ATI RN
Neurological Vital Signs Assessment Questions
Question 1 of 5
Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer?
Correct Answer: B
Rationale: The correct answer is B because leaving the thermometer in place for 3 to 4 minutes allows for an accurate reading of oral temperature. This duration ensures the mercury in the thermometer reaches equilibrium with the body temperature. Choice A is incorrect as waiting 30 minutes after ingesting hot or iced liquids is unnecessary for assessing oral temperature. Choice C is incorrect as placing the thermometer in front of the tongue and asking the patient to close their lips may not provide an accurate reading. Choice D is incorrect as shaking the thermometer down before taking the temperature is not necessary and can introduce errors in the reading.
Question 2 of 5
A 22-year-old woman comes to the clinic because of severe sunburn and states, 'I was out in the sun for just a couple of minutes.' The nurse begins a medication review with her, paying special attention to which medication class?
Correct Answer: B
Rationale: The correct answer is B: Tetracyclines for acne. Tetracyclines are known to cause photosensitivity, increasing the risk of sunburn with minimal sun exposure. The nurse should review this medication class as the patient's severe sunburn may be a side effect. Nonsteroidal anti-inflammatory drugs (Choice A) are not directly related to photosensitivity. Proton pump inhibitors (Choice C) are used for reducing stomach acid, not linked to sunburn. Thyroid replacement hormone (Choice D) does not typically cause sunburn as a side effect. Therefore, the focus on tetracyclines is crucial in this scenario.
Question 3 of 5
A mother has noticed that her son, who has been to a new babysitter, has some blisters and scabs on his face and buttocks. On examination, the nurse notices moist, thin-roofed vesicles with a thin erythematous base and suspects:
Correct Answer: B
Rationale: The correct answer is B: Impetigo. Impetigo presents with moist, thin-roofed vesicles with a thin erythematous base, commonly found on the face and buttocks. The vesicles rupture, forming honey-colored crusts. The history of a new babysitter suggests exposure to skin infections. Eczema (choice A) presents with dry, scaly patches. Herpes zoster (choice C) presents with grouped vesicles along a dermatome. Diaper dermatitis (choice D) presents with erythema and scaling in the diaper area. The key features in this case match impetigo, making it the correct choice.
Question 4 of 5
The nurse is reviewing the function of the cranial nerves (CNs). Which CN is responsible for conducting nerve impulses to the brain from the organ of Corti?
Correct Answer: C
Rationale: The correct answer is C: VIII (Vestibulocochlear nerve). This cranial nerve is responsible for conducting nerve impulses to the brain from the organ of Corti, which is located in the cochlea of the inner ear. The vestibulocochlear nerve is specifically involved in transmitting auditory information to the brain. A: CN I (Olfactory nerve) is responsible for the sense of smell, not related to the organ of Corti. B: CN III (Oculomotor nerve) controls eye movements. D: CN XI (Accessory nerve) is responsible for controlling muscles of the neck and shoulders, not related to auditory functions. In summary, choice C is correct because the Vestibulocochlear nerve is specifically responsible for transmitting auditory information from the organ of Corti to the brain, while the other choices are not related to this specific function.
Question 5 of 5
The mother of a 2-year-old toddler is concerned about the upcoming placement of tympanostomy tubes in her son's ears. The nurse would include which of these statements in the teaching plan?
Correct Answer: D
Rationale: The correct answer is D: The purpose of the tubes is to decrease the pressure and allow for drainage. Tympanostomy tubes are inserted into the eardrum to allow for drainage of fluid from the middle ear, decreasing pressure and preventing recurrent ear infections. This is important for the child's hearing and overall health. A: The tubes are not placed in the inner ear. They are placed in the eardrum to assist in drainage. B: Tympanostomy tubes are not used for sensorineural loss, but rather for conditions like recurrent ear infections or fluid buildup in the middle ear. C: The tubes are not permanently inserted during a surgical procedure. They are typically temporary and will eventually fall out on their own.