MARYVILLE NURS 623 FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
● What is important to note when a patient has traumatic injury. Answer: If taking Blood
Thinners
● Define delirium. Answer: Underlying acute cause, abrupt onset, hours to days, reversible,
hallucinations, incoherent speech, confusion
● Define Dementia. Answer: Various causes, gradual change with mental status, months to
years, progressive to irreversible (speech, memory, mood, judgment)
● An older adult with delirium would present with what type of behaviors?. Answer:
Agitation and restlessness
● At the onset of alzheimers, what category of medications should be initiated?.
Answer: Cholinesterase inhibitors
● what factors contribute to a patient being high risk for falls?. Answer: History of falls
medications vision impairment heart rate/rhythm abnormalities footwear issues home
environment gait/mobility issues poor reflexes
● What is the primary reason people have long term effects after a Stroke. Answer:
living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long
term effects
● S/S of an Absense Seizure. Answer: Blank stare (upward rotation of eye)
● Red Flags of back/neck pain. Answer: Incontinence Fever Cancers Unexplained wt loss
Long term steroids Trauma IV drug abuse Intense local pain No comfy Position
● Diagnosing of Alzheimer's. Answer: Impaired ability to learn new info along with a
disturbance in language, function, or perception
● S/S of Alzheimer's. Answer: *C/O memory problems * ↑ cognitive difficulty * ↑ slow
response to cognitive challenge *Word-finding difficulty * ↑ difficulty with simple tasks
● cardinal features of Parkinson's (TRAP)?. Answer: *T-remor at rest (or pill rolling)
*R-igidity *A-kinesia/Bradykinesia *P-ostural Disturbances
, ● What disease is "freezing phenomenon" a characteristic of?. Answer: Parkinson's
● A 62 y/o patient calls and c/o of a headache what statement would cause the most
concern?. Answer: It's the worst headache I've ever had
● the headache from a subdural hematoma is of venous origin, typically resulting from
ahead injury that is usually mild and easily forgotten by the patient.. Answer: Temporal
arteritis
● s/s of temporal (giant cell) arteritis. Answer: * unilateral HA (temporal artery, orbital) * jaw
claudication (pain with chewing) * temporary blindness (Medical Urgency) Polymyalgia
rheumatica (pain/stiff muscles shoulders and hips)
● What age group is at higher risk for temporal arteritis. Answer: >50
● Clinical manifestations of Articular disorders?. Answer: *characterized by deep or
diffuse pain, pain or limited ROM on active and passive movement *swelling *crepitus
● Clinical manifestations of Non-Articular disorders?. Answer: *Tend to be painful on
active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or
deformity by itself.
● What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy?. Answer: The straight leg raise (assesses L5-S1). pain would indicate most
common disc herniation
● What cranial nerve is affected in Bell's Palsy?. Answer: CN VII
● S/S of Bell's Palsy. Answer: * Acute onset one-sided Facial paralysis with normal ocular
movement and sensation * Affects CN VII (facial)-VII(vestibulocochlear) * Loss of taste
(dysgeusia) * Postauricular pain * Sound sensitivity (hyperacusis) * Heavy feeling in face
● How is Bell's Palsy diagnosed?. Answer: Clinical history and exam
● What is a serious risk in patients with Bell's Palsey?. Answer: Loss of the ability to blink
and close the eyelid subjects the cornea to drying and ulceration
● Patient teaching for Bell's Palsey. Answer: *reassure it is self-limiting with 3-6 month
recovery *prevent corneal ulceration/ use artificial tears
● *unilateral and tends to have a throbbing or pulsatile (head) *precipitated by aura
*nausea *vomiting *photophobia *phonophobia. Answer: S/S of Migraine H/A
CORRECT ANSWERS GRADED A+
● What is important to note when a patient has traumatic injury. Answer: If taking Blood
Thinners
● Define delirium. Answer: Underlying acute cause, abrupt onset, hours to days, reversible,
hallucinations, incoherent speech, confusion
● Define Dementia. Answer: Various causes, gradual change with mental status, months to
years, progressive to irreversible (speech, memory, mood, judgment)
● An older adult with delirium would present with what type of behaviors?. Answer:
Agitation and restlessness
● At the onset of alzheimers, what category of medications should be initiated?.
Answer: Cholinesterase inhibitors
● what factors contribute to a patient being high risk for falls?. Answer: History of falls
medications vision impairment heart rate/rhythm abnormalities footwear issues home
environment gait/mobility issues poor reflexes
● What is the primary reason people have long term effects after a Stroke. Answer:
living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long
term effects
● S/S of an Absense Seizure. Answer: Blank stare (upward rotation of eye)
● Red Flags of back/neck pain. Answer: Incontinence Fever Cancers Unexplained wt loss
Long term steroids Trauma IV drug abuse Intense local pain No comfy Position
● Diagnosing of Alzheimer's. Answer: Impaired ability to learn new info along with a
disturbance in language, function, or perception
● S/S of Alzheimer's. Answer: *C/O memory problems * ↑ cognitive difficulty * ↑ slow
response to cognitive challenge *Word-finding difficulty * ↑ difficulty with simple tasks
● cardinal features of Parkinson's (TRAP)?. Answer: *T-remor at rest (or pill rolling)
*R-igidity *A-kinesia/Bradykinesia *P-ostural Disturbances
, ● What disease is "freezing phenomenon" a characteristic of?. Answer: Parkinson's
● A 62 y/o patient calls and c/o of a headache what statement would cause the most
concern?. Answer: It's the worst headache I've ever had
● the headache from a subdural hematoma is of venous origin, typically resulting from
ahead injury that is usually mild and easily forgotten by the patient.. Answer: Temporal
arteritis
● s/s of temporal (giant cell) arteritis. Answer: * unilateral HA (temporal artery, orbital) * jaw
claudication (pain with chewing) * temporary blindness (Medical Urgency) Polymyalgia
rheumatica (pain/stiff muscles shoulders and hips)
● What age group is at higher risk for temporal arteritis. Answer: >50
● Clinical manifestations of Articular disorders?. Answer: *characterized by deep or
diffuse pain, pain or limited ROM on active and passive movement *swelling *crepitus
● Clinical manifestations of Non-Articular disorders?. Answer: *Tend to be painful on
active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or
deformity by itself.
● What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy?. Answer: The straight leg raise (assesses L5-S1). pain would indicate most
common disc herniation
● What cranial nerve is affected in Bell's Palsy?. Answer: CN VII
● S/S of Bell's Palsy. Answer: * Acute onset one-sided Facial paralysis with normal ocular
movement and sensation * Affects CN VII (facial)-VII(vestibulocochlear) * Loss of taste
(dysgeusia) * Postauricular pain * Sound sensitivity (hyperacusis) * Heavy feeling in face
● How is Bell's Palsy diagnosed?. Answer: Clinical history and exam
● What is a serious risk in patients with Bell's Palsey?. Answer: Loss of the ability to blink
and close the eyelid subjects the cornea to drying and ulceration
● Patient teaching for Bell's Palsey. Answer: *reassure it is self-limiting with 3-6 month
recovery *prevent corneal ulceration/ use artificial tears
● *unilateral and tends to have a throbbing or pulsatile (head) *precipitated by aura
*nausea *vomiting *photophobia *phonophobia. Answer: S/S of Migraine H/A
