NURSING NUR 305 ATI Medical/Surgical
Neurosensory AH1 Exam Questions And Answers
Graded A+ Assured Success New Update
2022/2023 with rationales
ATI
... [Show More] Medical/Surgical Neurosensory AH1
A nurse is collecting data from a client who has a brain tumor. Which of the following
indicates cranial nerve involvement?
A. Dysphagia
B. Positive Babinski sign
C. Decreased deep-tendon reflexes
D. Ataxia
Rationale: Dysphagia, or difficulty swallowing, can occur as a result of damage to cranial
nerves IX (glossopharyngeal) or X (vagus). A positive Babinski sign, or the turning up of the
toes upon plantar stimulation, is associated with an upper motor neuron lesion. The cranial
nerves primarily innervate the face, neck, and a few organs. Decreased deep-tendon reflexes
indicate impairment in the electrical conduction of spinal nerves that interfere with reflex arcs.
The cranial nerves primarily innervate the face, neck, and a few organs. Ataxia, or
uncoordinated movements of the extremities, can indicate damage to the cerebellum or motor
pathways. The cranial nerves primarily innervate the face, neck, and a few organs.
A nurse in a acute care facility is preparing to admit a client who has myasthenia gravis.
Which of the following suppliesshould the nurse place on the client's bedside?
A. Metered-dose inhaler
B. Continuous passive motion machine
C. External defibrillator pads
D. Oral-nasalsuction equipment
Rationale: The client who has myasthenia gravis is at risk for aspiration because of
progressiveweakness of the oropharyngeal muscles. Myasthenia gravis causes muscle
weakness due to anautoimmune disease that affects the acetylcholine receptors. The nurse
should place oxygen and oral-nasal suction equipment at the bedside in the event of aspiration
or respiratory distress. External defibrillator pads are used for a client who has a cardiac
dysrhythmia; however, they are not indicated for aclient who has myasthenia gravis. A
continuous passive motion machine is used to provide continuous motion of a joint for a client
who is postoperative following joint surgery; however, it is not indicated for a client who has
NURSING NUR 305 ATI Medical/Surgical
Neurosensory AH1 Exam Questions And Answers
Graded A+ Assured Success New Update
2022/2023 with rationales
myasthenia gravis. A metered-dose inhaler is used to administer medications for a client who
has asthma; however, it is not indicated for a client who has myasthenia gravis.
NURSING NUR 305 ATI Medical/Surgical
Neurosensory AH1 Exam Questions And Answers
Graded A+ Assured Success New Update
2022/2023 with rationales
A nurse is collecting data from a client who has Guillain-Barre syndrome. Which of the
following findings should the nurseexpect?
A. Tonic-Clonic seizures
B. Report of a severe headache
C. Weakness of the lower extremities
D. Decreased level of consciousness
Rationale: Guillain-Barré syndrome, also called acute inflammatory demyelinating
polyneuropathy, is an inflammatory disorder of the peripheral nerves. It is characterized by the
rapid onset of ascending weakness and paralysis, starting at the lower extremities, and can
advance to the upper extremities. Guillain-Barré syndrome is an inflammatory disorder of the
peripheral nerves. Decreased level of consciousness is not a manifestation of Guillain-Barré
syndrome. Guillain-Barré syndrome is an inflammatory disorder of the peripheral nerves.
Severe headaches are not a manifestation of Guillain-Barré syndrome.
Guillain-Barré syndrome is an inflammatory disorder of the peripheral nerves. Tonic-clonic
seizures are not a manifestation of Guillain-Barré syndrome.
A nurse is collecting data from a client who has a high-thoracic spinal cord injury. Thenurse
should identify which of thefollowing findings as a manifestation of autonomic dysreflexia?
A. Flushing of the lower extremities
B. Hypotension
C. Tachycardia
D. Report of a headache
Rationale: Autonomic dysreflexia is a neurologic emergency that can occur in clients who have
a cervical or thoracic spinal cord injury above the level of T6. Autonomic dysreflexia can be
triggered by a full bladder or distended rectum. Manifestations include a severe, throbbing
headache; flushing of the face and neck; bradycardia; and extreme hypertension. Autonomic
dysreflexia is a neurologic emergency that occurs in clients who have a cervical or thoracic
spinal cord injury above the level of T6. Manifestations include bradycardia but not
tachycardia.Autonomic dysreflexia is a neurologic emergency that occurs in clients who have a
cervical or thoracic spinal cord injury above the level of T6. Manifestations include
hypertension but not
NURSING NUR 305 ATI Medical/Surgic [Show Less]