Nursing Quiz on Neurological Disorders, Exams of Nursing

Download Nursing Quiz on Neurological Disorders and more Exams Nursing in PDF only on Docsity! CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ QUIZ NO. 1 When administering dopamine (Intropin) to a client with a traumatic brain injury, it is most important for the nurse to know that . The drug’s action varies according to the dose. The drug may be used instead of fluid replacement. The drug cannot be directly mixed in solutions containing bicarbonate or aminophylline. The lowest dose to produce the desired effect should be used. Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of the following is a characteristic of this type of posturing? Upper extremity flexion with lower extremity flexion Upper extremity flexion with lower extremity extension Flexion of the extremities after stimulus Extension of the extremities after a stimulus Client Paula with a spinal cord injury has a neurogenic bladder. When planning for discharge, the nurse anticipates that Paula will need which of the following procedures or programs? Kock pouch Intermittent catheterization programs Transurethral prostatectomy Ureterostomy An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to . CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ keep the head elevated slightly and flex the knees when resting in bed. keep both feet flat on the floor when prolonged standing is required. twist gently from side to side to maintain range of motion in the spine. avoid the use of cold packs because they will exacerbate the muscle spasms. Reye syndrome primarily affects which age group? Infants Children and teens Adults Older adults (older than 65) 2 and 3 3 and 4 1 and 3 1 and 2 Patient Janet has a history of epilepsy. While helping Janet to the restroom, she reports having this feeling of déjà vu and seeing spots in their visual field. The next nursing action is to . Continue assisting the patient to the restroom and let them sit down. Initiate the emergency response system. Lay the patient down on their side with a pillow underneath the head. Assess the patient’s medication history. CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ A nurse is assessing patients in a skilled nursing facility for sleep deficits. Which patients would be considered at a higher risk for having sleep disturbances? A patient . Select all that apply. who has uncontrolled hypothyroidism with coronary artery disease who has gastroesophageal reflux (GERD) who is HIV positive taking corticosteroids for arthritis 6. with a urinary tract infection 4, 5, and 6 1, 2, and 3 2, 4, and 5 1, 3, and 6 Patient Ernie is having tonic-clonic seizure presently. The nurse should take which of the following actions? Select all that apply. Restrain client Maintain airway. Turn client to side. Place tongue blade in mouth Protect client from injury. 1, 2, 3, and 4 CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ 2, 3, and 4 2, 3, and 5 2, 3, 4 and 5 The nurse is evaluating neurological signs of the male client in neurogenic shock following spinal cord injury. Which of the following observations by the nurse indicates that neurogenic shock persists? Positive reflexes. Hyperreflexia. Reflex emptying of the bladder. Inability to elicit a Babinski’s reflex. A nurse is providing discharge teaching for patients regarding their medications. For which patients would the nurse recommend actions to promote sleep? A patient . Select all that apply. taking iron supplements for anemia with Parkinson disease who is taking dopamine elderly patient taking diuretics for congestive heart failure taking antibiotics for an ear infection who is prescribed with antidepressants 6. taking low-dose aspirin prophylactically 2, 3, and 4 1, 2, and 4 CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ 2, 3, and 5 1, 3, and 5 A nurse is performing a sleep assessment on a patient being treated for a sleep disorder. During the assessment, the patient falls asleep in the middle of a conversation. The nurse would suspect which disorder? REM behavior disorder Narcolepsy Enuresis Sleep apnea Nurse Angat is caring for a client who begins to experience seizure activity while in bed. Which action by the Nurse Angat is contraindicated? restraining the client’s limbs loosening restrictive clothing removing the pillow and raising padded side rails positioning the client to the side, if possible, with the head flexed forward Which patient below is at MOST risk for developing a condition called autonomic dysreflexia? A 24-year-old male patient with a traumatic brain injury. A 35-year-old male patient with a spinal cord injury at L6. A 42-year-old male patient recovering from a hemorrhagic stroke. A 15-year-old female patient with a spinal cord injury at C7. After taking all the necessary steps for a patient who has developed autonomic dysreflexia, what should the nurse assess first as a possible cause of this condition? Resting along the basilar membrane of the cochlea, which forms the base of the cochlear duct, is an arrangement of sensory cells and supporting cells known as the . CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ vestibule, ampulla, and cochlea vestibule, semicircular canals, and crista ampullaris vestibule, semicircular canals, and cochlea vestibule, basement membrane, and cochlea Crista ampullaris organ of Corti otoliths tectorial membrane CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ A nurse is caring for a client who underwent surgical removal of an encapsulated acoustic tumor. Which of the following potential complications should the