ATI RN
Neurological Review of Systems Questions Questions
Question 1 of 5
Which of these diseases does NOT require the introduction of foreign nucleic acid?
Correct Answer: A
Rationale: The correct answer is A (kuru) because kuru is a prion disease caused by misfolded proteins, not foreign nucleic acid. Polio, rabies, and St. Louis encephalitis are caused by viruses, which contain foreign nucleic acid. Prions do not contain nucleic acid and replicate by inducing misfolding of normal cellular proteins. Therefore, kuru does not require the introduction of foreign nucleic acid for its transmission and development.
Question 2 of 5
The nurse practitioner is reviewing the chart of a patient who is scheduled to receive their first dose of sumatriptan (Imitrex) in the clinic today. Past medical history is positive for only migraines. Which of the following requires further evaluation before the medication is administered?
Correct Answer: B
Rationale: The correct answer is B: Current blood pressure 142/90 mmHg. Before administering sumatriptan, the nurse practitioner should further evaluate the patient's elevated blood pressure to ensure it is not contraindicated for the medication. Sumatriptan can potentially increase blood pressure, so it is crucial to monitor and address any hypertension before giving the medication. Choice A: Recent naproxen use is not a direct contraindication for sumatriptan. Both medications are commonly used together for migraine treatment. Choice C: A resting pulse rate of 61 bpm is within the normal range and does not require further evaluation before administering sumatriptan. Choice D: Adverse reaction to ubrogepant is not relevant for evaluating the safety of sumatriptan. Each medication has its own set of potential side effects and interactions.
Question 3 of 5
A nurse assesses a patient diagnosed with functional neurological (conversion) disorder. Which comment is most likely from this patient?
Correct Answer: A
Rationale: Step-by-step rationale: 1. The correct answer is A because the patient's symptoms (shortness of breath and left arm pains) do not have a clear medical explanation, indicating a functional neurological disorder. 2. The patient attributing symptoms to indigestion suggests a psychological rather than physical origin. 3. Choices B, C, and D describe physical symptoms with potential organic causes, not typically associated with conversion disorder. 4. B is more indicative of gastrointestinal issues, C of sexual dysfunction, and D of possible esophageal pathology, making them less likely in a conversion disorder context.
Question 4 of 5
A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The patient says, Although I'm still having pain, I notice it less and am able to perform more activities. The nurse should evaluate the treatment plan as:
Correct Answer: C
Rationale: The correct answer is C: partially successful. This is because the patient is showing improvement in symptoms and functioning, indicating some progress in treatment effectiveness. It is not considered unsuccessful (A) as there is improvement noted. It is not minimally successful (B) as the patient is experiencing noticeable improvement in pain and activity levels. It is also not totally achieved (D) as the patient still has some pain despite improvement in functioning. Overall, option C best reflects the patient's progress at this stage of treatment.
Question 5 of 5
A nursing student is teaching a patient and family about epilepsy prior to the patient's discharge. For which statement should you intervene?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) It's OK to take over-the-counter medications. The reason this statement requires intervention is that some over-the-counter medications can interact with antiepileptic drugs, potentially reducing their effectiveness or causing harmful side effects. Patients with epilepsy should always consult their healthcare provider before taking any new medications to ensure they are safe and appropriate. Option A) You should avoid consumption of all forms of alcohol is correct because alcohol can lower the seizure threshold and may interfere with the efficacy of antiepileptic medications. It is essential for patients with epilepsy to avoid alcohol consumption. Option B) Wear your medical alert bracelet at all times is also correct as it can inform others about the patient's condition in case of an emergency, ensuring appropriate care is provided. Option C) Protect your loved one's airway during a seizure is important as it helps prevent aspiration and ensures the safety of the individual having a seizure by keeping their airway clear. In an educational context, it is crucial for nursing students to understand the importance of providing accurate and comprehensive information to patients and their families regarding epilepsy management. Patients need to be educated on lifestyle modifications, medication management, and safety measures to effectively manage their condition and prevent complications. By addressing misconceptions and providing evidence-based information, healthcare providers can empower patients to take control of their health and well-being.