ATI RN
Health Assessment Neurological System NCLEX Questions Questions
Question 1 of 5
You are caring for a patient who is preoperative and is NPO. The patient takes carbamazepine (Tegretol), 200 mg PO BID for a seizure disorder. Which of the following actions should you take?
Correct Answer: A
Rationale: It is important to continue the oral carbamazepine to maintain therapeutic blood levels and to prevent seizure activity. You should notify the anesthesiologist and should give the patient the carbamazepine with a sip of water. Carbamazepine is not available IV. Withholding the carbamazepine may reduce the therapeutic blood level and cause seizure activity. Administering a reduced dose of carbamazepine may reduce the therapeutic blood level and cause seizure activity.
Question 2 of 5
What is the consequence for the ability of motor neurons to find their correct targets, if a section of the spinal cord is rotated, so that the antero-posterior axis is reversed?
Correct Answer: B
Rationale: When the antero-posterior axis of the spinal cord is reversed, motor neurons follow their intrinsic programming and enter the limb in the reversed position. They then innervate muscles based on their new position, leading to incorrect connections. This demonstrates the importance of spatial cues in guiding motor neurons to their correct targets.
Question 3 of 5
During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The deep groove that separates the right and left cerebral hemispheres is called the _______.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The nurse notes that a patient has a history of falling. Which part of the brain should the nurse question as being affected in this patient?
Correct Answer: B
Rationale: The cerebellum is responsible for coordination, balance, and posture, making it the most likely area affected in a patient with a history of falling. The medulla regulates vital functions, the frontal lobes control voluntary movement, and the hypothalamus maintains homeostasis. The cerebellum's role in motor control is essential for assessing balance issues.