ATI PN Learning System Medical-Surgical:
|\ |\ |\ |\ |\
Neurosensory Practice Quiz with answers |\ |\ |\ |\
A nurse in an acute care facility is preparing to admit a client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
myasthenia gravis. Which of the following supplies should the nurse place at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the client's bedside?
|\ |\ |\
Oral-nasal suction equipment |\ |\
The client who has myasthenia gravis is at risk for aspiration because of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
progressive weakness of the oropharyngeal muscles. Myasthenia gravis
|\ |\ |\ |\ |\ |\ |\ |\
causes muscle weakness due to an autoimmune disease that affects the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
acytylcholine receptors. The nurse should place oxygen and oral-nasal
|\ |\ |\ |\ |\ |\ |\ |\ |\
suction equipment at the bedside in the event of aspiration or respiratory
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
distress.
A nurse in a rehabilitation center is collecting data from a client who is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recovering from a left-hemisphere stroke. Which of the following findings
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse expect?
|\ |\ |\
Difficulty with speech |\ |\
The left hemisphere of the brain is usually the dominant side and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
responsible for language. This is always true for right-handed clients and for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the majority of left-handed clients. Since this client is recovering from a left-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hemisphere stroke, the nurse should anticipate that the client will have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aphasia and require speech therapy to establish communication.
|\ |\ |\ |\ |\ |\ |\
, A nurse is reinforcing teaching with a class of new parents about otitis
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
media. Which of the following manifestations should the nurse include in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the teaching? |\
Feeling of fullness in the ear |\ |\ |\ |\ |\
A client who has otitis media can develop a feeling of fullness in the ear.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Other manifestations can include ear pain, a crackling sound when yawning
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or swallowing, and mild dizziness.
|\ |\ |\ |\
A nurse is caring for a client who has a closed head injury. The nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
place the client in which of the following positions?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Semi-Fowler's
To prevent an increase in intracranial pressure, the nurse should position the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client with his head midline and the head of the bed elevated 30 degrees.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
This positioning permits blood flow to the client's brain while allowing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
venous drainage, thereby decreasing the postoperative risk of increased
|\ |\ |\ |\ |\ |\ |\ |\ |\
intracranial pressure. |\
A nurse is caring for a client who has a traumatic brain injury and assumes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a decerebrate posture in response to noxious stimuli. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reactions should the nurse anticipate when drawing a blood sample?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A client who exhibits a decerebrate posture rigidly extends and pronates his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
four extremities and externally rotates his wrists. Decerebrate posturing
|\ |\ |\ |\ |\ |\ |\ |\ |\
indicates severe brain stem injury and late neurologic decline.
|\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\
Neurosensory Practice Quiz with answers |\ |\ |\ |\
A nurse in an acute care facility is preparing to admit a client who has
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
myasthenia gravis. Which of the following supplies should the nurse place at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the client's bedside?
|\ |\ |\
Oral-nasal suction equipment |\ |\
The client who has myasthenia gravis is at risk for aspiration because of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
progressive weakness of the oropharyngeal muscles. Myasthenia gravis
|\ |\ |\ |\ |\ |\ |\ |\
causes muscle weakness due to an autoimmune disease that affects the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
acytylcholine receptors. The nurse should place oxygen and oral-nasal
|\ |\ |\ |\ |\ |\ |\ |\ |\
suction equipment at the bedside in the event of aspiration or respiratory
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
distress.
A nurse in a rehabilitation center is collecting data from a client who is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recovering from a left-hemisphere stroke. Which of the following findings
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse expect?
|\ |\ |\
Difficulty with speech |\ |\
The left hemisphere of the brain is usually the dominant side and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
responsible for language. This is always true for right-handed clients and for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the majority of left-handed clients. Since this client is recovering from a left-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hemisphere stroke, the nurse should anticipate that the client will have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aphasia and require speech therapy to establish communication.
|\ |\ |\ |\ |\ |\ |\
, A nurse is reinforcing teaching with a class of new parents about otitis
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
media. Which of the following manifestations should the nurse include in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the teaching? |\
Feeling of fullness in the ear |\ |\ |\ |\ |\
A client who has otitis media can develop a feeling of fullness in the ear.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Other manifestations can include ear pain, a crackling sound when yawning
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or swallowing, and mild dizziness.
|\ |\ |\ |\
A nurse is caring for a client who has a closed head injury. The nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
place the client in which of the following positions?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Semi-Fowler's
To prevent an increase in intracranial pressure, the nurse should position the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client with his head midline and the head of the bed elevated 30 degrees.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
This positioning permits blood flow to the client's brain while allowing
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
venous drainage, thereby decreasing the postoperative risk of increased
|\ |\ |\ |\ |\ |\ |\ |\ |\
intracranial pressure. |\
A nurse is caring for a client who has a traumatic brain injury and assumes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a decerebrate posture in response to noxious stimuli. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reactions should the nurse anticipate when drawing a blood sample?
|\ |\ |\ |\ |\ |\ |\ |\ |\
A client who exhibits a decerebrate posture rigidly extends and pronates his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
four extremities and externally rotates his wrists. Decerebrate posturing
|\ |\ |\ |\ |\ |\ |\ |\ |\
indicates severe brain stem injury and late neurologic decline.
|\ |\ |\ |\ |\ |\ |\ |\
