
, A nurse is caring for a client who has sustained a high thoracic spinal cord injury
following a diving accident. The nurse suspects that the client may be
experiencing the complication of autonomic dyserflexia when the client exhibits
A severe headache
Rationale: Autonomic dysreflexia is a neurologic emergency that occurs in clients who
have sustained cervical or thoracic spinal cord injuries above the level of T6.
A nurse is assessing an unconscious client. The nurse notes that the client has a
rhythmical breathing pattern of increasing depth and a rate alternating with
periods of apnea. The nurse should document that the lucent is having
Cheyne-Stokes respirations
Rationale: periodic breathing, typically over 1-2 min, 10-20 second episodes of
hypopnea is observed followed by reparation of increasing depth and frequency.
A nurse in a clinic is providing teaching to an adolescent client who has been
diagnosed with swimmer's ear, or external otitis, for the third time in 2 months.
The nurse should instruct the client to
Instill diluted alcohol into the ear after swimming
Rationale: External otitis, or swimmer's ear, is an inflammation of the external auditory
canal. Instilling diluted alcohol drops after swimming helps decrease bacteria and dry
the external ear canal's growth, as retained water in the ear is a medium for bacterial
growth
A client with a seizure disorder is being discharged. The client's family has many
questions about what to do if the client has a seizure while at home. The nurse
tells the family members that the first action to take in the event of a seizure is to
Ease the client to the floor if standing or seated
Rationale: Safety and client protection are the primary concerns when a client has a
seizure. Injury can occur during a seizure if the client falls from a sitting or standing
position. By placing the client on the floor, the risk for injury is reduced
A client with Meniere's disease is hospitalized for recurring episodes caused by
the disease. The nurse should anticipate documenting with of the following
measures to help prevent exacerbations of the disease in the client's plan of
care?
Avoid sudden movements
Rationale: Meniere's disease is a disorder of the inner ear affecting balance and
hearing, characterized by vertigo, hearing loss, and tinnitus. The client should be
instructed to avoid sudden movements that may aggravate or provoke manifestations.
A client with diabetic retinopathy returns to the postop unit after laser
photocoagulation surgery fro subretinal hemorrhages. Which of the following
postop prescriptions from the provider should the nurse anticipate receiving?
Dousate sodium (Colace) 100 mg PO twice daily
Rationale: Decrease the risk of the client straining during defecation, thus increasing
A nurse is educating a client who was just diagnosed with open angel glaucoma
about the condition. Which of the following information should the nurse include
in the teaching? SATA
Do not take cold medications that contain pseudoephoephedrine
Expect impaired night vision
Driving may be dangerous due to loss of peripheral vision
Laser surgery can help reestablish the flow of aqueous humor
A nurse is assessing a client who is reporting a sore throat, pressure in the ear,
decreased hearing, and mild dizziness. The client has been treating himself for a
cold for 1 week. The nurse should expect an alternation of which of the following
structures?
Middle ear
Rationale: Eustachian tube provides a route for nasal and throat infection spread up into
the middle ear causing an earache.
A bolus of mannitol (Osmitrol) is ordered for a client with a closed-head injury
showing manifestations of increasing ICP. Prior to administration, assessment
show: Urine output 40 mL/hr, apical HR 88, and pupils equal and reactive. The
client is sleepy but easily aroused. After administering mannitol to the client,
which of the following should indicate to the nurse that the medication is having
the desired effect?
Urine output is 100 mL/hr
Rationale: Mannitol is an osmotic diuretic used to increase urinary output and if
effective, will result in decreased cerebral edema
A nurse obtains frequent VS on a client who is at risk for increased ICP. The
previous VS were a BP of 120/70 and a HR of 92. The nurse should be concerned
if the next set of VS obtained are a
BP 160/65 and HR 68
Rationale: VS associated with increasing ICP are widening of the pulse pressure (the
difference between the systolic and diastolic) and a decreasing HR and increasing temp
A nurse is preparing to admit a client with myasthenia gravis who has been
having increasingly frequent episodes of myasthenic crises. Because o the
client's history, which of the following equipment should the nurse ask the AP to
place at the client's bedside?
Suction machine and suction catheters
A client with myopia asks the nurse about the possibility of Laser-Assisted in Situ
Keratomileusis (LASIK) surgery. The nurse tells the client that which of the
following is a commonly experienced side effect following LASIK surgery?
Halos and glaring when driving at night
Rationale: Myopia is nearsightedness.
, A nurse is caring for a client who has sustained a high thoracic spinal cord injury
following a diving accident. The nurse suspects that the client may be
experiencing the complication of autonomic dyserflexia when the client exhibits
A severe headache
Rationale: Autonomic dysreflexia is a neurologic emergency that occurs in clients who
have sustained cervical or thoracic spinal cord injuries above the level of T6.
A nurse is assessing an unconscious client. The nurse notes that the client has a
rhythmical breathing pattern of increasing depth and a rate alternating with
periods of apnea. The nurse should document that the lucent is having
Cheyne-Stokes respirations
Rationale: periodic breathing, typically over 1-2 min, 10-20 second episodes of
hypopnea is observed followed by reparation of increasing depth and frequency.
A nurse in a clinic is providing teaching to an adolescent client who has been
diagnosed with swimmer's ear, or external otitis, for the third time in 2 months.
The nurse should instruct the client to
Instill diluted alcohol into the ear after swimming
Rationale: External otitis, or swimmer's ear, is an inflammation of the external auditory
canal. Instilling diluted alcohol drops after swimming helps decrease bacteria and dry
the external ear canal's growth, as retained water in the ear is a medium for bacterial
growth
A client with a seizure disorder is being discharged. The client's family has many
questions about what to do if the client has a seizure while at home. The nurse
tells the family members that the first action to take in the event of a seizure is to
Ease the client to the floor if standing or seated
Rationale: Safety and client protection are the primary concerns when a client has a
seizure. Injury can occur during a seizure if the client falls from a sitting or standing
position. By placing the client on the floor, the risk for injury is reduced
A client with Meniere's disease is hospitalized for recurring episodes caused by
the disease. The nurse should anticipate documenting with of the following
measures to help prevent exacerbations of the disease in the client's plan of
care?
Avoid sudden movements
Rationale: Meniere's disease is a disorder of the inner ear affecting balance and
hearing, characterized by vertigo, hearing loss, and tinnitus. The client should be
instructed to avoid sudden movements that may aggravate or provoke manifestations.
A client with diabetic retinopathy returns to the postop unit after laser
photocoagulation surgery fro subretinal hemorrhages. Which of the following
postop prescriptions from the provider should the nurse anticipate receiving?
Dousate sodium (Colace) 100 mg PO twice daily
Rationale: Decrease the risk of the client straining during defecation, thus increasing
