ATI RN
NCLEX Questions for Neurological System Questions
Question 1 of 5
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?
Correct Answer: B
Rationale: The patient's presentation of progressive weakness, areflexia, and a history of recent gastrointestinal infection is classic for Guillain-Barre syndrome (GBS). GBS is an autoimmune disorder that often follows an infection and leads to demyelination of peripheral nerves. Polymyositis and myasthenia gravis do not typically cause areflexia, and hypokalemia would present with generalized weakness rather than a ascending paralysis.
Question 2 of 5
A client admitted with an exacerbation of multiple sclerosis is demonstrating frustration with eating because hand and arm spasms prevent the proper use of utensils. What should the nurse do to assist this client?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 65-year-old patient with PD is experiencing moderate dyskinesias that are bothersome. The patient is on carbidopa/levodopa 25/100 mg two tablets at 7 AM and one tablet at 11 AM, 2 PM, 5 PM, 8 PM, and 11 PM. Which of the following is most appropriate:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Nurse Parker is overseeing the care of a patient with Parkinson's disease who has been consistently taking carbidopa/levodopa (Sinemet) for a year. She is attentively monitoring for any potential adverse reactions associated with this specific medication. Which adverse reaction should Nurse Parker be particularly vigilant about in monitoring this patient?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Schizophrenia and Parkinson's disease are both linked to changes in which neurotransmitter?
Correct Answer: C
Rationale: Dopamine is a neurotransmitter that plays a critical role in regulating mood, motivation, and movement. Schizophrenia is associated with excessive dopamine activity in certain brain regions, leading to symptoms like hallucinations and delusions. In contrast, Parkinson's disease is linked to a deficiency of dopamine in the basal ganglia, resulting in motor symptoms such as tremors and rigidity. Both conditions highlight the importance of dopamine in brain function and the consequences of its dysregulation.