ATI RN
Health Assessment Neurological System Questions Questions
Question 1 of 5
A 58-year-old female, accompanied by her husband, presents with trouble walking. She describes her legs as being heavy and stiff, and at times experiences muscle spasms in her lower extremities. Her husband notices that she has been having trouble writing, and buttoning her shirt. These symptoms have progressively worsened over that past 4-5 months. Neurologic exam is significant for intrinsic hand weakness, and arm fasciculations. The lower extremity is hypertonic, with increased patellar reflexes. On gait testing, the patient has poor balance, moves slowly, and has issues with turning. Which of the following is the best treatment to prolong life?
Correct Answer: D
Rationale: Riluzole is the only FDA-approved medication shown to prolong life in patients with amyotrophic lateral sclerosis (ALS). It works by reducing glutamate-induced excitotoxicity, which is thought to contribute to motor neuron degeneration. Pyridostigmine is used for myasthenia gravis, botulinum toxin for spasticity, prednisone for inflammatory conditions, and intravenous immunoglobulin for autoimmune disorders. None of these treatments have been shown to prolong life in ALS.
Question 2 of 5
A client diagnosed with multiple sclerosis has an acute onset of visual changes, fatigue, and leg weakness. The client says that the last time this happened, recovery occurred in a few weeks. Which classification of multiple sclerosis is the client experiencing?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 70-year-old patient taking carbidopa/levodopa 25/100 mg three times a day for PD is experiencing end-of-dose wearing off. The best next step is to:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Nurse Cooper is preparing a teaching plan for a client who has started taking levodopa for Parkinson's disease. She plans to educate the client about common side effects associated with this medication. Which side effect should Nurse Cooper include in her teaching plan?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
What part of a neuron is responsible for receiving information?
Correct Answer: C
Rationale: Dendrites are the part of a neuron responsible for receiving information from other neurons. They are branched structures that extend from the cell body and contain receptors for neurotransmitters. When neurotransmitters bind to these receptors, they generate electrical signals that travel toward the cell body, initiating communication between neurons. Dendrites play a crucial role in integrating incoming signals and determining whether the neuron will fire an action potential.