ATI RN
Neurological System Assessment Questions Questions
Question 1 of 5
Which of these is true of the Sabin but NOT the Salk polio vaccine?
Correct Answer: C
Rationale: The correct answer is C because the Sabin polio vaccine is an oral live attenuated vaccine that mimics the natural route of poliovirus infection, providing better immunity in the intestines. The Salk vaccine, on the other hand, is an inactivated vaccine given through injection. Choices A, B, and D are incorrect as the Sabin vaccine actually requires multiple doses, is not currently administered in the US, and is not an inactivated vaccine.
Question 2 of 5
An adult female patient presents with new-onset diplopia (double vision), altered balance, numbness on one side of the face, and urinary and bowel incontinence. Which finding is consistent with the suspected diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Lhermitte sign. Lhermitte sign is characterized by an electric shock-like sensation that radiates down the spine and limbs upon neck flexion, indicating a lesion in the cervical spinal cord. In this case, the patient's symptoms of diplopia, altered balance, facial numbness, and incontinence suggest a neurological issue, possibly multiple sclerosis (MS), which commonly presents with Lhermitte sign. Choice B: Stereognosis involves the ability to recognize objects by touch, not relevant to the patient's symptoms. Choice C: Gel phenomenon is unrelated to the neurological symptoms described. Choice D: Kernig sign is typically associated with meningitis, which does not align with the patient's presentation of neurological deficits suggestive of MS.
Question 3 of 5
A nurse counsels a patient diagnosed with body dysmorphic disorder. Which nursing diagnosis would be a priority for the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Risk for suicide. This is the priority nursing diagnosis as patients with body dysmorphic disorder have an increased risk of suicidal ideation and behaviors. Addressing this risk is crucial for patient safety. A: Anxiety is a common symptom of body dysmorphic disorder but may not be the priority if the patient is at risk for suicide. C: Disturbed body image is a characteristic of body dysmorphic disorder, but addressing the risk of suicide takes precedence. D: Ineffective role performance may be a concern, but it is not as urgent as addressing the risk for suicide in this case.
Question 4 of 5
A patient with Parkinson's disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.