ATI RN
Health Assessment Neurological System NCLEX Questions Questions
Question 1 of 5
Which of the following is the causative agent of primary amoebic meningoencephalitis?
Correct Answer: A
Rationale: The correct answer is A: Naegleria fowleri. This is because Naegleria fowleri is known to be the causative agent of primary amoebic meningoencephalitis, a rare but serious infection of the brain. This amoeba enters the body through the nasal passages and travels to the brain, causing inflammation and damage. Entameba histolyticum is a different species of amoeba that causes amoebiasis, a gut infection. Amoeba proteus is a harmless freshwater amoeba used in biology studies. Acanthamoeba polyphaga can cause infections in immunocompromised individuals but is not associated with primary amoebic meningoencephalitis.
Question 2 of 5
To assist a patient diagnosed with a somatic system disorder, a nursing intervention of high priority is to:
Correct Answer: C
Rationale: Rationale for Choice C: Shifting the focus from somatic symptoms to feelings is crucial as it helps address the underlying emotional factors contributing to the somatic system disorder. By exploring the patient's emotions and addressing them, the nurse can help the patient gain insight into their condition and potentially reduce the somatic symptoms. This intervention promotes holistic care by addressing both physical and emotional aspects of the disorder. Summary of other choices: A: Implying that somatic symptoms are not real can invalidate the patient's experience and hinder therapeutic progress. B: Helping the patient suppress feelings of anger can lead to emotional repression and exacerbate somatic symptoms. D: Investigating each physical symptom as soon as it is reported may overlook the emotional root causes of the somatic system disorder.
Question 3 of 5
A patient says, I feel detached and weird all the time, like I'm looking at life through a cloudy window. Everything seems unreal. These feelings really interfere with my work and study. Which term should the nurse use to document this complaint?
Correct Answer: A
Rationale: Correct Answer: A. Depersonalization Rationale: 1. Depersonalization involves feeling detached from oneself or reality, as described by the patient. 2. The patient's description of feeling like they are looking through a cloudy window aligns with depersonalization symptoms. 3. Interference with work and study suggests significant distress, a common feature of depersonalization disorder. Summary of other choices: B. Hypochondriasis: Involves excessive worry about having a serious illness, which is not indicated in the patient's complaint. C. Dissociation: While depersonalization is a type of dissociative symptom, it specifically refers to feeling detached and unreal, not necessarily a broader dissociative disorder. D. Malingering: Involves feigning or exaggerating symptoms for secondary gain, which is not evident in the patient's genuine distress and impairment.
Question 4 of 5
You are pulled from the ED to the neurologic floor. Which action should you delegate to the nursing assistant when providing nursing care for a patient with SCI?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
After receiving a change-of-shift report at 7:00 am, which of these patients will you assess first?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.