ATI RN
Health Assessment Neurological System NCLEX Questions Quizlet Questions
Question 1 of 5
An elderly patient is brought to the clinic for confusion, horizontal eye movement bilaterally, and intermittent disorientation to time and place over the past 3 months. The patient has a history of alcoholism for 30 years. Which dementia type is the patient most likely experiencing?
Correct Answer: A
Rationale: The correct answer is A: Wernicke's encephalopathy. This patient's history of chronic alcoholism puts them at risk for thiamine deficiency, leading to Wernicke's encephalopathy. Symptoms such as confusion, horizontal eye movement abnormalities (nystagmus), and disorientation are classic features. Pick's disease (B) is a rare form of frontotemporal dementia with distinct pathological features. Lewy bodies (C) are associated with dementia with Lewy bodies, characterized by visual hallucinations and parkinsonism. Parkinson's disease (D) primarily presents with motor symptoms like tremors and rigidity, not cognitive deficits like this patient.
Question 2 of 5
A patient reports fears of having cervical cancer and says to the nurse, I've had Pap smears by six different doctors. The results are normal, but I'm sure that's because of errors in the laboratory. Which disorder would the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Illness anxiety disorder (hypochondriasis). This disorder involves excessive worry about having a serious illness despite medical reassurance. In this case, the patient's persistent fear of cervical cancer despite normal Pap smear results and attributing them to laboratory errors aligns with the characteristic of illness anxiety disorder. Other choices: A: Functional neurologic (conversion) disorder - This disorder involves physical symptoms without a medical explanation. The patient in the question does not exhibit physical symptoms. C: Body dysmorphic disorder - This disorder involves preoccupation with perceived defects in physical appearance. The patient's concern is not related to body image. D: Dissociative amnesia with fugue - This disorder involves memory loss with sudden travel or wandering. The patient does not display memory loss or wandering behavior in the scenario.
Question 3 of 5
The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action(s) to the LPN/LVN? (Chooseone that doesn't apply.)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
All of these nursing activities are included in the care plan for a 78-year-old man with Parkinson's disease who has been referred to your home health agency. Which ones will you delegate to a nursing assistant (NA)? (Choose all that apply.)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Mr. Smith's physician suspects that Mr. Smith has an injured pituitary gland because of his
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.