ATI RN
Neurological System NCLEX Questions Questions
Question 1 of 5
One indication that a paraplegic patient is beginning to accept his disability would be that he
Correct Answer: B
Rationale: In the context of a paraplegic patient accepting his disability, the correct answer is B) practices push-up exercises. Engaging in physical activities like push-up exercises indicates a level of acceptance as the patient is actively participating in rehabilitation and adapting to their new physical limitations. This demonstrates a proactive approach towards their disability and a willingness to work towards physical improvement. Option A) sitting and looking out the window does not necessarily indicate acceptance but could be a coping mechanism or a passive activity. Option C) discussing the preinjury state may show reminiscence or longing for the past, indicating a lack of acceptance. Option D) drinking plenty of milk is unrelated to the acceptance of a disability and is a distractor in this context. Educationally, understanding the behaviors and signs of acceptance in patients with disabilities is crucial for healthcare professionals, especially nurses. It helps them provide appropriate support, encouragement, and care tailored to the patient's emotional and physical needs. Encouraging and recognizing positive behaviors, like engaging in rehabilitation exercises, can contribute to the patient's overall well-being and quality of life.
Question 2 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 3 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 4 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.
Question 5 of 5
A client undergoes arthrography for an examination of the knee. What information should the nurse provide to the client?
Correct Answer: A
Rationale: Rationale: The correct answer is A) Expect crackling or clicking noises in the joint for up to 2 days. Arthrography involves injecting a contrast dye into the joint to visualize structures on X-ray. It is normal to experience crackling or clicking noises post-procedure due to the movement of the contrast dye within the joint space. This information is crucial to provide as it reassures the client about expected post-procedure sensations and prevents unnecessary anxiety. Option B) Expect fever, nausea, and vomiting for up to 2 days is incorrect as these symptoms are not typical after arthrography. Fever, nausea, and vomiting could indicate an infection or adverse reaction, which would require immediate medical attention. Option C) Avoid dairy products for up to 2 days is incorrect and irrelevant to arthrography. There is no association between dairy products and this procedure. Option D) Avoid potassium-rich foods for up to 2 days is also incorrect. There is no restriction on potassium-rich foods following arthrography. Educational Context: Providing accurate pre and post-procedure information to clients undergoing medical tests is essential for ensuring their understanding and cooperation. Nurses play a key role in educating clients about what to expect, potential side effects, and how to care for themselves post-procedure. This not only enhances patient outcomes but also promotes client empowerment and satisfaction with their healthcare experience.