ATI RN
Neurological System NCLEX Questions Questions
Question 1 of 5
Which of the following animals is NOT a typical reservoir for the spread of rabies?
Correct Answer: D
Rationale: The correct answer is D: chicken. Chickens are not typical reservoirs for rabies as they are not known to carry the rabies virus. Dogs, bats, and skunks can serve as reservoirs for rabies due to their susceptibility to the virus. Dogs are a common source of rabies transmission to humans, while bats and skunks are known carriers of the virus. Therefore, the correct answer is D as chickens do not play a role in the spread of rabies.
Question 2 of 5
A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably:
Correct Answer: B
Rationale: The correct answer is B because individuals with somatic symptom disorders often resist psychiatric help due to their strong belief that their physical symptoms have a medical, not psychological, cause. This resistance can stem from fear of being labeled as "crazy" or of not being taken seriously. Therefore, the nurse should be aware of this resistance and approach the patient with empathy and understanding. A: This is incorrect because individuals with somatic symptom disorders often do not readily seek psychiatric counseling due to their belief that their symptoms are purely physical. C: This is incorrect because individuals with somatic symptom disorders may not attend psychotherapy sessions without encouragement due to their resistance to psychiatric help. D: This is incorrect because individuals with somatic symptom disorders may not be eager to discover the true reasons for physical symptoms as they strongly believe in the medical cause.
Question 3 of 5
Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder: Disturbed personal identity, related to:
Correct Answer: D
Rationale: The correct answer is D because dissociative identity disorder (DID) is often linked to unresolved childhood abuse issues, leading to fragmentation of identity as a coping mechanism. This is supported by research showing a high prevalence of childhood trauma among individuals with DID. Option A is incorrect because it relates more to anxiety disorders. Option B is incorrect as it describes traits more associated with personality disorders. Option C is incorrect as it pertains to mood disorders like depression, which are not the primary etiology of DID.
Question 4 of 5
The nurse is preparing to discharge a patient with chronic low back pain. Which statement by the patient indicates that additional teaching is necessary?
Correct Answer: A
Rationale: In this scenario, option A, "I will avoid exercise because the pain gets worse," is the correct answer that indicates a need for additional teaching. This statement demonstrates a lack of understanding regarding the importance of exercise in managing chronic low back pain. Regular, appropriate exercise is actually beneficial in strengthening muscles, improving flexibility, and reducing pain. Option B, "I will use heat or ice to help control the pain," is a correct statement as both heat and ice can be used as part of a pain management plan for low back pain. Option C, "I will not wear high-heeled shoes at home or work," is also a correct statement as wearing high-heeled shoes can exacerbate back pain by altering posture and putting strain on the lower back. Option D, "I will purchase a firm mattress to replace my old one," is a correct statement as a firm mattress can provide better support for the back, especially for individuals with low back pain. Educationally, it is important to emphasize the role of exercise in managing chronic low back pain, along with other lifestyle modifications and therapies. Providing evidence-based information about the benefits of exercise and dispelling myths or misconceptions can empower patients to take an active role in their pain management and overall well-being.
Question 5 of 5
You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.6°F orally. Which collaborative intervention must be accomplished first?
Correct Answer: B
Rationale: In this scenario, the most crucial intervention is option B) Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection. Bacterial meningitis is a life-threatening infection that requires urgent treatment with appropriate antibiotics to prevent serious complications and reduce mortality. Prompt initiation of antibiotics is essential to target the causative organism and halt the progression of the infection within the central nervous system. Option A) Administer codeine 15 mg orally for the patient's headache is incorrect because although pain management is important, addressing the underlying infection takes precedence in this situation. Option C) Give acetaminophen (Tylenol) 650 mg orally to reduce the fever is also incorrect as reducing fever alone does not treat the underlying cause of bacterial meningitis, which is the infection. Option D) Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure is not the priority intervention as reducing intracranial pressure may be necessary in some cases of meningitis, but addressing the infection with antibiotics is the primary focus in bacterial meningitis management. Educationally, this question emphasizes the importance of understanding the urgent nature of treating bacterial meningitis with appropriate antibiotics to prevent serious neurological complications and improve patient outcomes. It highlights the necessity of prioritizing interventions based on the urgency of the patient's condition and the underlying pathophysiology.