ATI Learning System RN 3.0 Med-Surg Neurosensory Dynamic
(85 Correctly Answered Quizzes) 2023
1. A nurse is assessing a client who reports vision loss. The client describes the loss as beginning
with a "flash" of light followed by a "curtain" across the field of vision. The nurse should
identify that these manifestations indicate which of the following eye disorders?
Answer: Retinal detachment
2. A nurse is providing discharge teaching to the family of a client who has a new diagnosis of a
seizure disorder. The nurse should instruct the client's family to take which of the following
actions first in the event of a seizure?
Answer: Protect the client's head
3. A nurse is teaching a client who has myopia about laser-assisted in situ keratomileusis
(LASIK) surgery. Which of the following is an adverse effect of LASIK surgery?
Answer: Dry eyes
4. An ED nurse is assessing a client who has a new TBI. The nurse observes extension of the
client's arms and legs, pronation of the arms, and plantar flexion of the feet. Which of the
following actions is the nurse's priority?
Answer: Provide supplemental oxygen
5. A nurse is providing teaching about degenerative complications to the partner of a client who
has a new diagnosis of Parkinson's disease. Which of the following manifestations is the
priority?
Answer: Dysphagia
6. A nurse is teaching a class of new parents about otitis media. Which of the following
manifestations should the nurse include in the teaching?
Answer: Feeling of fullness in the ear
7. A nurse is caring for a client who has a left intracranial hemorrhage from a stroke. Which of
the following findings should the nurse expect?
Answer: Right-sided hemiplagia
8. 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?
Answer: Oral-nasal suction equipment
9. A nurse is teaching a client who has a new diagnosis of primary open-angle glaucoma
(POAG). Which of the following pieces of info should the nurse include in the teaching?
Answer: • Driving can be dangerous due to the loss of peripheral vision.
• Laser surgery can help reestablish the flow of aqueous humor.
10. A nurse is triaging clients during a mass casualty event. Which of the following labels should
the nurse assign to a client who has a head injury with fixed, dilated pupils?
Answer: Black tag
11. A nurse in the ED is caring for a group of clients who all have an odor of alcohol on their
breath and multiple injuries of the head and extremities. Which of the following clients should
the nurse assess first?
Answer: A client who is difficult to arouse and is unable to respond to questions
12. A nurse is assessing a client who reports an acute visual disturbance that he describes as a
"curtain" pulled over his visual field with occasional flashes of light. The nurse should notify the
provider that this client might have which of the following disorders?
Answer: Retinal detachment
13. A nurse is assessing a client who has cataracts. Which of the following findings should the
nurse expect?
Answer: Opacity visible behind the pupil
14. A nurse is assessing a client who sustained a recent head injury. Which of the following
findings should the nurse recognize as a manifestation of increased intracranial pressure?
Answer: Widened pulse pressure
15. A nurse is providing teaching for a client who will undergo LASIK surgery. Which of the
following pieces of info should the nurse include?
Answer: "You might need glasses after the surgery."
16. A charge nurse is observing a newly licensed nurse irrigate a client's ear, which is impacted
with cerumen. Which of the following actions requires the charge nurse to intervene?
Answer: Instilling 50 mL of fluid with each irrigation
17. A nurse is planning care for a client following a stroke. Which of the following interventions
should the nurse identify as the priority in the client's plan of care?
Answer: Monitor the client for increased ICP
18. A nurse is assessing a client who has increased ICP and has received IV mannitol. Which of
the following findings indicates a therapeutic effect of this medication?
Answer: Increased urine output
19. A nurse is assessing a client who is postop following a craniotomy and has a urine output of
600 mL/hr. The nurse suspects the client has manifestations of diabetes insipidus (DI). Which of
the following lab values should the nurse plan to obtain to assess for DI?
Answer: Specific gravity
20. A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the following
manifestations should the nurse expect?
Answer: Swelling behind the affected ear
21. A nurse is assessing a client who has a new diagnosis of acute angle-closure glaucoma. The
nurse should anticipate the client to report which of the following manifestations?
