ATI RN
Neurological Review of Systems Questions Questions
Question 1 of 5
A 44-year-old female presents with weakness. Her weakness becomes apparent when she picks up her youngest daughter, or when placing her nonperishable foods in the top shelf of her kitchen. She also reports difficulty when getting up from a chair. These symptoms began a few months ago, and have since worsened. On physical exam, there is an erythematous eruption on her eyelids, and erythematous papules on the dorsal aspect of her hands. Neurological examination is significant for symmetric muscle weakness of her shoulders and hips. Which of the following is most likely the diagnosis?
Correct Answer: C
Rationale: The patient's presentation of proximal muscle weakness, along with the characteristic skin findings (heliotrope rash on the eyelids and Gottron's papules on the hands), is classic for dermatomyositis. This is an inflammatory myopathy associated with autoimmune processes and often involves both muscle and skin. Glucocorticoid-induced myopathy and myasthenia gravis do not present with skin changes, while polymyositis and systemic lupus erythematosus do not typically cause the specific skin lesions seen in this patient.
Question 2 of 5
A client with multiple sclerosis is prescribed diazepam (Valium). What assessment finding indicates that the medication is effective for the client?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Which of the following is not a side effect of dopamine agonists?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Nurse Davis is about to perform an initial assessment on Mrs. Allen, a 64-year-old woman admitted with advanced Parkinson's Disease. Nurse Davis is aware that certain characteristics are indicative of this stage of the disease. Which of the following does Nurse Davis recognize as a characteristic of a patient with advanced Parkinson's disease?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The ________ is to feeling fear as the ________ is to feeling pleasure.
Correct Answer: B
Rationale: The amygdala is a brain structure responsible for processing fear and emotional responses, while the hypothalamus is involved in regulating pleasure and reward. The amygdala detects threats and triggers fear responses, such as the fight-or-flight reaction. In contrast, the hypothalamus plays a role in reward pathways and the release of dopamine, which is associated with feelings of pleasure and satisfaction. These structures illustrate the brain's specialization in processing different emotions.