ATI RN
Questions Neurological System Questions
Question 1 of 5
Which of these is the most important cause of adult onset epilepsy?
Correct Answer: A
Rationale: The correct answer is A: neurocysticercosis. Neurocysticercosis is the most common cause of adult onset epilepsy worldwide. It is caused by the larval stage of the tapeworm Taenia solium. The larvae can infect the brain and lead to seizures. Neurotoxoplasmosis (B) is more commonly associated with HIV patients. Primary amoebic meningoencephalitis (C) is caused by the amoeba Naegleria fowleri and is rare. African trypanosomiasis (D) does not typically cause epilepsy. Therefore, neurocysticercosis is the most important cause of adult onset epilepsy due to its global prevalence and direct impact on the brain leading to seizures.
Question 2 of 5
To plan effective care for patients diagnosed with somatic system disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms:
Correct Answer: D
Rationale: Step-by-step rationale: 1. Patients with somatic symptom disorders often experience health anxiety. 2. Symptoms provide a form of relief or distraction from this anxiety. 3. Understanding this helps nurses plan effective care by addressing underlying anxiety. 4. Option D is correct as it directly addresses the role of symptoms in providing relief. Summary: - Option A is incorrect because chronicity does not explain the reluctance to give up symptoms. - Option B is incorrect as having a physiological basis does not necessarily relate to difficulty giving up symptoms. - Option C is incorrect because symptoms in somatic system disorders are typically not voluntarily controlled.
Question 3 of 5
The causes of somatic system disorders may be related to:
Correct Answer: A
Rationale: Step 1: Somatic system disorders involve physical symptoms with no apparent medical cause. Step 2: Faulty perceptions of body sensations can lead to exaggerated or misinterpreted physical symptoms. Step 3: This can result in somatic system disorders like hypochondriasis or somatic symptom disorder. Step 4: Traumatic childhood events (choice B) may contribute to psychological disorders but are not specific to somatic system disorders. Step 5: Culture-bound phenomena (choice C) and mood instability (choice D) are not primary causes of somatic system disorders. Summary: The correct answer is A because faulty perceptions of body sensations can directly contribute to somatic system disorders, while the other choices are not directly related to the development of these disorders.
Question 4 of 5
A patient reports sudden weakness on one side of their body. The nurse should:
Correct Answer: A
Rationale: Sudden weakness on one side of the body may indicate a neurological issue, such as a stroke. A focused neurologic assessment is essential. Oxygen saturation, skin color, and blood glucose levels are secondary considerations.
Question 5 of 5
When performing a neurologic assessment on an elderly patient, the nurse should be aware that:
Correct Answer: A
Rationale: Age-related changes, such as slower reflexes, altered gait, and memory decline, are common in elderly patients. Neurologic function may differ from younger individuals.