Answer: Severe eye pain
22. A nurse is caring for a client who has moderate Alzheimer's disease. Which of the following
actions should the nurse take?
Answer: Add gestures when speaking with the client
23. A nurse in a rehab center is performing an assessment for a client who is recovering from a
left-hemisphere stroke. Which of the following findings should the nurse expect?
Answer: Difficulty with speech
24. A nurse is preparing an older adult client who had a TIA for discharge. The nurse should
teach the client to monitor which of the following parameters at home?
Answer: Blood pressure
25. A nurse is assessing a client who is unconscious. The client has a rhythmical breathing
pattern of rapid deep respirations followed by rapid shallow respirations, alternating with periods
of apnea. The nurse should document that the client is experiencing which of the following types
of respirations?
Answer: Cheyne-Stokes
26. A nurse is reviewing the lab results of a lumbar puncture (LP) for a client who has
manifestations of bacterial meningitis. Which of the following findings should the nurse expect?
Answer: Elevated protein
27. A nurse is providing teaching to a client who is scheduled for an electroencephalogram in the
morning. Which of the following pieces of info should the nurse share?
Answer: "Shampoo your hair before the procedure and don't use any styling products
afterward."
28. A nurse is caring for a client who has expressive aphasia following a stroke. The nurse should
identify that the stroke affected which of the following lobes of the client's brain?
Answer: Frontal
29. A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis (MS).
The client asks the nurse about the usual cause of MS. Which of the following responses should
the nurse make?
Answer: "Acute episodes are usually followed by remissions, which can vary in duration."
30. A nurse is caring for a client who experienced a traumatic brain injury. Which of the
following findings indicates the client is experiencing increased intracranial pressure?
Answer: Dilated pupils
31. A nurse is caring for a client who has a TBI and assumes a decerebrate posture in response to
noxious stimuli. Which of the following reactions should the nurse anticipate when drawing a
blood sample?
Answer: The client rigidly extends his arms
32. A nurse is providing teaching to a class about TIA. Which of the following pieces of info
should the nurse include in the teaching?
Answer: TIA can precede an ischemic stroke
33. A nurse is providing discharge teaching to a client who is postop following scleral buckling
to repair a detached retina. Which of the following instructions should the nurse include in the
teaching?
Answer: "You should avoid reading for 1 week."
34. A nurse is assessing a client who as a head injury with a possible skull fracture. Which of the
following findings should the nurse identify as an indication that the client might have a
complication involving the 8th cranial nerve?
Answer: Dizziness and hearing loss
35. During a neuro assessment, a nurse asks how the client arrived at the appointment and with
whom. Which of the following types of memory is the nurse testing?
Answer: Recall
36. A nurse is caring for a client who has receptive aphasia. Which of the following
communication problems should the nurse expect when assessing the client?
Answer: The client is unable to understand words or sentences she hears
37. A nurse is caring for a client who has a brainstem injury. Which of the following
physiological functions should the nurse monitor?
Answer: Respiratory effort
38. A nurse is caring for a client during the first 72 hr following a CVA. Which of the following
actions should the nurse take?
Answer: Elevate the head of the bed 25 to 30 degrees with the client in a neutral midline
position
39. A home health nurse is interviewing the adult child of a client who has Alzheimer's disease.
The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. Which of
the following referrals should the nurse make for the caregiver?
Answer: Respite care
40. During a neuro assessment, a nurse asks the client to name all of his children, their ages, and
their birth dates. Which of the following types of memory is the nurse testing?
Answer: Remote
41. A nurse is providing teaching to a client who has a history of tonic-clonic seizures and is
scheduled for a standard EEG. Which of the following instructions should the nurse include in
the teaching?
Answer: Thoroughly shampoo her hair prior to the EEG
42. A nurse is providing discharge teaching to a client who has had a TIA. Which of the
following instructions should the nurse include?
Answer: Reduce dietary sodium
43. A nurse in a clinic is providing teaching to an adolescent client who has recurrent external
otitis. Which of the following instructions should the nurse include in the teaching?
