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ATI RN · ATI Medical Surgical · Neurological System Assessment Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 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?

A. Position the patient sitting up in bed before you feed her.
B. Check the patient's gag and swallowing reflexes.
C. Feed the patient quickly because there are three more waiting.
D. Suction the patient's secretions between bites of food.

Expert Explanatory Rationale

Correct Answer: Position the patient sitting up in bed before you feed her.

Question 2 of 5

The primary factor in determining choice of anticonvulsant medication is

A. seizure classification
B. size of dosage
C. age of patient
D. side effects produced

Expert Explanatory Rationale

Correct Answer: seizure classification

Question 3 of 5

What drug therapy is included for acute migraine and cluster headaches that appears to alter the pathophysiologic process for these headaches?

A. β-Adrenergic blockers such as propranolol (Inderal)
B. Serotonin antagonists such as methysergide (Sansert)
C. Tricyclic antidepressants such as amitriptyline (Elavil)
D. Specific serotonin receptor agonists such as sumatriptan (Imitrex)

Expert Explanatory Rationale

Correct Answer: Specific serotonin receptor agonists such as sumatriptan (Imitrex)

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?

A. The NA assists the patient to ambulate to the bathroom and back to bed.
B. The NA reminds the patient not to look at his feet when he is walking.
C. The NA performs the patient's complete bath and oral care.
D. The NA sets up the patient's tray and encourages patient to feed himself.

Expert Explanatory Rationale

Correct Answer: The NA performs the patient's complete bath and oral care.

Question 5 of 5

In report, the nurse is told that the patient has a contracture of the right arm. What does the nurse know this means?

A. A fluid-filled cyst
B. Generalized muscle pain
C. Shortening of a muscle or ligament
D. Grating sensation between bones with movement

Expert Explanatory Rationale

Correct Answer: Shortening of a muscle or ligament

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