nurse monitor for postoperatively? (Select all that apply) Increased intracranial pressure Hemorrhagic shock Hydrocephalus Hypoglycemia Seizures 2, 4, and 5 1, 2, and 4 1, 3, and 5 2, 3, and 4 When sound waves are conducted across the bones of the middle ear, they cause the (a membranous opening between the middle and inner ears) to move in and out along with the stapes of the middle ear, to which it is attached. organ of Corti incus stapes oval window A nurse is reviewing a prescription for dexamethasone (Decadron) with a client who has an expanding brain tumor. Which of the following are appropriate statements by the nurse? (Select all that apply) It is given to reduce swelling of the brain CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ You will need to monitor for low blood sugar You may notice weight gain Tumor growth will be delayed It can cause you to retain fluids 2, 4, and 5 1, 3, and 5 2, 3, and 4 1, 2, and 4 A client presents with a meningioma and symptoms of increased intracranial pressure. Which manifestations should a nurse least expect to find on assessment of this client? headache papilledema vomiting pyrexia The is the forward continuation of the choroid. It is a muscular ring, triangular in horizontal section, beginning at the region called the ora serrata and ending, in front, as the root of the iris. The of the eye is defined as the space between the cornea and the forward surfaces of the iris and lens. CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ Which of the following taste papillae are innervated by the Facial Nerve? Filiform papillae Fungiform papillae Circumvallate papillae Foliate papillae ciliary muscle canal of Schlemm ciliary body sclera anterior chamber posterior chamber aqueous humor vitreous humor A 3-year-old girl is brought to the clinic because her father has noticed that she has developed several brown colored spots over her back since brith. The patient’s mother also has similar spots as well as several 1 cm lumps under the skin, and scoliosis as well. A dermatological exam reveals that the patient has four 1.5 cm brown macules over her back. What is the likely diagnosis? Glioblastoma Neurofibromatosis-1 Which of the following taste papillae are innervated by the Glossopharyngeal Nerve? CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ Ependymoma Neurofibromatosis-2 Filiform papillae Fungiform papillae Circumvallate papillae Foliate papillae CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ Patient Paulino is 2 hours post-op from a cast placement on the right leg. He has family in the room. Which action by the significant other requires you to re-educate the Paulino and his family about cast care? Using a hair dryer on the cool setting to help with drying. Checking the color and temperature of the right foot. Positioning the cast at heart level with pillows. Gently moving the cast with the fingertips of the hands every 2 hours to help with drying. Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell’s traction? 10-year-old male with sarcoma 6-year-old male with osteomyelitis 12-year-old male with a fractured femur 16-year-old female with scoliosis The nurse is assigned to care for patient Ernesto with a Steinmann pin. During pin care. she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time? Telling the LPN that the registered nurse should perform pin care Assisting the LPN with opening sterile packages and peroxide Asking the LPN to clean the weights and pulleys with peroxide Telling the LPN that clean gloves are allowed Patient Janet with a left leg cast is complaining of increasing pressure. Which of the following is a more effective treatment? Elevation of the left leg CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ In this device, a patient is maintained by a device attached by ropes and pulleys to weights that pull on an extremity or body part. Balanced Suspension Circo-Electric bed Braun Frame Stryker Frame Ernie is a 3-year-old patient admitted for a right and left femoral fracture. Which of the following devices is most appropriate to immobilize and reduce fracture of this patient? Hamilton Russell Traction Buck’s Extension Traction Thomas Splint Traction Bryant’s Traction A patient with a comminuted fracture of the right femur has Buck's traction in place while waiting for surgery. To assess for pressure areas on the patient's back and sacral area and to provide skin care, the nurse should . have the patient lift the buttocks by bending and pushing with the left leg. place a pillow between the patient's legs and turn gently to each side. turn the patient partially to each side with the assistance of another nurse. loosen the traction and have the patient turn onto the unaffected side. CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ A patient hospitalized with multiple fractures has a long-arm plaster cast applied for immobilization of a fractured left radius. Until the cast has completely dried, the nurse should . keep the left arm in a dependent position. handle the cast with the palms of the hands. cover the cast with a small blanket to absorb the dampness. place gauze around the cast edge to pad any roughness. A patient has a short-arm plaster cast applied at the outpatient center for a wrist fracture. An understanding of discharge teaching is apparent when the patient says, . "I will apply an ice pack to the cast over the fracture site for the next 24 hours." "I should avoid moving my fingers and elbow until the cast is removed." "I can rub lotion on any itching areas under the cast with a cotton-tipped applicator." "I can get