ATI RN
Neurological Review of Systems Questions Questions
Question 1 of 5
While gathering equipment after an injection, a nurse accidentally received a prick from an improperly capped needle. To interpret this sensation, which of these areas must be intact?
Correct Answer: C
Rationale: The correct answer is C: Lateral spinothalamic tract, thalamus, and sensory cortex. The lateral spinothalamic tract carries pain and temperature sensations to the thalamus, which then relays it to the sensory cortex for interpretation. In this scenario, the nurse's sensation of being pricked by the needle is a pain sensation, so the intactness of the lateral spinothalamic tract, thalamus, and sensory cortex is crucial for interpreting this sensation. Choices A, B, and D are incorrect because they do not involve the specific pathways responsible for transmitting pain sensations. The corticospinal tract (choice A) is involved in motor function, the pyramidal tract (choice B) is involved in voluntary movement, and the anterior spinothalamic tract (choice D) is not associated with pain and temperature sensations. Therefore, the correct answer is C as it directly relates to the interpretation of the pain sensation experienced by the nurse.
Question 2 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 3 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 4 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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.