ATI RN
NCLEX Questions on Neurological System Questions
Question 1 of 5
In helping Mr. Hall to maintain proper body alignment in bed to prevent dislocation of the prosthetic head and hip contracture, the nurse should assist the patient to lie
Correct Answer: A
Rationale: The correct answer is A) straight in bed alternating head position from flat to 30° elevation and left leg abducted. This position helps prevent dislocation of the prosthetic head and hip contracture by maintaining proper alignment of the body. Placing the head at a slight elevation reduces pressure on the hip joint. Abducting the left leg also helps prevent hip contracture by keeping the joint in a neutral position. Option B) diagonally toward the right side of the bed with legs together would not provide optimal alignment for preventing hip dislocation and contracture. Option C) flat on back in bed for first 48 hours with legs adducted may increase the risk of hip contracture due to prolonged adduction. Option D) on the right side only with the left leg in front of the right leg does not promote equal weight distribution and proper alignment. In an educational context, understanding proper body alignment in bed is crucial for preventing complications such as hip dislocation and contractures, especially in patients with prosthetic hips. Nurses must be knowledgeable about positioning techniques to promote patient comfort, prevent complications, and facilitate optimal recovery.
Question 2 of 5
MRS. Post is concerned about the effect of her diagnosis of systemic lupus erythematosus on childbearing. In discharge planning with Mrs. Post, you should
Correct Answer: B
Rationale: In this scenario, the correct answer is B) tell her pregnancy may cause an exacerbation of symptoms. Explanation: - Systemic lupus erythematosus (SLE) is an autoimmune disease that can have significant impacts on pregnancy due to the potential exacerbation of symptoms. - Pregnancy can trigger lupus flares, leading to complications for both the mother and the fetus. - Educating Mrs. Post about the risks associated with pregnancy in SLE is crucial for her to make informed decisions about family planning and managing her condition. Why other options are wrong: - Option A is incorrect because an intrauterine device (IUD) is not the best choice for birth control in a patient with SLE, as it does not address the potential exacerbation of symptoms during pregnancy. - Option C is incorrect because pregnancy can indeed affect lupus symptoms, so telling her that her symptoms will not change is inaccurate. - Option D is incorrect as birth control pills do not specifically address the potential exacerbation of lupus symptoms during pregnancy. Educational context: Understanding the implications of systemic lupus erythematosus on childbearing is crucial for nurses and healthcare providers caring for women with this condition. Providing accurate information and support to patients like Mrs. Post empowers them to make informed decisions about pregnancy planning and managing their health effectively. It is essential to tailor education to individual patient needs and considerations to optimize patient outcomes and quality of life.
Question 3 of 5
In obtaining the history for the patient with carpal tunnel syndrome, you would expect to note a history of
Correct Answer: A
Rationale: The correct answer is A) Pain and numbness or tingling sensation in the hand (over the palmar surface of the thumb, index finger, middle finger, and lateral aspect of the ring finger) that is worse at night. This symptomatology aligns with the classic presentation of carpal tunnel syndrome, which is a common compression neuropathy of the median nerve at the wrist. Option B) Crepitus is typically associated with joint conditions like osteoarthritis, not carpal tunnel syndrome. Option C) Kyphosis is related to spinal issues like osteoporosis, not carpal tunnel syndrome. Option D) Acute onset of excruciating pain due to uric acid accumulation describes gout, a condition unrelated to carpal tunnel syndrome. Educationally, understanding the specific symptomatology of carpal tunnel syndrome is crucial for nurses and healthcare professionals. Recognizing these symptoms aids in accurate assessment, diagnosis, and timely intervention for patients experiencing this condition. This knowledge also contributes to providing appropriate patient education on management strategies and preventive measures.
Question 4 of 5
A client who has a musculoskeletal problem is being discharged after a few days of hospital care. Why should the nurse consider factors related to the home environment while determining a plan for the continued rehabilitation of the client?
Correct Answer: D
Rationale: In the context of caring for a client with a musculoskeletal problem, it is crucial for the nurse to consider factors related to the home environment to ensure successful rehabilitation. Option D, "To determine if the client would continue with the self-care," is the correct answer because the client's ability to independently manage self-care tasks at home is essential for their recovery. Option A, "To include additional care for clients who lack the basic amenities at home," is incorrect because the focus should be on empowering the client to perform self-care rather than adding more external care. Option B, "To determine the client's access to the nearest drugstore," is irrelevant to the client's rehabilitation plan as it does not directly impact their ability to continue with self-care at home. Option C, "To modify the client's living arrangements or other accommodation changes," while important in some cases, may not be necessary if the client can manage self-care tasks with minimal modifications. Understanding the client's ability to continue self-care at home is fundamental in promoting their independence and successful recovery post-hospitalization in a safe and supportive environment.
Question 5 of 5
A client is admitted to the floor with Systemic Lupus Erythematosus (SLE). Which of the following teaching points does the nurse stress to the client with SLE?
Correct Answer: B
Rationale: The correct answer is B) Avoid sunlight and ultraviolet radiation. Rationale: 1. **Correct Answer Explanation**: Clients with Systemic Lupus Erythematosus (SLE) are photosensitive, meaning exposure to sunlight and ultraviolet radiation can trigger or worsen symptoms like skin rashes, joint pain, and fatigue. Avoiding sunlight and using protective measures such as sunscreen and protective clothing is crucial in managing SLE. 2. **Incorrect Answer Explanation**: - A) Applying ice may provide symptomatic relief for certain conditions like inflammation or pain, but it is not a specific teaching point for clients with SLE. - C) Using assistive devices appropriately is important for clients with mobility issues, but it is not directly related to managing SLE. - D) Changing dressings as prescribed is a general nursing care instruction and not specific to the management of SLE. 3. **Educational Context**: It is important for nurses to educate clients with SLE about the importance of avoiding sunlight and ultraviolet radiation to prevent disease exacerbation. This teaching point can significantly impact the client's quality of life and disease management. Providing comprehensive education empowers clients to take an active role in managing their condition and promotes better health outcomes.