Neurological Assessment Questions

ATI LPN · Neurological Assessment Questions

Question 1 of 72

A reflex action is a pathway that typically involves several neurons and mediates:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 2 of 72

The central communication conduit between the brain and the rest of the body is the

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 3 of 72

What are key roles for the RN in a code blue?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 4 of 72

A 31-year-old female presents with throbbing right-sided headache that she rates as 8/10 in intensity. She states her pain began approximately 12 hours ago, and is accompanied by nausea. She finds some relief when sitting in a quiet, dark room. She reports that prior to the onset of her headache, she noticed a 'bright spot' in her left lateral vision that later expanded to form a crescent with 'zigzagging' lines of color that has made her feel as if she was 'blind.' This lasted 30 minutes and then resolved, and was followed by the headache. She experiences similar episodes approximately once every two months. Physical exam is completely normal. Which of the following is the most appropriate initial step in management?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 5 of 72

When caring for a patient with a new right-sided homonymous hemianopsia resulting from a stroke, which intervention should the nurse include in the plan of care?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 6 of 72

The crossed-extensor reflex is important for:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 7 of 72

Which rationale is accurate for why the use of video games would be included in the plan of care for a patient who sustained a stroke?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 8 of 72

Which of the following provides about two thirds of the 59 diopters of refractive power of the eye?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 9 of 72

Assessing TBI, nurse notes uncoordinated balance, unsteady gait. Document as?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 10 of 72

An infant (4.5 kg) is ordered penicillin 25,000 units/kg q8h. Amount per dose?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 11 of 72

An input neuron to a diverging circuit causes the membrane potential of a target neuron to change from -65 millivolts to -55 millivolts. Which of the following best describes this change in membrane potential (in millivolts)?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 12 of 72

Oligodendrocytes are responsible for:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 13 of 72

The gap between the transmitting and receiving neurons in a chemical synapse is known as the

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 14 of 72

The spinal cord begins outside the ________ and ends at the ________:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 15 of 72

It turned out that an antibiotic furosemide selectively destroys outer hair cells in both cochleas. What would happen to the auditory processing?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 16 of 72

A 72-year-old male is brought by his wife due to unexplained weakness and fatigue. She describes his movements as 'sluggish', and is concerned that he may be depressed. The patient reports difficulty with buttoning his shirt, and double clicking the mouse when using his computer. He states that the recent death of his mother has been difficult to accept, and has noticed his foods don't smell the same, and has been having difficulty with sleep. He does not smoke, but drinks 2-3 beers per week. He says his father suffers from a hand tremor, and his mother passed away from pancreatic cancer. On physical exam, a tremor affecting the right hand improves with purposeful movement. There is an increased resistance to passive movement at the right wrist joint. Which of the following is the best initial treatment?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 17 of 72

The gustatory cortex, involved in the perception of taste, is located in the:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 18 of 72

A client with acute confusion post-head injury is having a lumbar puncture. Whatâ€™s the most serious complication?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 19 of 72

The optic disk is a 'blind spot' in the visual field because:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 20 of 72

The peripheral nervous system (PNS) includes the:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 21 of 72

Identify a neuron(s) that have a multipolar structure:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 22 of 72

The four major lobes of the cerebral cortex are the frontal, parietal, temporal, and:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 23 of 72

Which substances are found on cell surfaces and respond to nerve and hormone signals?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 24 of 72

The nurse recognizes which situation may warrant an ethics consultation?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 25 of 72

Which of the following is the basis for referred pain?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 26 of 72

The pathway of which system crosses in the ventral white commissure of the spinal cord within a few segments of entry and then courses to the thalamus contralateral to the side of the body from which the signal originated?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 27 of 72

While planning care for a client with carpal tunnel syndrome. The nurse identifies a collaborative problem of pain. What is the etiology of this problem?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 28 of 72

Henry Head is a well known scientist because

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 29 of 72

Which of the following does NOT describe the autonomic nervous system?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 30 of 72

The brain and sensory system of a bilaterally symmetric organism function most like

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 31 of 72

The family ask the nurse caring for a patient with increased intracranial pressure (ICP). What is the normal range for ICP?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 32 of 72

Which meningeal layer is closely associated with blood vessels and follows the contours of the brain's surface?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 33 of 72

Accommodation is

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 34 of 72

A transmitter substance released from a presynaptic neuron activates a second messenger G-protein system in the postsynaptic neuron. Which one of the following postsynaptic responses to the transmitter substance is NOT a possible outcome?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 35 of 72

Loss of muscle coordination results from damage to the:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 36 of 72

The nurse is caring for a patient who has been experiencing stroke symptoms for 60 minutes. Which action can the nurse delegate to a licensed practical/vocational nurse (LPN/VN)?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 37 of 72

The brachial plexus primarily innervates the muscles and skin of the:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 38 of 72

Which brain stem structure plays a major role in determining the direction from which a sound originates?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 39 of 72

Imagine that you got very scared watching a super scary movie. Which of the following might have occurred in your body as a result?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 40 of 72

Which one of the following is the correct sequence of events that follows a threshold potential: 1. the membrane becomes depolarized, 2. sodium channels open and sodium ions diffuse inward, 3. the membrane becomes repolarized, 4. potassium channels open and potassium ions diffuse outward while sodium is actively transported out of the cell

