NURS 6531 Final Exam Questions And Correct Verified Answers
26
With Rationales Updated Versions
20
ly
Which are common hyperkinetic movement disorders? (Select all that apply.)
Ju
a. Dystonia
b. Essential tremor
c. Parkinson's disease
ng
d. Progressive supranuclear palsy
e. Tourette's syndrome - CORRECT ANSWER-ANS: A, B, E
si
Dystonia, essential tremor, and Tourette's are hyperkinetic disorders.
Parkinson's disease and progressive supranuclear palsy are
ur
hypokinetic disorders.
N
A patient reports two episodes of visual disturbances and eye pain that lasted 1to 2
days each about 2 months apart. Which diagnostic testing will the provider order
initially?
a. Lumbar puncture
b. Magnetic resonance imaging (MRI)
c. Optical Coherence Tomography (OCT)
,2|Page
d. Visual evoked potential - CORRECT ANSWER-ANS: B
Visual disturbances and eye pain may be the only presenting symptoms and should be
investigated. The MRI is the gold standard for diagnosis of multiple sclerosis (MS). The
other tests may be performed if the diagnosis is unclear or if MRI is not readily available.
26
A patient diagnosed with multiple sclerosis and begins disease modulating therapy (DMT)
drugs. As part of the counseling about this therapy, the provider will tell the patient that
this regimen will likely result in what outcome?
20
a. A decreased need for other medications
b. An induced long-term remission
c. A reduction in theexacerbation rate
ly
d. A permanent stop of the disability - CORRECT ANSWER-ANS: C
Ju
Disease modulating therapy will reduce the rate of exacerbations of symptoms.It does not
decrease the need for other medications, induce long-term remission, or stop the
progression of the disease.
g
in
A primary care provider suspects Parkinson's disease (PD) in a patient. Which tests may
be performed to diagnose this disorder?
s
a. Neuroimaging to identify specific midbrain lesion
ur
b. Neuromuscular studies to identify reflex function
c. Presence of 2 cardinal signs which improve with levodopa
N
d. Serum creatine phosphokinase levels - CORRECT ANSWER-ANS: C
The diagnosis of idiopathic PD is made based on clinical presentation and examination
findings with 2 of 3 cardinal manifestations present which respond to dopaminergic
therapy. Neuroimaging that identifies Lewy bodies is the gold
, 3|Page
standard but is performed post-mortem. Neuromuscular studies and serum laboratory
studies are not useful unless excluding other causes of symptoms.
A patient diagnosed with Parkinson's disease (PD) has been prescribed carbidopa-levodopa
with good results but develops increased dyskinesia. Which drug will be added to this patient's
26
regimen to help control this symptom?
a. Amantadine
20
b. Benztropine
c. Ropinirole
d. Tolcapone - CORRECT ANSWER-ANS: A
ly
Amantadine is an antiviral agent that has antiparkinsonian activity. It is useful for
controlling
Ju
dyskinesia as adjunctive therapy to levodopa and is more effective than anticholinergic
drugs. Benztropine is an anticholinergic drug that may be used for this purpose but is less
effective and is more commonly used to treat antipsychotic-induced parkinsonism.
ng
Ropinirole is used as a first-line agent in patients with young-onset PD. Tolcapone is a COMT
agent to prolong and potentiate the effects of levodopa to help prevent "wearing off"
periods.
si
ur
What are common symptoms noted in patients diagnosed with Parkinson's disease?
(Select all that apply.)
N
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor - CORRECT ANSWER-ANS: A, B, D
, 4|Page
Symptoms of Parkinson's disease include bradykinesia, or loss of automatic movement,
festination, or an impulse to take much quicker and shorter steps,and rigidity. Hypophonia,
not hyperphonia occurs. Tremors are unilateral or asymmetric.
A patient with a seizure disorder has seizures which begin with a gastric sensation and a feeling
26
of déjà vu. Which site in the brain is the seizure focus? a.Frontal
b. Occipital
20
c. Parietal
d. Temporal - CORRECT ANSWER-ANS: D
Temporal sites cause epigastric and déjà vu sensations. Occipital sites causing complex
partial ly
Ju
seizures will have visual auras that may begin with eye twitching and visual hallucinations.
Frontal sites cause dizziness or fear. Parietal sites cause sensory changes, such as numbness,
tingling, or pain.
g
in
A patient who has a seizure disorder and takes levetiracetam is brought to an emergency
department as two consecutive 15-minute seizures occur. What is the priority action for
s
this patient?
ur
a. Administer a dose of levetiracetam now and repeat in 10 minutes.
b. Administer lorazepam and monitor cardiorespiratory status.
N
c. Administer phenytoin and phenobarbital along with oxygen.
d. Admit the patient to the hospital for a diagnostic work up. - CORRECT
ANSWER-ANS: B
This patient has status epilepticus, which should be treated with
26
With Rationales Updated Versions
20
ly
Which are common hyperkinetic movement disorders? (Select all that apply.)
