ATI RN
Neurological System Assessment Questions Questions
Question 1 of 5
A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the shoulder, arms, or jaw. The nurse knows that the best explanation why this occurs is which one of these statements?
Correct Answer: C
Rationale: The correct answer is C because the sensory cortex does not have the ability to localize pain in the heart, leading to referred pain in other areas like the shoulder, arms, or jaw. This phenomenon is known as referred pain, where the brain misinterprets the source of pain. Choices A, B, and D are incorrect because the issue lies with the brain's interpretation of the pain location, not with sensory cortex discrimination, decreased oxygen supply to the affected areas, or lesions in the dorsal root. Therefore, C is the best explanation for why the patient experiences pain in the chest, shoulder, arms, or jaw when there is a lack of oxygen to the heart.
Question 2 of 5
A nurse counsels a patient diagnosed with body dysmorphic disorder. Which nursing diagnosis would be a priority for the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Risk for suicide. This is the priority nursing diagnosis as patients with body dysmorphic disorder have an increased risk of suicidal ideation and behaviors. Addressing this risk is crucial for patient safety. A: Anxiety is a common symptom of body dysmorphic disorder but may not be the priority if the patient is at risk for suicide. C: Disturbed body image is a characteristic of body dysmorphic disorder, but addressing the risk of suicide takes precedence. D: Ineffective role performance may be a concern, but it is not as urgent as addressing the risk for suicide in this case.
Question 3 of 5
A patient with Parkinson's disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The primary factor in determining choice of anticonvulsant medication is
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.