Question 1

Why is the patient with suspected Guillain-Barre Syndrome (GBS)hospitalized immediately?

Accepted Answer

A)  The infection needs to be treated with IV antibiotics to prevent paralysis 
B)  The brain may swell quickly causing seizures 
C)  The disease can rapidly progress into respiratory failure 
D)  IV hydration is needed to prevent possible fatal hypotension 
A)  The infection needs to be treated with IV antibiotics to prevent paralysis 
B)  The brain may swell quickly causing seizures 
C)  The disease can rapidly progress into respiratory failure 
D)  IV hydration is needed to prevent possible fatal hypotension C

Question 2

The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis.Place in order the autonomic events.(Separate letters by a comma and space as follows: A,B,C,D)
A) Parasympathetic nervous system dominates
B) Extremely stressful or frightening event
C) Blood pressure,heart rate,and adrenaline output decrease
D) Sympathetic nervous system dominates
E) Heart rate and blood pressure rise,secretion of adrenaline

Accepted Answer

B,D,E,A,C
In the event of a frightening event,the sympathetic nervous system dominates and increases the blood pressure,heart rate,and adrenaline output in the "fight or flight" mechanism.The body is calmed by the parasympathetic nervous system dominating and reducing the heart rate,blood pressure,and adrenaline output.

Question 3

A patient has recently suffered a stroke with left-sided weakness and has problems with choking,especially when drinking thin liquids.What nursing interventions would be most helpful in assisting this patient to swallow safely?

Accepted Answer

A)  Use a straw 
B)  Tuck chin when swallowing 
C)  Take a sip of liquid with each bite 
D)  Turn head to the left 
A)  Use a straw 
B)  Tuck chin when swallowing 
C)  Take a sip of liquid with each bite 
D)  Turn head to the left B

Question 4

The nurse is caring for a home health patient who had a spinal cord injury at C5 three years ago.The nurse bases the plan of care on the knowledge that the patient will be able to:

Accepted Answer

A)  feed self with setup and adaptive equipment. 
B)  transfer self to wheelchair. 
C)  stand erect with full leg braces. 
D)  sit with good balance. 
A)  feed self with setup and adaptive equipment. 
B)  transfer self to wheelchair. 
C)  stand erect with full leg braces. 
D)  sit with good balance.

Question 5

What should the nurse do when the child arrives on the floor with the diagnosis of bacterial meningitis?

Accepted Answer

A)  Arrange for humidified oxygen per mask 
B)  Place the child in respiratory isolation 
C)  Inquire about drug allergy 
D)  Hold NPO until orders arrive 
A)  Arrange for humidified oxygen per mask 
B)  Place the child in respiratory isolation 
C)  Inquire about drug allergy 
D)  Hold NPO until orders arrive

Question 6

Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?

Accepted Answer

A)  "Do you have any sensations of pins and needles in your feet?" 
B)  "Does the pain radiate from your back into your legs?" 
C)  "Can you describe the sensations you are having?" 
D)  "Do you ever have any nausea or dizziness?" 
A)  "Do you have any sensations of pins and needles in your feet?" 
B)  "Does the pain radiate from your back into your legs?" 
C)  "Can you describe the sensations you are having?" 
D)  "Do you ever have any nausea or dizziness?"

Question 7

What is the purpose of a "drug holiday" in the treatment of Parkinson disease?

Accepted Answer

A)  Change all drugs 
B)  Allow the natural dopamine levels to rise 
C)  Restart drugs at a lower dosage with favorable results 
D)  Reduce the extrapyramidal symptoms 
A)  Change all drugs 
B)  Allow the natural dopamine levels to rise 
C)  Restart drugs at a lower dosage with favorable results 
D)  Reduce the extrapyramidal symptoms

Question 8

A ___________ is a diagnostic procedure used to identify lesions by observing the flow of radiopaque dye through the subarachnoid space.

Accepted Answer

myelogram
Preparatio

Question 9

What is the first sign of Bell's palsy?

Accepted Answer

A)  Inability to wrinkle forehead and pucker lips on affected side 
B)  Sudden pain in nostril on affected side 
C)  Excessive salivation on the affected side 
D)  Excessive mucus running from nostril on affected side 
A)  Inability to wrinkle forehead and pucker lips on affected side 
B)  Sudden pain in nostril on affected side 
C)  Excessive salivation on the affected side 
D)  Excessive mucus running from nostril on affected side

Question 10

The nurse assures an anxious family member of a 92-year-old patient who is demonstrating signs of dementia that many causes of dementia are reversible and preventable.What is one example?

