ATI RN
Health Assessment Neurological System Questions Questions
Question 1 of 5
The nurse practitioner conducting a neurological assessment on a patient uses a sterile cotton wisp to lightly touch the patient’s forehead, cheek, and chin. The nurse practitioner is testing the:
Correct Answer: A
Rationale: The correct answer is A: Cranial nerve V (trigeminal). The nurse practitioner is testing the trigeminal nerve's sensory function by using a sterile cotton wisp to assess light touch sensation in the patient's forehead, cheek, and chin. The trigeminal nerve has three branches - ophthalmic, maxillary, and mandibular - which innervate these areas respectively. By assessing the patient's response to the light touch in these specific areas, the nurse practitioner can determine if the sensory function of the trigeminal nerve is intact. Summary: B: Cranial nerve VII (facial) controls facial expression, not sensation. C: Cranial nerve XII (hypoglossal) controls tongue movement, not facial sensation. D: Cranial nerve II (optic) is responsible for vision, not facial sensation.
Question 2 of 5
A patient diagnosed with somatic symptom disorder says, I have pain from an undiagnosed injury. I can't take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much. It is important for the nurse to assess:
Correct Answer: C
Rationale: The correct answer is C: secondary gains. In this scenario, the patient's focus on pain and dependency suggests potential secondary gains, such as attention or avoidance of responsibilities. Assessing secondary gains helps in understanding the underlying motivations for the symptoms. Mood (choice A) may be important but doesn't directly address the patient's behavior. Cognitive style (choice B) and identity/memory (choice D) are not as relevant in this context as secondary gains in somatic symptom disorder.
Question 3 of 5
You are preparing a nursing care plan for the patient with SCI including the nursing diagnoses Impaired Physical Mobility and Self-Care Deficit. The patient tells you, 'I don't know why we're doing all this. My life's over.' What additional nursing diagnosis takes priority based on this statement?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer's disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Autonomic dysreflexia can best be described as a
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.