Answer: Instill a diluted alcohol solution into the ear after swimming
44. A nurse asks a client to stand with her feet together and her eyes open. After a few seconds,
the nurse asks the client to close her eyes. If the client begins to fall, the nurse should interpret
this finding as a positive Romberg test, indicating which of the following alterations?
Answer: Cerebellar dysfunction
45. A nurse is reviewing the medical record of a client who is experiencing tinnitus in both ears.
Which of the following pieces of info in the client's medical record should the nurse identify as a
risk factor for tinnitus?
Answer: Sclerosis of the ossicles
46. A nurse is preparing to test the function of cranial nerve X. Which of the following
procedures should the nurse use?
Answer: Have the client open his mouth and say, "aah"
47. A nurse is providing teaching to a client who has a new diagnosis of myasthenia gravis (MG).
Which of the following pieces of info should the nurse include?
Answer: Set an alarm to ensure medication dosages are taken on time
48. A nurse is caring for a client who has a hearing impairment. Which of the following actions
should the nurse take when communicating with the client?
Answer: Face the client when speaking
49. A nurse is assessing a client who has a high-thoracic spinal cord injury. The nurse should
identify which of the following findings as a manifestation of autonomic dysreflexia?
Answer: Report of a headache
50. A nurse is assessing an older adult client for physiological changes that can occur with age.
Which of the following findings should the nurse expect?
Answer: Decreased sense of taste
51. A nurse names 3 objects for the client to remember, asks the client to repeat them, and tells
the client he will have to repeat them again in a few minutes. After 5 minutes, the nurse asks the
client to name the objects. The nurse is using this strategy to test which type of memory?
Answer: Immediate
52. A nurse is providing teaching to the family of a client who has stage II Alzheimer's disease.
Which of the following pieces of info should the nurse include in the teaching?
Answer: Limit choices offered to the client
53. A nurse is teaching a client about CT scanning of the brain. Which of the following teaching
points should the nurse include?
Answer: "You'll have to lie very still on a long, narrow table during the test."
54. A nurse is assessing a client with a closed head injury who has received mannitol for
manifestations of increased ICP. Which of the following findings indicates that the medication is
having a therapeutic effect?
Answer: The client's serum osmolarity is 310 mOsm/L
55. A nurse is reviewing the medical history of a client who has presbyopia. With which of the
following activities should the nurse expect the client to have difficulty?
Answer: Reading the newspaper
56. A nurse is caring for a client who had a CVA. The client appears alert and engaged during a
visit but does not respond verbally to questions. The nurse should document this as which of the
following alterations?
Answer: Expressive aphasia
57. A nurse is assessing a client who recently experienced a head injury. Which of the following
findings should the nurse identify as an indication of short-term memory impairment?
Answer: Inability to locate eyeglasses
58. A nurse is caring for a client who has a closed TBA and is experiencing increased ICP. This
increase in ICP is due to which of the following?
Answer: Rigid skull containing cranial contents
59. A nurse responds it a call from an assistive personnel that a client just had a seizure and is
unconscious. Which of the following assessments is the nurse's priority?
Answer: Check airway patency
60. A nurse is teaching a client who has a new diagnosis of simple partial seizures about auras.
Which of the following statements by the client indicates an understanding of the teaching?
Answer: "An aura is a sensory warning that a seizure is imminent."
61. A nurse is caring for a client who has received sedation. When the nurse applies nailbed
pressure, the client withdraws his hand. The nurse should document this response as indicating
which of the following?
Answer: Arousal
62. A nurse is caring for a client who has dementia and is experiencing anxiety. Which of the
following actions should the nurse take?
Answer: Redirect the client to a different activity with a small group of people
63. A nurse is caring for a client who begins to have a generalized tonic-clonic seizure while
lying in bed. Which of the following actions should the nurse take?
Answer: Turn the client onto a side
64. A nurse is caring for a client who has Meniere's disease. The nurse should identify that
Meniere's disease affects which structure of the ear?
