ATI RN
Health Assessment Neurological System NCLEX Questions Quizlet Questions
Question 1 of 5
Which statements describe neurosyphilis (select one that doesn't apply)?
Correct Answer: C
Rationale: Neurosyphilis is a serious complication of syphilis infection that affects the central nervous system. The correct answer, option C, "Descending paralysis with cranial nerve involvement," does not describe neurosyphilis. This is because neurosyphilis typically presents with symptoms such as cognitive impairment, personality changes, and sensory deficits rather than descending paralysis. Option A, "Occurs 10 to 20 years after bacterial infection," is correct because neurosyphilis can develop many years after the initial syphilis infection. Option B, "Infection can affect any part of the nervous system," is correct as neurosyphilis can impact various areas of the central nervous system, including the brain and spinal cord. Option D, "Degenerative changes in the spinal cord and brainstem," is incorrect because while neurosyphilis can cause damage to the nervous system, it does not typically result in degenerative changes in the spinal cord and brainstem. Understanding neurosyphilis is crucial for healthcare professionals as it highlights the importance of timely diagnosis and treatment of syphilis to prevent such severe complications. Recognizing the symptoms and progression of neurosyphilis is essential in providing appropriate care and preventing long-term neurological damage in patients with syphilis.
Question 2 of 5
In performing range of motion (ROM) with a patient, the nurse puts each joint through its full movement. Which joints are capable of abduction and adduction (select all that apply)?
Correct Answer: A
Rationale: In this question, the correct answer is A) Hip. Abduction and adduction refer to movements away from and towards the midline of the body, respectively. The hip joint is capable of these movements. The incorrect options are B) Knee, C) Wrist, and D) Elbow. The knee joint primarily allows flexion and extension movements, with limited abduction and adduction. The wrist joint primarily allows flexion, extension, and some limited radial and ulnar deviation, but not true abduction and adduction. The elbow joint primarily allows flexion and extension, with limited pronation and supination, but not abduction and adduction. In an educational context, understanding the range of motion capabilities of different joints is crucial for nursing practice, especially in assessing patients for any limitations in movement. Knowing the specific movements each joint can perform helps nurses in accurately assessing and documenting the patient's condition, planning care interventions, and preventing complications related to immobility.
Question 3 of 5
A 72-year-old man tells the nurse that he cannot perform most of the physical activities he could do 5 years ago because of overall joint aches and pains. What can the nurse do to assist the patient to prevent further deconditioning and decrease the risk for developing musculoskeletal problems?
Correct Answer: D
Rationale: The correct answer is D: Discuss use of over-the-counter (OTC) medications to decrease inflammation and pain so that exercise can be maintained. Rationale: - OTC medications can help manage pain and inflammation, allowing the patient to continue exercising and prevent deconditioning. - A) Limiting weight-bearing exercise is not recommended as it can lead to further deconditioning and increase the risk of musculoskeletal problems. - B) Advising against the use of canes and walkers can compromise the patient's safety and independence, leading to increased risk of falls and injuries. - C) Increasing activity by climbing stairs may exacerbate joint pain and worsen the patient's condition rather than preventing deconditioning. Educational context: Encouraging the appropriate use of OTC medications can help patients manage pain effectively, maintain their mobility, and prevent further decline in physical function. It is essential for nurses to educate patients on safe and effective strategies to manage musculoskeletal issues while promoting overall health and well-being.
Question 4 of 5
Before feeding a patient four days following a stroke, what should the nurse do first?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Check the patient's gag reflex. This is the priority action before feeding a patient four days following a stroke because assessing the patient's ability to protect their airway is crucial to prevent aspiration, especially in the acute phase post-stroke when swallowing reflexes may be impaired. Option B) Order a soft diet for the patient is incorrect because before diet modifications can be made, assessing the patient's gag reflex and ability to swallow safely is essential. Option C) Raise the head of the bed to a sitting position is not the first action because it does not directly address the risk of aspiration when feeding a stroke patient. Option D) Evaluate the patient's ability to swallow small amounts of crushed ice or ice water is not the initial step as assessing the gag reflex is more comprehensive and directly related to the patient's safety during feeding. In an educational context, understanding the importance of assessing the gag reflex in stroke patients is crucial for nurses in providing safe and effective care. This knowledge helps prevent complications such as aspiration pneumonia, which can have serious consequences for patients. Nurses must prioritize airway protection and swallowing function assessments in stroke patients to ensure their well-being and recovery.
Question 5 of 5
When teaching a patient with a seizure disorder about the medication regimen, what is it most important for the nurse to emphasize?
Correct Answer: C
Rationale: In the context of teaching a patient with a seizure disorder about their medication regimen, emphasizing the importance of not stopping the medication abruptly (Option C) is crucial. This is because suddenly discontinuing antiseizure medications can lead to withdrawal symptoms, increased seizure intensity, and a higher frequency of seizures. Educating patients about the potential risks of abrupt cessation empowers them to adhere to their prescribed treatment plan. Option A is incorrect because adjusting medication dosage without medical advice can be dangerous and should not be done based solely on stress levels. Option B is incorrect because not all over-the-counter and prescription drugs are safe to take with antiseizure medications as they can interact and affect the effectiveness of the antiseizure drugs. In an educational context, it is vital for nurses to ensure that patients understand the significance of medication adherence in managing chronic conditions like seizure disorders. Providing clear and accurate information about the risks of non-adherence can help patients make informed decisions regarding their health and treatment plan.