the cast wet as long as I dry it right away with a hair dryer." When evaluating the crutch-walking technique of a patient with a right-leg long-leg cast and no weight bearing on the right leg, the nurse determines that the patient is prepared to ambulate independently with the crutches on observing that the patient . advances the right leg and both crutches together and then advances the left leg. moves the left crutch with the left leg and then the right crutch with the right leg. uses the bedside chair to assist in balance as needed when ambulating in the room. keeps the padded area of the crutch firmly in the axillary area when ambulating. A patient with comminuted fractures of the tibia and fibula is treated with open reduction and application of an external fixator. The next day, the patient complains of severe pain in the leg, which is unrelieved by ordered analgesics. The patient's toes are pink, but the patient complains of numbness and tingling. The most appropriate action by the nurse is to . CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ check the patient's blood pressure. notify the patient's health care provider. elevate the extremity and apply ice over the wound site. assess the external fixator pins for redness or drainage. A patient with lower-leg fractures has an external fixation device in place and is scheduled for discharge. Which information will the nurse include in the discharge teaching? "The external fixator can be removed during the bath or shower." "You will need to remain on bed rest until bone healing is complete." "Prophylactic antibiotics are needed until the external fixator is removed." "You will need to assess and clean the pin insertion sites daily." A patient has a new order for open magnetic resonance imaging (MRI) to evaluate for right femur osteomyelitis. Which information obtained by the nurse indicates that the nurse should consult with the health care provider before scheduling an MRI? The patient wears a hearing aid. The patient is allergic to shellfish. The patient has a pacemaker. The patient is claustrophobic. CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ "I may have a genetic predisposition." Which would the nurse expect to assess on a 3-week-old infant with developmental dysplasia of the hip (DDH)? Select all that apply. Excessive hip abduction. Femoral lengthening of an affected leg. Asymmetry of gluteal and thigh folds. Pain when lying prone. Positive Ortolani test 1 and 3 only 3 and 5 only 1, 2, and 3 2, 3, and 4 CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ When preparing to care for a client with a family history of Paget's disease, it is most important for the nurse to include education in which area? Avoidance of infections Exercise program Need for genetic testing Nutrition high in vitamin C A client with a recent fracture is suspected of having compartment syndrome. Assessment findings may include which of the following symptoms? Body-wide decrease in bone mass A growth in and around the bone tissue Inability to perform passive movement, pain with active movement Inability to perform active movement, pain with passive movement A nurse is caring for an infant with developmental dysplasia of the hip (DDH). Based on the nurse's knowledge of DDH, which clinical manifestation should the nurse expect to observe? Select all that apply. Lordosis Negative Babinski sign Asymmetric thigh and gluteal folds Positive Ortolani and Barlow tests Shortening of limb on affected side 1, 2, 3 3, 4, 5 2, 4, 5 CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ 2, 3, 4 Janéy, a 4-year-old girl, is newly diagnosed with Legg-Calvé-Perthes disease. Nursing considerations include which of the following? Encourage normal activity for as long as possible. Explain the cause of the disease to the child and family. Prepare the child and family for long-term, permanent disabilities. Teach the family the care and management of the corrective appliance. The nurse is preparing an adolescent girl for surgery to treat scoliosis. What would the nurse include? type 1 type 2 type 3 type 4 The hemorrhage that occurs in compartment syndrome causes which of the following symptoms? Edema Decreased venous pressure Increased venous circulation Increased arterial circulation CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ The nurse notices that the pelvis of a 3-year-old child with right-sided developmental hip dysplasia tilts downward while bearing weight on the affected side. This is known as . positive Barlow test subluxation Trendelenburg sign positive Ortolani sign When counseling the parents of a child with osteogenesis imperfecta, the nurse should include which of the following? Select all that apply. encourage use of calcium to decrease risk of fractures provide education about the child’s physical limitations give the parents a letter signed by the doctor explaining OI provide information on contacting the OI foundation encourage the parents to treat the child like their other children discourage future children because the condition is inherited 1, 3, 6 2, 5, 6 1, 4, 5 2, 3, 4 What condition is characterized by high bone turnover due to accelerated osteoclast and osteoblast activity? Osteosarcoma Paget's disease of bone CON 1234 SEMI FINAL QUIZES WITH ANS 2022/2023 GRADED A+ Osteogenesis imperfecta Giant cell tumor When evaluating the effectiveness of treatment for a patient who is being treated for Paget's disease with calcitonin (Cibacalcin) and ibandronate (Boniva), the nurse will ask the patient about . weight loss. skeletal pain. decreased appetite. frequent cough.