ATI RN
Neurological Review of Systems Questions Questions
Question 1 of 5
A client with subdural hematoma was given mannitol to decrease intracranial pressure (ICP). Which of the following results would best show the mannitol was effective?
Correct Answer: A
Rationale: An increase in urine output is the most direct indicator of mannitol's effectiveness. Mannitol works by promoting osmotic diuresis, which increases urine production. This reduces fluid volume in the brain, thereby decreasing ICP. While other signs like pupil reactivity and blood pressure are important, they are secondary indicators and may not directly correlate with the drug's immediate effect.
Question 2 of 5
A patient is diagnosed with a health problem that alters the way impulses are conducted in the neurological system. When reviewing this information with the patient, which part of a neuron should the nurse teach carries impulses toward the cell body?
Correct Answer: B
Rationale: Dendrites are extensions of the neuron that carry impulses toward the cell body. Axons transmit impulses away from the cell body, while Schwann cells and the myelin sheath are involved in insulating and speeding up nerve impulse transmission. Understanding the role of dendrites is crucial for explaining how neurons communicate.
Question 3 of 5
A 22-year-old female patient recovering from a craniotomy begins crying and asking for her mother who is sleeping in the visitors' lounge. The patient's Glasgow Coma Scale (GCS) of 15 and pupils are equal and reactive. What nursing action would be most appropriate at this time?
Correct Answer: A
Rationale: The patient is stable with a GCS of 15 and normal pupillary response, indicating no immediate neurological concern. Emotional distress after surgery is common, and having a family member present can provide comfort. Sedation or notifying the surgeon is unnecessary unless there are signs of neurological deterioration.
Question 4 of 5
The nurse is providing care for a client admitted to the hospital after a motor vehicle accident. After being informed by family members that the patient is deaf and mute, which action should the nurse take?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Certain metabolic diseases can affect the nervous system. For instance, people with diabetes can develop a nervous system problem called diabetic neuropathy. What are the symptoms of diabetic neuropathy?
Correct Answer: D
Rationale: Diabetic neuropathy can cause a wide range of symptoms, including gastrointestinal issues like constipation or diarrhea, cardiovascular symptoms like rapid heart rate, and sensory symptoms like pain in the feet. This condition results from nerve damage due to high blood sugar levels. Recognizing these symptoms is essential for managing diabetes-related complications.