ATI LPN · Medical-Surgical Nursing Neurological System
Question 1 of 72
Which spinal nerve branch is NOT correctly matched with the area it serves?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 2 of 72
Which muscle is contracted as part of the pupillary light reflex?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 3 of 72
The nurse is conducting discharge teaching for a male client with a prescription for magnesium hydroxide 15 mL one time per day. His home medication cup is ounces. How many ounces should he take each dose?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 4 of 72
A 31-year-old woman is brought to the emergency department by her partner due to a convulsive episode after an argument. Her partner described the convulsive episode as being abrupt in onset, with asynchronous limb movements, and pelvic thrusting. The patient's eyes were closed throughout the episode and was unresponsive. The event lasted approximately 10-15 minutes, and would consist of bursts of movement followed by pauses, occurring in a stopping-and-starting fashion. The convulsive episode ended abruptly, with complete recovery. The patient said that during the event, she could sometimes hear what people were saying, but was unable to respond. She says she has seizures 2-3 times per week. Physical examination is unremarkable. On videoelectroencephalogram (video-EEG), one of her typical events is recorded, without any abnormality on scalp EEG. What is the most appropriate treatment for this disorder?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 5 of 72
Postganglionic neurons of the sympathetic nervous system release the neurotransmitter:
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Question 6 of 72
A 10-year-old boy looks at ants through a magnifying glass. He finds that the ants must be 10 centimeters from the convex lens to be in focus. Which value best describes the refractive power of the lens (in diopters)?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 7 of 72
After olfactory receptor cells bind odor molecules, a sequence of intracellular events occurs that culminates in the entrance of specific ions that depolarize the olfactory receptor cell. Which ions are involved?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 8 of 72
Rehab nurse explains to family why stroke client does self-care despite struggling?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 9 of 72
The fourth ventricle is located between the pons and the cerebellum and is continuous with the central canal of the spinal cord and the:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 10 of 72
A client returns to unit following a craniotomy for removal of brain tumor and is obtunded but arouses to painful stimuli. Which assessment is most important for the nurse to obtain?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 11 of 72
Using anatomical points of reference, the cerebellum is to the cerebrum and to the pons.
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 12 of 72
The Reticular Activation System (RAS) is responsible for:
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Question 13 of 72
A client with ischemic stroke received rtPA. Which meds are avoided for 24 hr?EXCEPT (SATA)
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 14 of 72
What are the cells that support and nourish neurons?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 15 of 72
In planning care for an acute stroke client, which can a nurse delegate to an LPN?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 16 of 72
The primary auditory cortex is located in:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 17 of 72
A patient with acute kidney injury has the following labs: GFR 92 mL/min, BUN 17 mg.dL, potassium 4.9 mEq/L, and creatinine 1 mg/dL. The patient's 24-hour urine output is 1.75 liters. Based on these findings, what stage of AKI is this patient in?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 18 of 72
A physiology experiment is conducted in which a glass microelectrode in inserted into a Pacinian corpuscle to record receptor potentials during different levels of stimulation (from 0 percent to 100 percent). Increasing stimulus strength from 10 percent of maximum to 30 percent of maximum causes a 40 percent increase in the amplitude of the receptor potential. Increasing the stimulus potential from 70 percent of maximum to 90 percent of maximum is most likely to cause which increase in the amplitude of the receptor potential (in percent)?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 19 of 72
Which of the following best describes when the transmission of sound waves in the cochlea occurs?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 20 of 72
A patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). The nurse anticipates preparing the patient for
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 21 of 72
For right homonymous hemianopia, what’s an important nursing activity?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 22 of 72
The lumbar plexus is associated with spinal nerves from which vertebral levels?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 23 of 72
The nurse is caring for a patient who has just returned after having left carotid artery angioplasty and stenting. Which assessment information is of most concern to the nurse?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 24 of 72
A patient is admitted to the hospital with acute pancreatitis and pain. What type of pain would the nurse note for this patient?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 25 of 72
The primary somatosensory cortex, responsible for processing tactile information such as touch and pressure, is located in the:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 26 of 72
A 70-year-old male presents with numbness of the left upper and lower extremity, as well as the right side of his face. He also reports dizziness and difficulty with swallowing. He was last seen normal approximately 6 hours ago. Two weeks ago he experienced acute head trauma due to a fall while jogging. No intracranial bleed was noted in the head CT performed at the time. Past medical history is significant for hypertension and hypercholesterolemia. His temperature is 100.4 deg F (38 deg C), blood pressure 180/102 mmHg, pulse is 97/min, and respirations are 16/min. Blood glucose level is 312 mg/dL. Physical exam is significant for ptosis and miosis (Horner's syndrome) on the right side. Nystagmus on rightward gaze. Uvula is displaced towards the left, and there is paralysis of the right-sided vocal cord. Right-sided hemisensory loss is noted in the trunk and extremities. There is also sensory loss on the right-sided face. Non-contrast CT shows no intracranial bleed. Which of the following is the best next step in management?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 27 of 72
Which of the following brain regions is responsible for muscle coordination and tone?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 28 of 72
The uniformity in the way nerve cells function within the animal kingdom
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 29 of 72
How many pairs of spinal nerves are there in the human spinal cord?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 30 of 72
Which of the following best describes an expanded tip tactile receptor found in the dermis of hairy skin that is specialized to detect continuously applied touch sensation?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 31 of 72
Like the brain, the spinal cord is surrounded by bone, meninges, and-----------
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 32 of 72
Being present during a code can assist family members in:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 33 of 72
The primary motor area of the cerebrum is located in the _______ lobe:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 34 of 72
