ATI RN
Health Assessment Neurological System Questions Questions
Question 1 of 5
The joint position sense of the right leg is impaired in damage of:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
With regard to nystagmus:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 58-year-old female, accompanied by her husband, presents with trouble walking. She describes her legs as being heavy and stiff, and at times experiences muscle spasms in her lower extremities. Her husband notices that she has been having trouble writing, and buttoning her shirt. These symptoms have progressively worsened over that past 4-5 months. Neurologic exam is significant for intrinsic hand weakness, and arm fasciculations. The lower extremity is hypertonic, with increased patellar reflexes. On gait testing, the patient has poor balance, moves slowly, and has issues with turning. Which of the following is the best treatment to prolong life?
Correct Answer: D
Rationale: Riluzole is the only FDA-approved medication shown to prolong life in patients with amyotrophic lateral sclerosis (ALS). It works by reducing glutamate-induced excitotoxicity, which is thought to contribute to motor neuron degeneration. Pyridostigmine is used for myasthenia gravis, botulinum toxin for spasticity, prednisone for inflammatory conditions, and intravenous immunoglobulin for autoimmune disorders. None of these treatments have been shown to prolong life in ALS.
Question 4 of 5
The 45-year-old client is diagnosed with primary progressive multiple sclerosis and the nurse writes the nursing diagnosis 'anticipatory grieving related to progressive loss.' Which intervention should be implemented?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A client diagnosed with multiple sclerosis has an acute onset of visual changes, fatigue, and leg weakness. The client says that the last time this happened, recovery occurred in a few weeks. Which classification of multiple sclerosis is the client experiencing?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.