Question 1

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?" C

Question 2

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. A

Question 3

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 4

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

Question 5

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

Accepted Answer

tremor, rigidity, bradykinesia
tremor, b

Question 6

Involuntary rhythmic movement of the eyes, with oscillations that may be horizontal, vertical, or mixed movements, is called ___________________

Accepted Answer

nystagmus
Nystagmus is a rhyth

Question 7

_________________ is/are responsible for the transmission of impulses between synapses.

Accepted Answer

Neurotransmitters
Neurotransmi

Question 8

An 83-year-old patient has had a stroke. He is right-handed and has a history of hypertension and "little" strokes. He presents with right hemiplegia. To afford him the best visual field, the nurse should approach him:

Accepted Answer

A)  from the right side. 
B)  from the left side. 
C)  from the center. 
D)  from either side. 
A)  from the right side. 
B)  from the left side. 
C)  from the center. 
D)  from either side.

Question 9

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 10

What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and also carries motor fibers to glands that produce digestive juices and other secretions?

Accepted Answer

A)  Somatic motor nerve 
B)  Visceral sensory nerve 
C)  Abducens nerve 
D)  Vagus nerve 
A)  Somatic motor nerve 
B)  Visceral sensory nerve 
C)  Abducens nerve 
D)  Vagus nerve

Question 11

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 frighten

Question 12

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 13

Which foods should the person who suffers from migraine headaches avoid? (Select all that apply.)

Accepted Answer

A)  Yogurt 
B)  Caffeine 
C)  Beef 
D)  Pears 
E)  Marinated foods
F) Milk 
A)  Yogurt 
B)  Caffeine 
C)  Beef 
D)  Pears 
E)  Marinated foods
F) Milk

Question 14

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 15

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 16

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

Question 17

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 18

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 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

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

Exam 53: Care of the Patient with a Neurologic Disorder

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 three years ago. The nurse bases the plan of care on the knowledge that the patient will be able to:

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

Involuntary rhythmic movement of the eyes, with oscillations that may be horizontal, vertical, or mixed movements, is called ___________________

_________________ is/are responsible for the transmission of impulses between synapses.

An 83-year-old patient has had a stroke. He is right-handed and has a history of hypertension and "little" strokes. He presents with right hemiplegia. To afford him the best visual field, the nurse should approach him:

What are surgical navigational systems?

What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and also carries motor fibers to glands that produce digestive juices and other secretions?

What is the first sign of Bell's palsy?

Which foods should the person who suffers from migraine headaches avoid? (Select all that apply.)

Which symptom is specific to migraine headaches?

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?

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?

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

What are the two divisions of the nervous system?

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

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

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

Filters

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