Maryville NURS 623 Exam 4 Practice Questions and Answers 100% Pass

Maryville NURS 623 Exam 4 Practice Questions and Answers 100% Pass 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 Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/11 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 Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/11 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 Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 4/11 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