Accepted Answer

A)  Hypotension 
B)  Alzheimer disease 
C)  Diabetes 
D)  Parkinson disease 
A)  Hypotension 
B)  Alzheimer disease 
C)  Diabetes 
D)  Parkinson disease

Question 11

The nurse explains that the triad of signs of Parkinson disease is: _______,_______ and _______

Accepted Answer

tremor,rigidity,and bradykinesia
tremor,

Question 12

A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago.What does the nurse know about this condition?

Accepted Answer

A)  It is an ominous indicator of permanent paralysis. 
B)  It is possibly a temporary condition and will clear. 
C)  It degenerates into a spastic paralysis. 
D)  It will progress up the cord to cause seizures. 
A)  It is an ominous indicator of permanent paralysis. 
B)  It is possibly a temporary condition and will clear. 
C)  It degenerates into a spastic paralysis. 
D)  It will progress up the cord to cause seizures.

Question 13

What is the nurse aware of when assessing a person with a craniocerebral injury?

Accepted Answer

A)  Most injuries of this type are irreversible 
B)  Open injuries are always more serious than closed injuries 
C)  Signs and symptoms may not occur until several days after the trauma 
D)  Trauma to the frontal lobe is more significant than to any other area 
A)  Most injuries of this type are irreversible 
B)  Open injuries are always more serious than closed injuries 
C)  Signs and symptoms may not occur until several days after the trauma 
D)  Trauma to the frontal lobe is more significant than to any other area

Question 14

A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache.The nurse notes a flushing of the neck and "goose flesh." What should be the primary nursing intervention based on these assessments?

Accepted Answer

A)  Place patient in flat position and check temperature 
B)  Administer oxygen and check oxygen saturation 
C)  Place on side and check for leg swelling 
D)  Sit upright and check blood pressure 
A)  Place patient in flat position and check temperature 
B)  Administer oxygen and check oxygen saturation 
C)  Place on side and check for leg swelling 
D)  Sit upright and check blood pressure

Question 15

The nurse is aware that when assessing a patient by the FOUR score coma scale,the patient is assessed in four categories: eye response,brainstem reflexes,motor response,and respiration.How are these results reported?

Accepted Answer

A)  As a sum of the scores of the four categories 
B)  As part of the Glasgow coma scale 
C)  As individual scores in each category 
D)  As progressive scores during a 24-hour period 
A)  As a sum of the scores of the four categories 
B)  As part of the Glasgow coma scale 
C)  As individual scores in each category 
D)  As progressive scores during a 24-hour period

Question 16

What are surgical navigational systems?

Accepted Answer

A)  Computerized devices that guide the surgeon 
B)  A set of detailed anatomic maps pinpointing specific areas of the brain 
C)  A written set of progressive processes for the resection of small brain tumors 
D)  The use of radioactive materials to pinpoint small tumors of the brain 
A)  Computerized devices that guide the surgeon 
B)  A set of detailed anatomic maps pinpointing specific areas of the brain 
C)  A written set of progressive processes for the resection of small brain tumors 
D)  The use of radioactive materials to pinpoint small tumors of the brain

Question 17

What is the basic problem that prompts most of the early signs of Alzheimer disease?

Accepted Answer

A)  Changes in mood 
B)  Misplacing things 
C)  Memory loss that disrupts daily life 
D)  Problems with words in speaking 
A)  Changes in mood 
B)  Misplacing things 
C)  Memory loss that disrupts daily life 
D)  Problems with words in speaking

Question 18

The nurse is aware that the drug t-PA (Activase),a tissue plasminogen activator,must be given in____hours of the onset of symptoms to have maximum benefit.

Accepted Answer

A)  3 hours 
B)  4 hours 
C)  6 hours 
D)  8 hours 
A)  3 hours 
B)  4 hours 
C)  6 hours 
D)  8 hours

Question 19

What is the reticular activating system (RAS)essential to? (Select all that apply. )

Accepted Answer

A)  Concentration 
B)  Wakefulness 
C)  Speech 
D)  Attention 
E)  Memory
F) Introspection 
A)  Concentration 
B)  Wakefulness 
C)  Speech 
D)  Attention 
E)  Memory
F) Introspection

Question 20

Why are the drugs neostigmine (Prostigmin)and pyridostigmine (Mestinon)helpful to the person with myasthenia gravis?

