ATI RN
ATI Neurological System Questions Questions
Question 1 of 5
A patient has a severed spinal nerve as a result of trauma. Which statement is true in this situation?
Correct Answer: C
Rationale: Rationale for Correct Answer (C): When a spinal nerve is severed, adjacent spinal nerves can compensate and continue to carry sensations for the dermatome served by the severed nerve. This is possible due to the concept of dermatomes overlapping and the redundancy in sensory innervation. Therefore, the patient may still experience sensation in the affected area despite the specific nerve being severed. Summary of Incorrect Choices: A: Incorrect. Even if there are 31 pairs of spinal nerves, severing one nerve can still have a significant impact on sensory and motor functions depending on the location and severity of the injury. B: Incorrect. Sensory loss would occur in the dermatome served by the severed nerve, but adjacent nerves can still carry sensations. D: Incorrect. Spinal nerves have both sensory and motor components, so severing a spinal nerve can affect both sensory and motor functions, not just motor function.
Question 2 of 5
A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should understand that the assessment of highest priority is:
Correct Answer: A
Rationale: The correct answer is A: risk for self-harm. In patients with DID, the primary concern is ensuring their safety due to the high risk of self-harm or suicide. Assessing this risk is crucial for immediate intervention to prevent harm. Choice B, cognitive functioning, may be important but is secondary to ensuring patient safety. Choice C, identification of drug abuse, is relevant but not as urgent as addressing the risk for self-harm. Choice D, readiness to reestablish identity or memory, is important but not as critical as ensuring the patient's safety. Therefore, assessing the risk for self-harm takes precedence in the care of a patient with DID.
Question 3 of 5
A patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is the priority assessment?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. Which information obtained during his chart review and assessment will be of greatest concern?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
To determine the extent of Mr. Smith's head injury, what baseline nursing assessment is most important?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.