A 68-year-old man is brought to the Emergency Department immediately after a witnessed generalized tonic-clonic seizure. Prior to this seizure event, he had approximately 2 months of bifrontal headache that worsened when coughing or bending over. He also has worsening balance, resulting in 2 falls over the course of a few weeks. Medical history is significant for Myasthenia Gravis treated with oral prednisone for chronic immunotherapy. Social history is significant for smoking 1/2 a pack of cigarettes per day for 40 years and recent travel to South America. On physical examination, the patient is responsive but confused, has bilateral tongue laceration, with left pronator drift and slow foot-taps on the left side. Magnetic resonance imaging (MRI) of the brain is shown. Which of the following is most likely the diagnosis?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 35 of 72
A 33-year-old female presents with drooping of her eyelid that seem to occur while reading or watching television. This appears to get worse later in the day. She also reports that at times she sees 'double.' A few weeks ago, she was prescribed an antibiotic medication for a urinary tract infection. She does not recall the name of the antibiotic. On physical exam, bilateral ptosis, with the left affected more than the right is seen. Pupillary function intact. A glove is filled with ice, and subsequently applied to the patient's eyelid. After two minutes, the patient's ptosis has improved. Which of the following is most likely to yield rapid symptom improvement?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 36 of 72
Nursing management of the patient with angina is directed toward
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 37 of 72
Which structure functions to ensure that each of the three sets of extraocular muscles is reciprocally innervated so that one muscle of the pair relaxes while the other contracts?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 38 of 72
A patient with left-sided weakness that started 60 minutes earlier is admitted to the emergency department and diagnostic tests are ordered. Which test should be done first?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 39 of 72
Impulses (action potentials) pass from one neuron to another at a microscopic gap, called a synapse, where they trigger release of chemical signal molecules, called:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 40 of 72
A nurse in NICU gets furosemide 2 mg/kg PO for a 2.5 kg neonate (10 mg/mL). Dose in mL?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 41 of 72
Our emotions, learning, and memory depend upon the
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 42 of 72
The brain is protected by:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 43 of 72
An action potential:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 44 of 72
The nose of a rat is:
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Question 45 of 72
The neurotransmitter deficiency most commonly associated with Alzheimer's disease is a decrease in:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 46 of 72
A client with increased ICP is admitted to the ICU. On admission, GCS is 10. One hour later, it’s 13. Which interpretation would the nurse make?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 47 of 72
Which type of neuron carries signals from sensory receptors to the central nervous system (CNS)?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 48 of 72
Identify the layers of the meninges in order from deepest to most superficial:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 49 of 72
Schwann cells are responsible for the production of:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 50 of 72
A patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously. Health records show a history of several transient ischemic attacks (TIAs). What should the nurse anticipate for this patient?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 51 of 72
A 60-year-old woman visits the ophthalmologist because of eye pain. Tests show that her right eye has an intraocular pressure of 22 mm Hg and her left eye has an intraocular pressure of 25 mm Hg. Which of the following is the most likely cause of eye pain in this woman?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 52 of 72
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of the following results should the nurse expect?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 53 of 72
Which phase of the action potential involves the efflux of potassium ions?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 54 of 72
The basic functional unit of a reflex is the:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 55 of 72
A client has a prescription for a viscous compound containing lidocaine HCL and diphenhydramine to relieve the discomfort of mucositis caused by radiation therapy. Which instructions should the nurse provide the client about administration of this prescription?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 56 of 72
A client taking prednisone to prevent transplant rejection needs which instruction most?
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Question 57 of 72
When leg muscles respond to a stimulus by moving the foot, the response depends most directly on the functioning of
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 58 of 72
If you inject radioactive proline into one eye what cells would you observe labeled in layer 4 of V1?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 59 of 72
Magnesium hydroxide, 1.5 ounces P.O is prescribed for a client complaining of heartburn. After taking the prescribed dose 3 times today, how many mL of magnesium hydroxide has the client ingested?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 60 of 72
A patient with a head injury has an intracranial pressure (ICP) of 18 mmHg. The blood pressure is 144/90 mm Hg, and mean arterial pressure (MAP) is 108 mmHg. What is the cerebral perfusion pressure (CPP)?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 61 of 72
Which body part is represented superiorly and medically within the postcentral gyrus?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 62 of 72
The layer of the meninges that forms a web-like structure and allows for the circulation of cerebrospinal fluid is the:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 63 of 72
What type of synapse involves the direct flow of ions and electrical current between adjacent neurons?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 64 of 72
Once the threshold potential is reached,
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 65 of 72
Which of the following is true about localization of sound in the horizontal plane?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 66 of 72
Which somatosensory deficit is NOT typically seen after the development of lesions that involve the postcentral gyrus?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 67 of 72
The trigeminal pathway
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Question 68 of 72
The area of the brain stem that plays a role in consciousness and the awake/sleep cycle is the:
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 69 of 72
In all vertebrates, the brain consists of the
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 70 of 72
The nurse is caring for a patient experiencing a stroke understands the importance of establishing the onset of the stroke before administering a tissue plasminogen activator based on which recommendation?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 71 of 72
Which type of nerve is essential for reflex arcs and communication between sensory and motor neurons within the spinal cord?
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ATI LPN · Medical-Surgical Nursing Neurological System
Question 72 of 72
When feeding a patient with a stroke on the left side, which position would the RN place the patient?
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