ATI RN
Neurological Vital Signs Assessment Questions
Question 1 of 5
A 22-year-old woman comes to the clinic because of severe sunburn and states, 'I was out in the sun for just a couple of minutes.' The nurse begins a medication review with her, paying special attention to which medication class?
Correct Answer: B
Rationale: The correct answer is B: Tetracyclines for acne. Tetracyclines are known to cause photosensitivity, increasing the risk of sunburn with minimal sun exposure. The nurse should review this medication class as the patient's severe sunburn may be a side effect. Nonsteroidal anti-inflammatory drugs (Choice A) are not directly related to photosensitivity. Proton pump inhibitors (Choice C) are used for reducing stomach acid, not linked to sunburn. Thyroid replacement hormone (Choice D) does not typically cause sunburn as a side effect. Therefore, the focus on tetracyclines is crucial in this scenario.
Question 2 of 5
The nurse is reviewing the function of the cranial nerves (CNs). Which CN is responsible for conducting nerve impulses to the brain from the organ of Corti?
Correct Answer: C
Rationale: The correct answer is C: VIII (Vestibulocochlear nerve). This cranial nerve is responsible for conducting nerve impulses to the brain from the organ of Corti, which is located in the cochlea of the inner ear. The vestibulocochlear nerve is specifically involved in transmitting auditory information to the brain. A: CN I (Olfactory nerve) is responsible for the sense of smell, not related to the organ of Corti. B: CN III (Oculomotor nerve) controls eye movements. D: CN XI (Accessory nerve) is responsible for controlling muscles of the neck and shoulders, not related to auditory functions. In summary, choice C is correct because the Vestibulocochlear nerve is specifically responsible for transmitting auditory information from the organ of Corti to the brain, while the other choices are not related to this specific function.
Question 3 of 5
The mother of a 2-year-old toddler is concerned about the upcoming placement of tympanostomy tubes in her son's ears. The nurse would include which of these statements in the teaching plan?
Correct Answer: D
Rationale: The correct answer is D: The purpose of the tubes is to decrease the pressure and allow for drainage. Tympanostomy tubes are inserted into the eardrum to allow for drainage of fluid from the middle ear, decreasing pressure and preventing recurrent ear infections. This is important for the child's hearing and overall health. A: The tubes are not placed in the inner ear. They are placed in the eardrum to assist in drainage. B: Tympanostomy tubes are not used for sensorineural loss, but rather for conditions like recurrent ear infections or fluid buildup in the middle ear. C: The tubes are not permanently inserted during a surgical procedure. They are typically temporary and will eventually fall out on their own.
Question 4 of 5
During an oral assessment of a 30-year-old Black patient, the nurse notices bluish lips and a dark line along the gingival margin. What action would the nurse perform in response to this finding?
Correct Answer: C
Rationale: Rationale: Choice C is correct because bluish lips and a dark line along the gingival margin are normal pigmentation variations seen in individuals with darker skin tones, especially in Black patients. This is known as racial pigmentation and does not indicate any health concern. Choices A, B, and D are incorrect as they are not relevant to this specific physical finding and may lead to unnecessary testing or interventions. Checking hemoglobin, assessing for oxygen supply, and inquiring about carbon monoxide exposure are not indicated based on the racial pigmentation seen in this patient.
Question 5 of 5
During an oral examination of a 4-year-old Native-American child, the nurse notices that her uvula is partially split. Which of these statements is accurate?
Correct Answer: B
Rationale: The correct answer is B: A bifid uvula may occur in some Native-American groups. A bifid uvula refers to a split or forked uvula, which is a variation of normal anatomy and can be seen in certain populations, including some Native-American groups. This condition is usually benign and does not typically cause any health issues. It is important for healthcare providers to be aware of such variations to avoid unnecessary concern or intervention. Explanation for incorrect options: A: This condition is not a cleft palate, which is a more severe congenital condition involving a gap in the roof of the mouth. C: There is no indication that the bifid uvula is due to an injury or that it should be reported to authorities. D: "Palatinus" is not a term commonly used to describe a bifid uvula, and the statement about its frequency in Native Americans is not supported by evidence.