Answer: Cochlea
65. A nurse is providing teaching to a client who has a new diagnosis of migraine headaches
about interventions to reduce pain at the onset of a migraine. Which of the following instructions
should the nurse include in the teaching?
Answer: "Darken the lights."
66. A nurse is preparing a client who has a brain tumor for CT. Which of the following factors
affects the manner in which the nurse will prepare the client for the scan?
Answer: Development of hives when eating shrimp
67. A nurse is providing discharge teaching to a client who is postop following cataract surgery
and has an intraocular lens implant. Which of the following statements by the client indicates an
understanding of the instructions?
Answer: "I will avoid bending over."
68. A nurse is caring for a client who is experiencing autonomic dysreflexia due to a C5 spinal
cord injury. After checking the client's vital signs, which of the following actions should the
nurse perform next?
Answer: Place the client in a high-Fowler's position
69. A nurse is caring for a client who has had repeated middle ear infections. The client reports
that the provider said the infections are due to an obstruction of the structure that connects the
middle ear to the throat. The nurse should identify that the provider was referring to which of the
following structures?
Answer: Eustachian tube
70. A nurse is providing teaching to the family who has a new diagnosis of ALS. Which of the
following findings is an early manifestation of ALS?
Answer: Weakness of the distal extremities
71. A nurse is preparing a client for an EEG. Which of the following pieces of info should the
nurse share with the client?
Answer: "You'll begin by lying still with your eyes closed."
72. A nurse is walking along the unit when she sees smoke coming from the central supply room.
After activating the fire alarm, which of the following actions should the nurse take?
Answer: Turn off sources of oxygen near the fire
73. A nurse in an ED is assessing a client who sustained a fall off a roof. Which of the following
findings should the nurse identify as an indication of a basilar skull fracture?
Answer: Clear fluid coming from the nares
74. A nurse is caring for a client who has cerebral lesion and develops hyperthermia. Which of
the following areas of the client's brain is affected?
Answer: Hypothalamus
75. A nurse is providing teaching to a client who has a new diagnosis of Meniere's disease.
Which of the following instructions should the nurse include in the teaching?
Answer: Avoid sudden movements
76. A nurse in the ED has assessed a client's ABCs following a head injury from a fall at work.
Which of the following actions is the priority for the nurse to perform next?
Answer: Immobilize the client's cervical spine
77. A nurse is assessing a client who was admitted to the facility for observation following a
closed head injury. Which of the following is the priority assessment the nurse should perform to
determine a change in the client's neurological status?
Answer: Level of consciousness
78. A nurse is caring for a client who has an impairment of cranial nerve II. Which of the
following actions should the nurse perform to promote the client's safety?
Answer: Provide an obstacle-free path for ambulation
79. A nurse is caring for a client who is postop following a frontal craniotomy. The nurse should
place the client in which of the following positions?
Answer: Semi-Fowler's
80. A nurse is performing a neurological assessment for a client who has a brain tumor. Which of
the following findings should indicate cranial nerve involvement?
Answer: Dysphagia
81. A nurse is reviewing the medical history of a client who is scheduled for a MRI exam of the
cervical vertebra. Which of the following pieces of info in the client's history is a
contraindication to this procedure?
Answer: The client has a pacemaker
82. A nurse is preparing a client for an EEG. When the client asks the nurse what this test does,
which of the following responses should the nurse provider?
Answer: "An EEG records the electrical activity of your brain cells."
83. A nurse is caring for a client who is recovering from a recent stroke. Which of the following
assessment is the nurse's priority?
Answer: The client's ability to clear oral secretions
84. A nurse is assessing a client who has Guillain-Barre syndrome. Which of the following
findings should the nurse expect?
Answer: Weakness of the lower extremities
85. A nurse is caring for a client who has encephalitis due to West Nile virus. Which of the
following actions should the nurse take?
Answer: • Monitor vital signs every 2 hr
• Assess neuro status every 4 hr
• Keep the client's room darkened