Ju
a. Dystonia
b. Essential tremor
c. Parkinson's disease
ng
d. Progressive supranuclear palsy
e. Tourette's syndrome - CORRECT ANSWER-ANS: A, B, E
si
Dystonia, essential tremor, and Tourette's are hyperkinetic disorders.
Parkinson's disease and progressive supranuclear palsy are
ur
hypokinetic disorders.
N
A patient reports two episodes of visual disturbances and eye pain that lasted 1to 2
days each about 2 months apart. Which diagnostic testing will the provider order
initially?
a. Lumbar puncture
b. Magnetic resonance imaging (MRI)
c. Optical Coherence Tomography (OCT)
,2|Page
d. Visual evoked potential - CORRECT ANSWER-ANS: B
Visual disturbances and eye pain may be the only presenting symptoms and should be
investigated. The MRI is the gold standard for diagnosis of multiple sclerosis (MS). The
other tests may be performed if the diagnosis is unclear or if MRI is not readily available.
26
A patient diagnosed with multiple sclerosis and begins disease modulating therapy (DMT)
drugs. As part of the counseling about this therapy, the provider will tell the patient that
this regimen will likely result in what outcome?
20
a. A decreased need for other medications
b. An induced long-term remission
c. A reduction in theexacerbation rate
ly
d. A permanent stop of the disability - CORRECT ANSWER-ANS: C
Ju
Disease modulating therapy will reduce the rate of exacerbations of symptoms.It does not
decrease the need for other medications, induce long-term remission, or stop the
progression of the disease.
g
in
A primary care provider suspects Parkinson's disease (PD) in a patient. Which tests may
be performed to diagnose this disorder?
s
a. Neuroimaging to identify specific midbrain lesion
ur
b. Neuromuscular studies to identify reflex function
c. Presence of 2 cardinal signs which improve with levodopa
N
d. Serum creatine phosphokinase levels - CORRECT ANSWER-ANS: C
The diagnosis of idiopathic PD is made based on clinical presentation and examination
findings with 2 of 3 cardinal manifestations present which respond to dopaminergic
therapy. Neuroimaging that identifies Lewy bodies is the gold
, 3|Page
standard but is performed post-mortem. Neuromuscular studies and serum laboratory
studies are not useful unless excluding other causes of symptoms.
A patient diagnosed with Parkinson's disease (PD) has been prescribed carbidopa-levodopa
with good results but develops increased dyskinesia. Which drug will be added to this patient's
26
regimen to help control this symptom?
a. Amantadine
20
b. Benztropine
c. Ropinirole
d. Tolcapone - CORRECT ANSWER-ANS: A
ly
Amantadine is an antiviral agent that has antiparkinsonian activity. It is useful for
controlling
Ju
dyskinesia as adjunctive therapy to levodopa and is more effective than anticholinergic
drugs. Benztropine is an anticholinergic drug that may be used for this purpose but is less
effective and is more commonly used to treat antipsychotic-induced parkinsonism.
ng
Ropinirole is used as a first-line agent in patients with young-onset PD. Tolcapone is a COMT
agent to prolong and potentiate the effects of levodopa to help prevent "wearing off"
periods.
si
ur
What are common symptoms noted in patients diagnosed with Parkinson's disease?
(Select all that apply.)
N
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor - CORRECT ANSWER-ANS: A, B, D
, 4|Page
Symptoms of Parkinson's disease include bradykinesia, or loss of automatic movement,
festination, or an impulse to take much quicker and shorter steps,and rigidity. Hypophonia,
not hyperphonia occurs. Tremors are unilateral or asymmetric.
A patient with a seizure disorder has seizures which begin with a gastric sensation and a feeling
26
of déjà vu. Which site in the brain is the seizure focus? a.Frontal
b. Occipital
20
c. Parietal
d. Temporal - CORRECT ANSWER-ANS: D
Temporal sites cause epigastric and déjà vu sensations. Occipital sites causing complex
partial ly
Ju
seizures will have visual auras that may begin with eye twitching and visual hallucinations.
Frontal sites cause dizziness or fear. Parietal sites cause sensory changes, such as numbness,
tingling, or pain.
g
in
A patient who has a seizure disorder and takes levetiracetam is brought to an emergency
department as two consecutive 15-minute seizures occur. What is the priority action for
s
this patient?
ur
a. Administer a dose of levetiracetam now and repeat in 10 minutes.
b. Administer lorazepam and monitor cardiorespiratory status.
N
c. Administer phenytoin and phenobarbital along with oxygen.
d. Admit the patient to the hospital for a diagnostic work up. - CORRECT
ANSWER-ANS: B
This patient has status epilepticus, which should be treated with
