Pathophysiology MC5
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1. The nurse is performing a Babinski reflex test on a Flaring of the toes in re-
client to assess the neurologic system. Which is the sponse to stimulation indi-
correct interpretation by the nurse? cates an upper motor neu-
ron disorder.
2. The caregiver of a client with dementia reports to the Apraxia
nurse, "He is unable to dress properly these days."
Which condition does the nurse identify in this client?
3. The nurse is assessing a client with a spinal cord injury. Injury at T1 and above
Manifestations include miosis (constricted pupil), an-
hidrosis (lack of sweat), and ptosis (drooping eyelid) on
the affected side. Which additional information causes
the nurse to identify Horner's syndrome?
4. The nurse is providing care for a client who is pre- "The test measures brain
scribed to undergo a polysomnogram. Which explana- and body activity during
tion of the test does the nurse provide? sleep."
5. A computed tomography (CT) scan report for a client Hemorrhagic stroke
with a neurological disorder reveals the presence of
bleeding in a specific area of the brain. On assessment,
the nurse finds elevated blood pressure and cerebral
edema. The health-care provider instructs the nurse
to administer IV mannitol. Which condition does the
nurse identify in the client?
6. The nurse is providing care for a client diagnosed with The medulla oblongata
a hemorrhagic stroke. Which part of the brain is at
greatest risk for interrupting cardiac and respiratory
functions?
7.
, Pathophysiology MC5
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Which supportive care is provided to a client diag- Monitor hemodynamics
nosed with Guillain-Barré syndrome? continuously.
Provide physical and occu-
pational therapy.
Provide mechanical venti-
lation.
8. The nurse is examining a client involved in a motor Frontal lobe
vehicle accident. The client is unable to recall past
events and places visited before the accident. Which
lobe of the cerebrum does the nurse suspect has been
injured?
9. The nurse is discussing the interictal period with staff "It is the phase be-
nurses. Which statement made by a nurse indicates tween seizures if multiple
understanding of the terminology? seizures occur."
10. A nurse is caring for four clients diagnosed with dif- The client with ischemic
ferent cerebrovascular disorders. Which client is most stroke
likely to require an endarterectomy surgical procedure Arteriosclerosis of the
to prevent the recurrence of the condition? carotid artery, called
carotid stenosis, is also
a common cause of is-
chemic stroke. If it is de-
termined to be the cause
of the ischemic stroke, the
client would require an
endarterectomy surgery to
remove the blockage
11. An older adult client is 24 hours postoperative for ab- Delirium
dominal surgery. The client's family is distressed be-
cause the client is confused and hallucinating, which