Accepted Answer

A)  Improves speech 
B)  Improves visual disturbances 
C)  Reduces pain 
D)  Promotes nerve impulse transmission 
A)  Improves speech 
B)  Improves visual disturbances 
C)  Reduces pain 
D)  Promotes nerve impulse transmission

Why is the patient with suspected Guillain-Barre Syndrome (GBS)hospitalized immediately?

A patient has recently suffered a stroke with left-sided weakness and has problems with choking,especially when drinking thin liquids.What nursing interventions would be most helpful in assisting this patient to swallow safely?

The nurse is caring for a home health patient who had a spinal cord injury at C5 three years ago.The nurse bases the plan of care on the knowledge that the patient will be able to:

What should the nurse do when the child arrives on the floor with the diagnosis of bacterial meningitis?

Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?

What is the purpose of a "drug holiday" in the treatment of Parkinson disease?

A ___________ is a diagnostic procedure used to identify lesions by observing the flow of radiopaque dye through the subarachnoid space.

What is the first sign of Bell's palsy?

The nurse assures an anxious family member of a 92-year-old patient who is demonstrating signs of dementia that many causes of dementia are reversible and preventable.What is one example?

The nurse explains that the triad of signs of Parkinson disease is: ___,_ and _____

A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago.What does the nurse know about this condition?

What is the nurse aware of when assessing a person with a craniocerebral injury?

A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache.The nurse notes a flushing of the neck and "goose flesh." What should be the primary nursing intervention based on these assessments?

The nurse is aware that when assessing a patient by the FOUR score coma scale,the patient is assessed in four categories: eye response,brainstem reflexes,motor response,and respiration.How are these results reported?

What are surgical navigational systems?

What is the basic problem that prompts most of the early signs of Alzheimer disease?

The nurse is aware that the drug t-PA (Activase),a tissue plasminogen activator,must be given in____hours of the onset of symptoms to have maximum benefit.

What is the reticular activating system (RAS)essential to? (Select all that apply. )

Why are the drugs neostigmine (Prostigmin)and pyridostigmine (Mestinon)helpful to the person with myasthenia gravis?

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Filters

Exam 14: Care of the Patient with a Neurologic Disorder

Why is the patient with suspected Guillain-Barre Syndrome (GBS)hospitalized immediately?

A patient has recently suffered a stroke with left-sided weakness and has problems with choking,especially when drinking thin liquids.What nursing interventions would be most helpful in assisting this patient to swallow safely?

The nurse is caring for a home health patient who had a spinal cord injury at C5 three years ago.The nurse bases the plan of care on the knowledge that the patient will be able to:

What should the nurse do when the child arrives on the floor with the diagnosis of bacterial meningitis?

Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?

What is the purpose of a "drug holiday" in the treatment of Parkinson disease?

A ___________ is a diagnostic procedure used to identify lesions by observing the flow of radiopaque dye through the subarachnoid space.

What is the first sign of Bell's palsy?

The nurse assures an anxious family member of a 92-year-old patient who is demonstrating signs of dementia that many causes of dementia are reversible and preventable.What is one example?

The nurse explains that the triad of signs of Parkinson disease is: _______,_______ and _______

A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago.What does the nurse know about this condition?

What is the nurse aware of when assessing a person with a craniocerebral injury?

A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache.The nurse notes a flushing of the neck and "goose flesh." What should be the primary nursing intervention based on these assessments?

The nurse is aware that when assessing a patient by the FOUR score coma scale,the patient is assessed in four categories: eye response,brainstem reflexes,motor response,and respiration.How are these results reported?

What are surgical navigational systems?

What is the basic problem that prompts most of the early signs of Alzheimer disease?

The nurse is aware that the drug t-PA (Activase),a tissue plasminogen activator,must be given in____hours of the onset of symptoms to have maximum benefit.

What is the reticular activating system (RAS)essential to? (Select all that apply. )

Why are the drugs neostigmine (Prostigmin)and pyridostigmine (Mestinon)helpful to the person with myasthenia gravis?

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Filters

The nurse explains that the triad of signs of Parkinson disease is: ___,_ and _____