NURS 321 FINAL EXAM | 2026 UPDATE | QUESTIONS
AND ANSWERS | WITH COMPLETE SOLUTION.
Which of the following would be appropriate to utilize in diagnosing increased
ICP? Select all that apply.
a. Cranial X-ray
b. CT Scan of the brain
c. Neurological Assessment
d. Ventriculostomy Answer - b, c, and d
In assessing the patient with scleroderma for pending renal crisis, which
findings require an intervention by the nurse? (Select all that apply.)
A. Significant weight gain
B. Blood pressure 174/100 mm Hg
C. Creatinine 1.9 mg/dL
D. Clear urine output
E. BUN 15 mg/dL Answer - A, B, and C
Which is true regarding the pathophysiology of myasthenia gravis (MG)?
a. An inadequate amount of acetylcholine (Ach) is released.
,b. Acetylcholine (Ach) crosses the synaptic clefts and attaches to Ach receptors
(AchR).
c. T cells or T lymphocytes are produced by the thymus gland.
d. Sensitivity to normal amounts of acetylcholine is diminished. Answer - d.
Sensitivity to normal amounts of acetylcholine is diminished.
Which type of surgery is usually performed for a patient with myasthenia gravis
(MG)?
a. Microvascular decompression
b. Thymectomy
c. Percutaneous rhizotomy
d. Sterotactic radiosurgery Answer - b. Thymectomy
Which nursing intervention is essential while caring for a patient with
myasthenia gravis (MG)?
a. Keeping the head of the bed in a lowered position
b. Providing meals when medications are at trough levels
c. Offering soft foods and thickened liquids per the order of the speech
therapist
d. Encouraging the patient to refrain from taking breaks by keeping him or her
involved in activities of daily living (ADLs) Answer - c. Offering soft foods and
thickened liquids per the order of the speech therapist
A nurse is teaching about nursing actions for caring for patients with Guillain-
Barré syndrome (GBS). Which statement indicates a need for further teaching?
a. "Do not keep the patient in a single position."
,b. "Do not offer any kind of diversions to the patient."
c. "Establish methods of communication, and provide a method to call the
nurse."
d. "Discuss the use of analgesics or nonopioids with the healthcare provider."
Answer - b. "Do not offer any kind of diversions to the patient."
Which feature of a cholinergic crisis may a patient encounter if he or she has
myasthenia gravis (MG)?
a. Pale and cool skin
b. Tachycardia
c. Excessive secretions
d. Flaccid muscles Answer - c. Excessive secretions
Which is true regarding a cholinergic crisis?
a. It is caused by lack of anticholinesterase medication.
b. It is an exacerbation of myasthenic gravis weakness that provokes an acute
episode of respiratory failure.
c. It is characterized by a clinical feature such as tachycardia.
d. It is caused by an excessive intake of anticholinesterase medication. Answer
- d. It is caused by an excessive intake of anticholinesterase medication.
Which is a clinical feature of a myasthenic crisis? Select all that apply.
a. Tachycardia
b. Sweating and excessive secretions
c. Pale, cool skin
, d. Bradycardia
e. Flaccid muscles Answer - a, c, and e
Rationale: Sweating, excessive secretions, & bradycardia are symptoms of
cholinergic crisis
Which diagnostic test is useful in distinguishing a myasthenic crisis from a
cholinergic crisis?
a. Repetitive nerve stimulation (RNS)
b. Tensilon test
c. Chest computed tomography (CT) scan
d. Serological test Answer - b. Tensilon test
The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). What
risks require additional actions by the nurse?
a. Seizures
b. Paralysis
c. Pneumonia
d. Muscle spasm Answer - c. Pneumonia
Which are clinical manifestations of amyotrophic lateral sclerosis (ALS)? Select
all that apply.
a. Double or blurred vision
b. Difficulty swallowing
AND ANSWERS | WITH COMPLETE SOLUTION.
Which of the following would be appropriate to utilize in diagnosing increased
ICP? Select all that apply.
a. Cranial X-ray
b. CT Scan of the brain
c. Neurological Assessment
d. Ventriculostomy Answer - b, c, and d
In assessing the patient with scleroderma for pending renal crisis, which
findings require an intervention by the nurse? (Select all that apply.)
A. Significant weight gain
B. Blood pressure 174/100 mm Hg
C. Creatinine 1.9 mg/dL
D. Clear urine output
E. BUN 15 mg/dL Answer - A, B, and C
Which is true regarding the pathophysiology of myasthenia gravis (MG)?
a. An inadequate amount of acetylcholine (Ach) is released.
,b. Acetylcholine (Ach) crosses the synaptic clefts and attaches to Ach receptors
(AchR).
c. T cells or T lymphocytes are produced by the thymus gland.
d. Sensitivity to normal amounts of acetylcholine is diminished. Answer - d.
Sensitivity to normal amounts of acetylcholine is diminished.
Which type of surgery is usually performed for a patient with myasthenia gravis
(MG)?
a. Microvascular decompression
b. Thymectomy
c. Percutaneous rhizotomy
d. Sterotactic radiosurgery Answer - b. Thymectomy
Which nursing intervention is essential while caring for a patient with
myasthenia gravis (MG)?
a. Keeping the head of the bed in a lowered position
b. Providing meals when medications are at trough levels
c. Offering soft foods and thickened liquids per the order of the speech
therapist
d. Encouraging the patient to refrain from taking breaks by keeping him or her
involved in activities of daily living (ADLs) Answer - c. Offering soft foods and
thickened liquids per the order of the speech therapist
A nurse is teaching about nursing actions for caring for patients with Guillain-
Barré syndrome (GBS). Which statement indicates a need for further teaching?
a. "Do not keep the patient in a single position."
,b. "Do not offer any kind of diversions to the patient."
c. "Establish methods of communication, and provide a method to call the
nurse."
d. "Discuss the use of analgesics or nonopioids with the healthcare provider."
Answer - b. "Do not offer any kind of diversions to the patient."
Which feature of a cholinergic crisis may a patient encounter if he or she has
myasthenia gravis (MG)?
a. Pale and cool skin
b. Tachycardia
c. Excessive secretions
d. Flaccid muscles Answer - c. Excessive secretions
Which is true regarding a cholinergic crisis?
a. It is caused by lack of anticholinesterase medication.
b. It is an exacerbation of myasthenic gravis weakness that provokes an acute
episode of respiratory failure.
c. It is characterized by a clinical feature such as tachycardia.
d. It is caused by an excessive intake of anticholinesterase medication. Answer
- d. It is caused by an excessive intake of anticholinesterase medication.
Which is a clinical feature of a myasthenic crisis? Select all that apply.
a. Tachycardia
b. Sweating and excessive secretions
c. Pale, cool skin
, d. Bradycardia
e. Flaccid muscles Answer - a, c, and e
Rationale: Sweating, excessive secretions, & bradycardia are symptoms of
cholinergic crisis
Which diagnostic test is useful in distinguishing a myasthenic crisis from a
cholinergic crisis?
a. Repetitive nerve stimulation (RNS)
b. Tensilon test
c. Chest computed tomography (CT) scan
d. Serological test Answer - b. Tensilon test
The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). What
risks require additional actions by the nurse?
a. Seizures
b. Paralysis
c. Pneumonia
d. Muscle spasm Answer - c. Pneumonia
Which are clinical manifestations of amyotrophic lateral sclerosis (ALS)? Select
all that apply.
a. Double or blurred vision
b. Difficulty swallowing
