Question 1

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

Question 2

What Glasgow Coma Scale rating would a patient receive who opens the eyes spontaneously, but has incomprehensible speech and obeys commands for movement?

Accepted Answer

A)  8 
B)  10 
C)  11 
D)  12 
A)  8 
B)  10 
C)  11 
D)  12

Question 3

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 4

Which of the following techniques are necessary for safely feeding a hemiplegic patient? (Select all that apply.)

Accepted Answer

A)  Mixing liquids and solid foods together 
B)  Taking the patient's dentures out to prevent choking 
C)  Checking the affected side of mouth for food accumulation 
D)  Offering small bites of food 
E)  Elevating the patient to no more than 30 degrees
F) Adding a thickening agent to liquids 
A)  Mixing liquids and solid foods together 
B)  Taking the patient's dentures out to prevent choking 
C)  Checking the affected side of mouth for food accumulation 
D)  Offering small bites of food 
E)  Elevating the patient to no more than 30 degrees
F) Adding a thickening agent to liquids

Question 5

How would a nurse record the behavior when a patient with Alzheimer disease attempts to eat using a napkin rather than a fork?

Accepted Answer

A)  Apraxia 
B)  Agnosia 
C)  Aphasia 
D)  Dysphagia 
A)  Apraxia 
B)  Agnosia 
C)  Aphasia 
D)  Dysphagia

Question 6

How would the nurse instruct a patient with Parkinson disease to improve activity level?

Accepted Answer

A)  To use a soft mattress to relax the spine 
B)  To walk with a shuffling gait to avoid tripping 
C)  To walk with hands clasped behind back to help balance 
D)  To sit in hard chair with arms for posture control 
A)  To use a soft mattress to relax the spine 
B)  To walk with a shuffling gait to avoid tripping 
C)  To walk with hands clasped behind back to help balance 
D)  To sit in hard chair with arms for posture control

Question 7

Following a myelogram the nurse should include in the postprocedure care assessment for:

Accepted Answer

A)  elevation of blood pressure. 
B)  urine retention. 
C)  sensation in lower extremities. 
D)  slurred speech. 
A)  elevation of blood pressure. 
B)  urine retention. 
C)  sensation in lower extremities. 
D)  slurred speech.

Question 8

As the result of a stroke, a patient has difficulty discerning the position of his body without looking at it. In the nurse's documentation, which would best describe the patient's inability to assess spatial position of his body?

Accepted Answer

A)  Agnosia 
B)  Proprioception 
C)  Apraxia 
D)  Sensation 
A)  Agnosia 
B)  Proprioception 
C)  Apraxia 
D)  Sensation

Question 9

What is the nurse assessing when asking the patient, "Who is the president of the United States?" during a level of consciousness assessment?

Accepted Answer

A)  Orientation 
B)  Memory 
C)  Calculation 
D)  Fund of knowledge 
A)  Orientation 
B)  Memory 
C)  Calculation 
D)  Fund of knowledge

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

A patient, age 45, is to have a myelogram to confirm the presence of a herniated intervertebral disk. Which nursing action should be planned with respect to this diagnostic test?

Accepted Answer

A)  Obtain an allergy history before the test. 
B)  Ambulate the patient when returned to the room after the test. 
C)  Use heated blanket to keep patient warm after procedure. 
D)  Keep NPO for 6 to 8 hours after the test. 
A)  Obtain an allergy history before the test. 
B)  Ambulate the patient when returned to the room after the test. 
C)  Use heated blanket to keep patient warm after procedure. 
D)  Keep NPO for 6 to 8 hours after the test.

Question 12

The waxy substance that covers the neuron fibers and increases the rate of transmission of impulses is the ________.

Accepted Answer

myelin
Myelin is the waxy subs

Question 13

What is the cardinal sign of increased intracranial pressure in a brain injured patient?

Accepted Answer

A)  Pupil changes 
B)  Ipsilateral paralysis 
C)  Vomiting 
D)  Decrease in the level of consciousness 
A)  Pupil changes 
B)  Ipsilateral paralysis 
C)  Vomiting 
D)  Decrease in the level of consciousness

Question 14

What are the effects of normal aging on the nervous system? (Select all that apply.)

Accepted Answer

A)  Small vessel occlusion 
B)  Loss of neurons 
C)  Calcification of cerebrum 
D)  Reduction of cerebral blood flow 
E)  Lipofuscin
F) Decrease in oxygen use 
A)  Small vessel occlusion 
B)  Loss of neurons 
C)  Calcification of cerebrum 
D)  Reduction of cerebral blood flow 
E)  Lipofuscin
F) Decrease in oxygen use

Question 15

What does the nurse know about the stroke patient who has expressive aphasia?

Accepted Answer

A)  Has difficulty comprehending spoken and written communication 
B)  Cannot make any vocal sounds 
C)  Has total loss and comprehension of language 
D)  Can understand the spoken word, but cannot speak 
A)  Has difficulty comprehending spoken and written communication 
B)  Cannot make any vocal sounds 
C)  Has total loss and comprehension of language 
D)  Can understand the spoken word, but cannot speak

Question 16

What are the three signs of Cushing response? (Select all that apply.)

Accepted Answer

A)  Increased pulse rate 
B)  Increased blood pressure 
C)  Widened pulse pressure 
D)  Bradycardia 
E)  Increased systolic blood pressure
F) Uncontrolled thermoregulation 
A)  Increased pulse rate 
B)  Increased blood pressure 
C)  Widened pulse pressure 
D)  Bradycardia 
E)  Increased systolic blood pressure
F) Uncontrolled thermoregulation

Question 17

A family member of a patient who has just suffered a tonic-clonic seizure is concerned about the patient's deep sleep. What is this behavior called?

Accepted Answer

A)  Convalescent period 
B)  Neural recovery period 
C)  Sombulant period 
D)  Postictal period 
A)  Convalescent period 
B)  Neural recovery period 
C)  Sombulant period 
D)  Postictal period

Question 18

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 19

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 20

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

Accepted Answer

myelogram
Preparatio

Exam 53: Care of the Patient with a Neurologic Disorder

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

What Glasgow Coma Scale rating would a patient receive who opens the eyes spontaneously, but has incomprehensible speech and obeys commands for movement?

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.

Which of the following techniques are necessary for safely feeding a hemiplegic patient? (Select all that apply.)

How would a nurse record the behavior when a patient with Alzheimer disease attempts to eat using a napkin rather than a fork?

How would the nurse instruct a patient with Parkinson disease to improve activity level?

Following a myelogram the nurse should include in the postprocedure care assessment for:

As the result of a stroke, a patient has difficulty discerning the position of his body without looking at it. In the nurse's documentation, which would best describe the patient's inability to assess spatial position of his body?

What is the nurse assessing when asking the patient, "Who is the president of the United States?" during a level of consciousness assessment?

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?

A patient, age 45, is to have a myelogram to confirm the presence of a herniated intervertebral disk. Which nursing action should be planned with respect to this diagnostic test?

The waxy substance that covers the neuron fibers and increases the rate of transmission of impulses is the ________.

What is the cardinal sign of increased intracranial pressure in a brain injured patient?

What are the effects of normal aging on the nervous system? (Select all that apply.)

What does the nurse know about the stroke patient who has expressive aphasia?

What are the three signs of Cushing response? (Select all that apply.)

A family member of a patient who has just suffered a tonic-clonic seizure is concerned about the patient's deep sleep. What is this behavior called?

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

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

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

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

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

Professional Roles and Leadership

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