ATI RN
ATI Neurological System Questions Questions
Question 1 of 5
Which of the following is the causative agent of East African trypanosomiasis?
Correct Answer: C
Rationale: The correct answer is C: Trypanosoma brucei rhodanese. East African trypanosomiasis is caused by Trypanosoma brucei, specifically the subspecies Trypanosoma brucei rhodanese. This parasite is transmitted by tsetse flies and infects humans, causing sleeping sickness. Trypanosoma cruzi (Choice A) causes Chagas disease, not East African trypanosomiasis. Trypanosoma vivax (Choice B) causes a different form of animal trypanosomiasis. Trypanosoma brucei gambiense (Choice D) is responsible for West African trypanosomiasis, not the East African form. Therefore, the correct choice is C.
Question 2 of 5
A patient with blindness related to a functional neurological (conversion) disorder says, All the doctors and nurses in this hospital stop by often to check on me. Too bad people outside the hospital don't find me interesting. Which nursing diagnosis is most relevant?
Correct Answer: B
Rationale: The correct answer is B: Chronic low self-esteem. The patient's statement reflects a negative self-perception and feelings of inadequacy, indicating low self-esteem. Social isolation (A) would imply a lack of social interactions, which is not indicated in the scenario. Interrupted family processes (C) would involve disruptions in family relationships, which are not mentioned. Ineffective health maintenance (D) pertains to the inability to manage health conditions, which is not relevant to the patient's statement. Chronic low self-esteem best aligns with the patient's expressed feelings of being uninteresting and not valued by others.
Question 3 of 5
A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should understand that the assessment of highest priority is:
Correct Answer: A
Rationale: The correct answer is A: risk for self-harm. In patients with DID, the primary concern is ensuring their safety due to the high risk of self-harm or suicide. Assessing this risk is crucial for immediate intervention to prevent harm. Choice B, cognitive functioning, may be important but is secondary to ensuring patient safety. Choice C, identification of drug abuse, is relevant but not as urgent as addressing the risk for self-harm. Choice D, readiness to reestablish identity or memory, is important but not as critical as ensuring the patient's safety. Therefore, assessing the risk for self-harm takes precedence in the care of a patient with DID.
Question 4 of 5
A patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is the priority assessment?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. Which information obtained during his chart review and assessment will be of greatest concern?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.