Chapter 69-test bank exam questions
with correct answers
A - Answer-A patient diagnosed with Bells palsy is being cared for on an outpatient
basis. During health education,
the nurse should promote which of the following actions?
A) Applying a protective eye shield at night
B) Chewing on the affected side to prevent unilateral neglect
C) Avoiding the use of analgesics whenever possible
D) Avoiding brushing the teeth
A - Answer-The nurse is working with a patient who is newly diagnosed with MS.
What basic information should
the nurse provide to the patient?
A) MS is a progressive demyelinating disease of the nervous system.
B) MS usually occurs more frequently in men.
C) MS typically has an acute onset.
D) MS is sometimes caused by a bacterial infection.
D - Answer-The nurse is creating a plan of care for a patient who has a recent
diagnosis of MS. Which of the
following should the nurse include in the patients care plan?
A) Encourage patient to void every hour.
B) Order a low-residue diet.
C) Provide total assistance with all ADLs.
D) Instruct the patient on daily muscle stretching.
B - Answer-A patient with metastatic cancer has developed trigeminal neuralgia and
is taking carbamazepine
(Tegretol) for pain relief. What principle applies to the administration of this
medication?
A) Tegretol is not known to have serious adverse effects.
B) The patient should be monitored for bone marrow depression.
, C) Side effects of the medication include renal dysfunction.
D) The medication should be first taken in the maximum dosage form to be effective.
B - Answer-A male patient presents to the clinic complaining of a headache. The
nurse notes that the patient is
guarding his neck and tells the nurse that he has stiffness in the neck area. The
nurse suspects the patient
may have meningitis. What is another well-recognized sign of this infection?
A) Negative Brudzinskis sign
B) Positive Kernigs sign
C) Hyperpatellar reflex
D) Sluggish pupil reaction
B - Answer-The nurse is developing a plan of care for a patient newly diagnosed with
Bells palsy. The nurses plan of
care should address what characteristic manifestation of this disease?
A) Tinnitus
B) Facial paralysis
C) Pain at the base of the tongue
D) Diplopia
D - Answer-The nurse caring for a patient diagnosed with Guillain-Barr syndrome is
planning care with regard to the
clinical manifestations associated this syndrome. The nurses communication with the
patient should
reflect the possibility of what sign or symptom of the disease?
A) Intermittent hearing loss
B) Tinnitus
C) Tongue enlargement
D) Vocal paralysis
D - Answer-The nurse is preparing to provide care for a patient diagnosed with
myasthenia gravis. The nurse should
know that the signs and symptoms of the disease are the result of what?
A) Genetic dysfunction
with correct answers
A - Answer-A patient diagnosed with Bells palsy is being cared for on an outpatient
basis. During health education,
the nurse should promote which of the following actions?
A) Applying a protective eye shield at night
B) Chewing on the affected side to prevent unilateral neglect
C) Avoiding the use of analgesics whenever possible
D) Avoiding brushing the teeth
A - Answer-The nurse is working with a patient who is newly diagnosed with MS.
What basic information should
the nurse provide to the patient?
A) MS is a progressive demyelinating disease of the nervous system.
B) MS usually occurs more frequently in men.
C) MS typically has an acute onset.
D) MS is sometimes caused by a bacterial infection.
D - Answer-The nurse is creating a plan of care for a patient who has a recent
diagnosis of MS. Which of the
following should the nurse include in the patients care plan?
A) Encourage patient to void every hour.
B) Order a low-residue diet.
C) Provide total assistance with all ADLs.
D) Instruct the patient on daily muscle stretching.
B - Answer-A patient with metastatic cancer has developed trigeminal neuralgia and
is taking carbamazepine
(Tegretol) for pain relief. What principle applies to the administration of this
medication?
A) Tegretol is not known to have serious adverse effects.
B) The patient should be monitored for bone marrow depression.
, C) Side effects of the medication include renal dysfunction.
D) The medication should be first taken in the maximum dosage form to be effective.
B - Answer-A male patient presents to the clinic complaining of a headache. The
nurse notes that the patient is
guarding his neck and tells the nurse that he has stiffness in the neck area. The
nurse suspects the patient
may have meningitis. What is another well-recognized sign of this infection?
A) Negative Brudzinskis sign
B) Positive Kernigs sign
C) Hyperpatellar reflex
D) Sluggish pupil reaction
B - Answer-The nurse is developing a plan of care for a patient newly diagnosed with
Bells palsy. The nurses plan of
care should address what characteristic manifestation of this disease?
A) Tinnitus
B) Facial paralysis
C) Pain at the base of the tongue
D) Diplopia
D - Answer-The nurse caring for a patient diagnosed with Guillain-Barr syndrome is
planning care with regard to the
clinical manifestations associated this syndrome. The nurses communication with the
patient should
reflect the possibility of what sign or symptom of the disease?
A) Intermittent hearing loss
B) Tinnitus
C) Tongue enlargement
D) Vocal paralysis
D - Answer-The nurse is preparing to provide care for a patient diagnosed with
myasthenia gravis. The nurse should
know that the signs and symptoms of the disease are the result of what?
A) Genetic dysfunction