Question 1

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. D

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 D

Question 3

A patient is in which stage of Alzheimer's disease when she demonstrates "sundowning"?

Accepted Answer

A)  Early stage 
B)  Second stage 
C)  Third stage 
D)  Final stage 
A)  Early stage 
B)  Second stage 
C)  Third stage 
D)  Final stage B

Question 4

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 5

The nurse is caring for a home health patient who had a spinal cord injury at C5 3 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 6

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

Accepted Answer

The answer of A ___________ is a diagnostic procedure used...

Question 7

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 8

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 9

Which symptom is specific to migraine headaches?

Accepted Answer

A)  Tachycardia 
B)  They become worse in the evening 
C)  They involve the entire head 
D)  They are preceded by an aura 
A)  Tachycardia 
B)  They become worse in the evening 
C)  They involve the entire head 
D)  They are preceded by an aura

Question 10

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 11

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

Accepted Answer

The answer of The nurse explains that the triad of...

Question 12

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 13

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 14

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 15

What are the two divisions of the nervous system?

Accepted Answer

A)  Somatic and the autonomic 
B)  Cerebellum and the brainstem 
C)  Medulla oblongata and the diencephalon 
D)  Central and the peripheral 
A)  Somatic and the autonomic 
B)  Cerebellum and the brainstem 
C)  Medulla oblongata and the diencephalon 
D)  Central and the peripheral

Question 16

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 17

The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis.Which is the first autonomic event?

Accepted Answer

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 
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

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

How would a nurse record the behavior when a patient with Alzheimer's 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 20

The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils,a widening pulse pressure,and verbal responses that are slow and unintelligible.What is the most appropriate position for the patient?

Accepted Answer

A)  Neck placed in a neutral position. 
B)  Head raised slightly with hips flexed. 
C)  Supine in gravity neutral position. 
D)  Turn on right side with head elevated. 
A)  Neck placed in a neutral position. 
B)  Head raised slightly with hips flexed. 
C)  Supine in gravity neutral position. 
D)  Turn on right side with head elevated.

Exam 54: Care of the Patient With a Neurologic Disorder

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

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

A patient is in which stage of Alzheimer's disease when she demonstrates "sundowning"?

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

The nurse is caring for a home health patient who had a spinal cord injury at C5 3 years ago.The nurse bases the plan of care on the knowledge that the patient will be able to:

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

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?

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

Which symptom is specific to migraine headaches?

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

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

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

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

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

What are the two divisions of the nervous system?

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

The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis.Which is the first autonomic event?

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.

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

The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils,a widening pulse pressure,and verbal responses that are slow and unintelligible.What is the most appropriate position for the patient?

The Evolution of Nursing

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