ATI RN
Neurological System Assessment Questions Questions
Question 1 of 5
A 39-year-old female presents with progressive weakness in her shoulders and hips over a period of two months. She states that getting up from a chair, climbing a flight of stairs, combing her hair, and picking up her groceries have become increasingly difficult. Family history is significant for colon cancer in her father, and systemic lupus erythematosus in the mother. Creatine kinase and LDH is elevated on laboratory testing. On physical examination, an erythematous rash in the periorbital region is seen. Mild swelling is noted in the small joints of the hand. Muscle tenderness is elicited upon palpation of the shoulders and hips. 4-/5 strength is appreciated in the deltoid, and hip. Which of the following is the best treatment for her symptoms?
Correct Answer: B
Rationale: The patient's presentation of proximal muscle weakness, elevated creatine kinase, and periorbital rash is consistent with dermatomyositis. Prednisone is the first-line treatment for dermatomyositis due to its potent anti-inflammatory and immunosuppressive effects. Methotrexate, hydroxychloroquine, rituximab, and intravenous immunoglobulin are used as adjuncts or in refractory cases but are not the initial treatment.
Question 2 of 5
The nurse is planning care for a client with multiple sclerosis. Which intervention would address the nursing diagnosis of Fatigue?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 74-year-old patient has had PD for 8 years and is currently taking carbidopa/levodopa 25/100 mg one and a half tablets five times a day. His medical history is also significant for pancytopenia. He is experiencing troublesome hallucinations. Previous attempts to lower his carbidopa/levodopa dose were not tolerated due to significant worsening of motor symptoms. The best recommendation is to add:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Nurse Martinez is preparing to conduct an initial assessment of Mrs. Smith, a 66-year-old woman admitted with Parkinson's Disease. As part of her preparation, Nurse Martinez reviews the patient's medication, specifically levodopa. She considers the primary action of this medication in the management of Parkinson's Disease. What should Nurse Martinez identify as the main effect of levodopa?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The effect of neurotransmitters may be:
Correct Answer: B
Rationale: Neurotransmitters can have either excitatory or inhibitory effects on neurons. Excitatory neurotransmitters, such as glutamate, increase the likelihood of a neuron firing an action potential by depolarizing the membrane. Inhibitory neurotransmitters, such as GABA, decrease the likelihood of firing by hyperpolarizing the membrane. This balance between excitation and inhibition is crucial for regulating neural activity and maintaining proper brain function.