ATI Neurological System Questions

ATI Neurological System Questions Related

Review ATI Neurological System Questions related questions and content

A patient with blindness related to a functional neurological (conversion) disorder says, All the doctors and nurses in this hospital stop by often to check on me. Too bad people outside the hospital don't find me interesting. Which nursing diagnosis is most relevant?

  • A. Social isolation
  • B. Chronic low self-esteem
  • C. Interrupted family processes
  • D. Ineffective health maintenance
Correct Answer: B

Rationale: The correct answer is B: Chronic low self-esteem. The patient's statement reflects a negative self-perception and feelings of inadequacy, indicating low self-esteem. Social isolation (A) would imply a lack of social interactions, which is not indicated in the scenario. Interrupted family processes (C) would involve disruptions in family relationships, which are not mentioned. Ineffective health maintenance (D) pertains to the inability to manage health conditions, which is not relevant to the patient's statement. Chronic low self-esteem best aligns with the patient's expressed feelings of being uninteresting and not valued by others.

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The nurse positions a client who is being treated for a fracture. Why should care be taken to position the client's joints in an anatomic alignment?

  • A. To prevent deep vein thrombosis
  • B. To facilitate the lung expansion and prevent the pooling of secretions
  • C. To prevent the escalation of the pain and swelling
  • D. To prevent damage to the peripheral nerves and the blood vessels
Correct Answer: D

Rationale: Proper alignment prevents nerve and vascular damage.

When caring for the patient with CREST syndrome (calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) associated with scleroderma, what should the nurse teach the patient to do?

  • A. Maintain a fluid intake of at least 3000 mL/day.
  • B. Avoid exposure to the sun or other ultraviolet light.
  • C. Monitor and keep a log of daily blood pressure (BP).
  • D. Protect the hands and feet from cold exposure and injury.
Correct Answer: D

Rationale: Cold protection prevents Raynaud's episodes.

A patient is discharged from the outpatient clinic following application of a synthetic fiberglass long arm cast for a fractured ulna. Before discharge, the nurse instructs the patient to do what?

  • A. Never get the cast wet.
  • B. Move the shoulder and fingers frequently.
  • C. Place tape petals around the edges of the cast when it is dry.
  • D. Use a sling to support the arm at waist level for the first 48 hours.
Correct Answer: B

Rationale: Moving the unaffected parts promotes circulation and reduces stiffness.

When is a diagnosis of cholinergic crisis made?

  • A. The patient's respiration is impaired because of muscle weakness.
  • B. Administration of edrophonium (Tensilon) increases muscle weakness.
  • C. Administration of edrophonium (Tensilon) results in improved muscle contractility.
  • D. EMG reveals decreased response to repeated stimulation of muscles.
Correct Answer: B

Rationale: Increased muscle weakness after Tensilon indicates cholinergic crisis

The sensory root of the facial nerve

  • A. Arises from the sulcus between the pons and medulla
  • B. Is called the nervus intermedius
  • C. Presents as a swelling in the bend called the otic ganglion
  • D. Emerges from the base of the skull through the foramen ovale
Correct Answer: B

Rationale: The sensory root of the facial nerve is called the nervus intermedius. It carries taste fibers from the anterior two-thirds of the tongue and parasympathetic fibers to salivary glands.

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