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 41 of 72

Loss of which structure is most likely to contribute to the hearing deficit?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 42 of 72

Which cranial nerve is responsible for controlling the muscles of facial expression and conveying taste sensation from the anterior two-thirds of the tongue?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 43 of 72

Saltatory conduction occurs in myelinated axons and involves:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 44 of 72

Which intervention should the nurse include in the plan of care for a patient with new right-sided homonymous hemianopsia after a stroke?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 45 of 72

The term central nervous system refers to the:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 46 of 72

Which of the following is a sign of increased intracranial pressure?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 47 of 72

Treatments for depression often include drugs that help correct imbalances in the levels of

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 48 of 72

Which type of axon conducts nerve impulses at the fastest speed?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 49 of 72

Schwann cells play a crucial role in the process of:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 50 of 72

A nurse is admitting a client who has hyperthyroidism. When assessing the client, the nurse should expect which of the following findings?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 51 of 72

Which statement regarding the transmission of auditory information from the ear to the cerebral cortex is correct?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 52 of 72

The synapse between a motor neuron and a skeletal muscle cell is an example of a:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 53 of 72

A client received a bone marrow transplant for leukemia after chemo and radiation. A severe rash develops 10 days post-transplant. This indicates which of the following?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 54 of 72

A 62-year-old man is brought to the emergency department by his wife because 'he's been acting strangely.' She noticed that during social gatherings he would not say much, and would mostly sit by himself. He barely bathes. When left in place he would stay there until he is told to move. He would not seek his favorite activities including watching football but when sat in front of the TV he seemed to enjoy it. On the Montreal Cognitive Assessment (MoCA) testing, he could not complete the trails testing, his clock was disorganized, and he named only 3 items starting with the letter 'F' in 60 seconds. His free recall was poor but improved with cuing. His visuospatial functioning was relatively spared. He had paratonia, but no other abnormalities on motor exam. Magnetic resonance imaging of the brain showed frontal atrophy, but no other focal abnormalities. Which of the following is most likely the diagnosis?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 55 of 72

A 53-year-old woman with celiac disease visits the physician because of difficulty seeing at night. The woman has frequent, foul-smelling stools. Stool analysis reveals a high content of partially digested fat. A decrease in blood levels of which of the following is the most likely cause of her night blindness?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 56 of 72

Following the administration of intravenous regular insulin to a client diagnosed with hyperkalemia, the nurse should expect which outcome to occur?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 57 of 72

A physician friend of yours is telling you about a patient with a head injury who suddenly stopped breathing. Your friend explains that the bony rim was pressing against the breathing center. You guess that the 'bony rim' (whatever that is) must have been exerting pressure in the region of the

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 58 of 72

Which patient would benefit the most from central venous/right atrial pressure monitoring?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 59 of 72

A 40-year-old woman is admitted emergently to the hospital because of sudden, severe pain in her right eye. Tests show an intraocular pressure of 30 mm Hg in her right eye; the intraocular pressure of her left eye is 15 mm Hg. Which of the following is the most likely cause of eye pain in this woman?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 60 of 72

The spinal cord is part of the:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 61 of 72

The primary visual area of the cerebrum is located in the _______ lobe:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 62 of 72

The nurse admits a client who has a medical diagnosis of bacterial meningitis to the unit. Which intervention has the highest priority when providing care for the client?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 63 of 72

A client with cancer develops tumor lysis syndrome (TLS) following chemotherapy. Which nursing action has the highest priority in responding to the symptoms of this syndrome?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 64 of 72

Which chemical is directly associated with reduced urine volumes in the renin-angiotensin-aldosterone pathways during an acute kidney injury?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 65 of 72

The nurse cares for a client receiving mannitol 0.5 g/kg over 60 min. What indicates effectiveness?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 66 of 72

In general, afferent nerves carry sensory information:

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 67 of 72

A 30-year-old female presents with muscle weakness in the lower extremities and palpitations. Her symptoms have been progressively worse over the course of a 2 weeks. She reports to be in great health, but had a period of abdominal pain and diarrhea approximately 5 weeks ago. Her temperature is 98.9 deg F (37.2 deg C), blood pressure 117/82 mmHg, pulse is 102/min, and respirations are 16/min. On physical exam, there is 4-/5 muscle strength throughout the lower extremities. Bilateral patellar reflexes are 1+ and ankle reflexes are absent. Lumbar puncture was performed, and results are pending. Part 1: What is the most likely diagnosis?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 68 of 72

Which of the following is NOT a function of the reticular formation?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 69 of 72

Rationale for elevating HOB, neutral head, no sharp flexion in head injury?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 70 of 72

Which observation raises safety concerns for a client with tactile agnosia?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 71 of 72

A client admitted to ED post-stroke this morning will receive tPA 90 mg. Whatâ€™s its action?

Select an option. Use Strike to cross one out.

Did you know the question?

ATI LPN · Neurological Assessment Questions

Question 72 of 72

The cell bodies of parasympathetic preganglionic neurons are located in the:

Select an option. Use Strike to cross one out.

Did you know the question?