ATI RN
Neurological System NCLEX Questions Questions
Question 1 of 5
As Susan prepares for discharge, it is essential to teach her to
Correct Answer: B
Rationale: In this scenario, the correct answer is B) avoid respiratory infection. Educating Susan on avoiding respiratory infections is crucial because individuals with neurological conditions, such as those requiring discharge instructions, are more susceptible to respiratory complications. Neurological conditions can compromise respiratory function, making individuals prone to infections like pneumonia. Teaching Susan preventive measures, such as practicing good hand hygiene, avoiding crowds during flu season, and getting vaccinated, will help in reducing her risk of respiratory infections. Option A) take anticholinergic drugs as ordered with meals is incorrect because it is not relevant to Susan's discharge teaching unless specifically prescribed for her condition. Option C) increase activities could be harmful as it may not be suitable for Susan depending on her specific neurological condition and could lead to complications. Option D) take sedatives to ensure sound sleep is inappropriate as a general instruction and may not address Susan's individual needs or promote her overall well-being. In an educational context, understanding the rationale behind each option helps students grasp the importance of individualized patient education based on specific health conditions. By comprehending why certain actions are necessary or contraindicated, students can develop critical thinking skills essential for providing safe and effective patient care in various clinical scenarios.
Question 2 of 5
In teaching a community group the appropriate first aid care of burns, you show them a picture of a wound which is red, has several intact large blisters, one broken blister, and a lot of moisture present. You would expect them to recognize the depth of this burn as
Correct Answer: A
Rationale: The correct answer is A) partial-thickness. This type of burn, also known as a second-degree burn, is characterized by redness, intact blisters, broken blisters, and the presence of moisture. In this stage, the burn has penetrated through the epidermis and into the dermis layer of the skin. It is painful, may be swollen, and is sensitive to touch. Option B) first-degree burns are superficial burns that only affect the epidermis, resulting in redness and pain but no blisters. Option C) full-thickness burns, also known as third-degree burns, extend through all layers of the skin and may appear white, charred, or leathery. Option D) third-degree burns are the most severe and would not present with intact blisters and moisture as described in the scenario. In an educational context, understanding the depth of burns is crucial for providing appropriate first aid and determining the need for medical intervention. By recognizing the characteristics of different burn depths, individuals can take the necessary steps to manage the burn effectively and seek appropriate medical care. This knowledge is especially important in emergency situations to prevent further damage and promote healing.
Question 3 of 5
Recovery has progressed smoothly and the nurse is planning with Mr. Hall for discharge. Which of the following activities is most appropriate for Mr. Hall to do?
Correct Answer: D
Rationale: The correct answer is D) Intermittently sit for short periods followed by short, frequent walks. This option promotes activity progression and gradual reintegration into daily activities for Mr. Hall after his neurological condition. It balances rest and movement, which is crucial for his recovery. This approach helps prevent complications like muscle weakness, joint stiffness, and pressure ulcers. Option A is incorrect because maintaining bed rest for an extended period can lead to muscle atrophy, decreased joint mobility, and increased risk of complications like deep vein thrombosis. Option B is incorrect because using a deep, soft chair for a month can promote prolonged sitting, which may lead to joint stiffness and muscle weakness. Option C is incorrect because resuming driving after only 2 weeks of exercise at home may be premature and unsafe, as Mr. Hall needs to regain strength, coordination, and confidence before driving. In an educational context, it is essential for nurses to understand the principles of activity progression and safe rehabilitation practices for patients with neurological conditions. Gradual reintroduction of activities and mobility is key to promoting optimal recovery and preventing complications. Nurses play a crucial role in educating patients like Mr. Hall on the importance of a balanced approach to activity and rest post-discharge.
Question 4 of 5
Mr. Singer will be taking aspirin and prednisone for his rheumatoid arthritis upon discharge from the hospital. Mr. Singer should be taught to contact his physician immediately if which of the following occurs?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Tarry stools. Mr. Singer should be instructed to contact his physician immediately if he experiences tarry stools because it can indicate gastrointestinal bleeding, a potential side effect of aspirin use. Aspirin can cause irritation and ulcers in the stomach lining, leading to bleeding that presents as dark, tarry stools. Option B) Ringing in his ears is a common side effect of aspirin but not typically a cause for immediate concern unless it is severe or persistent. Option C) Warm, swollen joints are common symptoms of rheumatoid arthritis and may not require immediate physician contact unless accompanied by other concerning symptoms. Option D) Fluid retention is a known side effect of prednisone but may not warrant immediate contact unless it is severe or accompanied by other symptoms. Educationally, this question highlights the importance of patient education regarding potential side effects of medications, particularly those commonly used in the treatment of rheumatoid arthritis. It emphasizes the need for patients to be vigilant in monitoring their symptoms and to promptly report any concerning signs to their healthcare provider to prevent serious complications.
Question 5 of 5
While shopping, Marnie Smith, RN, sees a man on the floor in the shopping center having tonic-clonic movements. Her first action is to
Correct Answer: C
Rationale: In this scenario, the correct action for Marnie Smith, RN, to take when encountering a man having tonic-clonic movements in a shopping center is to place a sweater under his head (Option C). This is because protecting the patient's head is crucial during a seizure to prevent head injury. Placing a soft object such as a sweater under the head helps cushion it and prevents trauma. The other options are incorrect due to the following reasons: A) Placing a pen between the teeth and over the tongue is dangerous as it can lead to injury or obstruction of the airway during a seizure. B) Restraining the movements of the extremities is not recommended as it can cause harm to the patient and increase the risk of injury. D) Turning the patient into the prone position can also be dangerous during a seizure as it can obstruct breathing and lead to complications. Educationally, it is essential for nurses to be well-versed in the appropriate first aid measures for individuals experiencing seizures. Understanding the correct actions to take can help prevent further harm and ensure the safety and well-being of the individual until medical assistance arrives. This knowledge is crucial for all healthcare professionals, especially those working in public settings where emergencies can occur.