ATI RN
Neurological Review of Systems Questions Questions
Question 1 of 5
The nurse practitioner is reviewing the chart of a patient who is scheduled to receive their first dose of sumatriptan (Imitrex) in the clinic today. Past medical history is positive for only migraines. Which of the following requires further evaluation before the medication is administered?
Correct Answer: B
Rationale: The correct answer is B: Current blood pressure 142/90 mmHg. Before administering sumatriptan, the nurse practitioner should further evaluate the patient's elevated blood pressure to ensure it is not contraindicated for the medication. Sumatriptan can potentially increase blood pressure, so it is crucial to monitor and address any hypertension before giving the medication. Choice A: Recent naproxen use is not a direct contraindication for sumatriptan. Both medications are commonly used together for migraine treatment. Choice C: A resting pulse rate of 61 bpm is within the normal range and does not require further evaluation before administering sumatriptan. Choice D: Adverse reaction to ubrogepant is not relevant for evaluating the safety of sumatriptan. Each medication has its own set of potential side effects and interactions.
Question 2 of 5
A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The patient says, Although I'm still having pain, I notice it less and am able to perform more activities. The nurse should evaluate the treatment plan as:
Correct Answer: C
Rationale: The correct answer is C: partially successful. This is because the patient is showing improvement in symptoms and functioning, indicating some progress in treatment effectiveness. It is not considered unsuccessful (A) as there is improvement noted. It is not minimally successful (B) as the patient is experiencing noticeable improvement in pain and activity levels. It is also not totally achieved (D) as the patient still has some pain despite improvement in functioning. Overall, option C best reflects the patient's progress at this stage of treatment.
Question 3 of 5
A nursing student is teaching a patient and family about epilepsy prior to the patient's discharge. For which statement should you intervene?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The foremost observation to make when providing care to a patient in status epilepticus is
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.