ATI RN
Questions to Ask About Neurological System Questions
Question 1 of 5
A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Expecting the patient to feed himself/herself after explaining the arrangement of the food on the tray promotes independence and autonomy. 2. It respects the patient's capabilities and encourages self-reliance, which is important for rehabilitation in functional neurological disorders. 3. Providing clear instructions can help the patient navigate the task despite the blindness, fostering a sense of accomplishment. 4. This approach aligns with patient-centered care principles, prioritizing the patient's dignity and self-care abilities. Summary of other choices: A. Establishing a buddy system may not address the patient's need for independence and could potentially undermine their self-esteem. C. Directing the patient to locate items independently may not be practical or safe given the blindness, and it may lead to frustration. D. Neglecting the patient's needs in favor of others is not in line with providing individualized care and could compromise patient outcomes.
Question 2 of 5
What does an abnormal finding in the assessment of cranial nerve VII (Facial nerve) indicate?
Correct Answer: A
Rationale: Facial asymmetry or difficulty with facial expressions indicates dysfunction of cranial nerve VII (Facial nerve). Clear facial movements, normal taste sensation, and equal pupils are normal findings.
Question 3 of 5
A patient exhibits sudden, severe headache and neck stiffness. What should the nurse do first?
Correct Answer: A
Rationale: Sudden, severe headache and neck stiffness may indicate meningitis. A neurologic assessment and evaluation for meningeal irritation are critical. Blood pressure, glucose levels, and throat inspection are secondary.
Question 4 of 5
When assessing a patient's level of consciousness, which response would indicate a decreased level of consciousness?
Correct Answer: A
Rationale: A drowsy patient who can be easily aroused indicates a decreased level of consciousness. Alertness, quick responses, and full wakefulness are normal findings.
Question 5 of 5
If a patient displays a positive Babinski sign, the nurse should:
Correct Answer: A
Rationale: A positive Babinski sign in an adult indicates possible neurological dysfunction and requires documentation and further evaluation. Ignoring the finding or assessing unrelated parameters is inappropriate.