ATI RN
Health Assessment Neurological System Questions Questions
Question 1 of 5
The patient who has right homonymous hemianopia and right hemiparesthesia would indicate his awareness of his safety self-promotion by
Correct Answer: A
Rationale: The correct answer is A) keeping frequently used objects on his left side. This strategy is essential for safety self-promotion because individuals with right homonymous hemianopia have a visual field deficit on the right side, making it difficult for them to see objects placed in that visual field. By keeping objects on the left side, the patient can easily access and interact with them without having to strain or potentially injure themselves by reaching into their blind visual field. Option B) asking visitors to approach from the affected side is incorrect because it does not address the patient's safety in daily activities and may not always be feasible in all situations. Option C) frequently checking the position of affected extremities in space is not directly related to safety self-promotion in this scenario and may not be necessary for this specific patient. Option D) adhering to one-handed activities is not the most practical or efficient way for the patient to ensure safety and independence in daily life. In an educational context, this question highlights the importance of understanding how specific neurological deficits can impact a patient's safety and independence in performing daily activities. It emphasizes the need for healthcare providers to educate patients on practical strategies to promote safety and autonomy while living with neurological impairments. By choosing the correct answer, healthcare professionals can help patients effectively manage their condition and navigate their environment with greater confidence and reduced risk of injury.
Question 2 of 5
During your visit Mrs. Aster complains of ringing in her ears. In questioning her, which of the following responses would indicate to you that she understands the possible cause?
Correct Answer: D
Rationale: In this scenario, option D ("I have been taking more aspirin lately") is the correct response indicating a possible cause for Mrs. Aster's complaint of ringing in her ears. Aspirin is known to cause tinnitus or ringing in the ears as a side effect. This response shows an understanding of the potential correlation between the increased intake of aspirin and the onset of the symptom. Option A ("I have been eating a lot of fruits lately") is incorrect as fruits are not typically associated with causing ringing in the ears. Option B ("I have been taking a vitamin supplement") is also incorrect because vitamin supplements are generally not linked to tinnitus. Option C ("I went to a loud jazz concert last night") may cause temporary hearing issues or ringing, but in this case, a prolonged symptom like tinnitus is less likely to be due to a single loud noise exposure. In an educational context, understanding the potential side effects of commonly used medications like aspirin is crucial for healthcare providers. This question highlights the importance of thorough patient history-taking and the need to consider medication-related causes when assessing symptoms. It also emphasizes the significance of patient education regarding medication side effects.
Question 3 of 5
Mr. Sands continues to be quiet and withdrawn several days after admission. Besides Raynaud phenomenon, he has generalized telangiectasis. He seldom initiates conversation, and although up ad lib, he rarely leaves his room. Which one of the following goals would be most important to develop in his nursing care plan?
Correct Answer: C
Rationale: In this scenario, the most important goal for Mr. Sands in his nursing care plan would be to enhance self-concept (Option C). Mr. Sands is exhibiting signs of social withdrawal and isolation, which could be indicative of underlying psychological or emotional distress. By focusing on enhancing his self-concept, the nursing care plan can address his psychological well-being, self-esteem, and overall mental health. Option A, providing for solitude and rest, may exacerbate Mr. Sands' isolation and contribute to his withdrawal. It is important to strike a balance between allowing for personal time and promoting social interaction. Option B, protecting from temperature extremes, is not the most pressing issue in this case as it does not directly address Mr. Sands' emotional and psychological state. Option D, moving to a four-bed ward, does not address the underlying issue of social withdrawal and may not necessarily improve Mr. Sands' condition. Educationally, this question highlights the importance of considering the holistic needs of patients, including their psychological well-being, in addition to physical health. It emphasizes the role of nursing in promoting mental health and supporting patients in developing a positive self-concept. By understanding the rationale behind choosing the correct answer, nurses can better tailor care plans to meet the individual needs of each patient.
Question 4 of 5
You have been caring for a patient with osteomyelitis. In preparing the patient for discharge, you include teaching about
Correct Answer: D
Rationale: The correct answer is D) All of the above. When caring for a patient with osteomyelitis, it is crucial to provide comprehensive education to ensure optimal outcomes post-discharge. A) The importance of completing the multiple-week treatment with antibiotics is essential to emphasize because osteomyelitis is a serious infection that requires a full course of antibiotics to eradicate the infection completely. Incomplete treatment can lead to treatment failure or recurrence of the infection. B) Teaching about the side effects and interactions of medications is important as it empowers the patient to monitor for and report any adverse effects promptly. Some antibiotics used to treat osteomyelitis can have significant side effects or interactions with other medications, so awareness is crucial for patient safety. C) Educating the patient about symptoms that necessitate contacting healthcare providers is vital for early intervention in case of complications. Prompt recognition of worsening symptoms such as increased pain, fever, or drainage from the affected area can prevent serious consequences and expedite appropriate medical management. Providing this holistic education not only supports the patient in managing their condition effectively but also promotes patient safety, adherence to treatment, and overall well-being. It empowers patients to be active participants in their care and enhances their understanding of the importance of following through with treatment recommendations.
Question 5 of 5
An elderly client has undergone electromyography tests to evaluate muscle weakness and deterioration. The client complains of slight pain after the tests. Which of the following nursing interventions would help relieve the client's discomfort?
Correct Answer: C
Rationale: In this scenario, applying a cold pack to the area where the needle electrodes were inserted is the most appropriate nursing intervention to relieve the client's discomfort after electromyography tests. Cold packs help constrict blood vessels, reduce inflammation, and numb the area, thereby alleviating pain and discomfort. Option A, administering topical analgesics, may not be as effective as cold therapy in reducing pain and inflammation in this case. Massaging the area (Option B) could potentially exacerbate the discomfort and irritation at the needle insertion site. Applying warm compresses (Option D) may increase blood flow and inflammation, leading to more pain and discomfort. From an educational perspective, it is crucial for nurses to understand the rationale behind using cold therapy for pain relief after certain procedures. By comprehending the physiological effects of cold packs on the body, nurses can make informed decisions to provide optimal care and comfort to their patients, especially in situations involving post-procedural discomfort like in this case.