Patho Exam 3
A patient has suffered a spinal cord injury. Which level of injury would most likely compromise phrenic
nerve function?
a. L4 and below
b. T6 and below
c. C4 and above
d. C6 and below *** c
A patient with head trauma is displaying bradycardia with elevated blood pressure and irregular
respirations. What is the correct interpretation?
a. This is the expected compensation by the body.
b. Patient is experiencing anxiety.
c. Cranial nerve (CN) VII is compromised.
d. Cushing's triad is present. *** d
A patient has experienced a vertebral-basilar insufficiency. Which of the following will the nurse expect
the patient to experience?
a. Loss of language expression
b. Loss of language reception
c. Loss of coordination
d. Loss of hearing *** c
A nursing educator is discussing spinal cord injuries with nursing students. Which shows correct
understanding by the students?
a. Neurogenic shock is marked by increasing heart rate compensating for decreases in blood pressure.
b. Neurogenic shock and spinal shock are the same thing.
,c. Neurogenic shock occurs in all spinal cord injuries but will resolve.
d. Spinal shock makes it difficult to initially assess the degree of spinal injury. *** d
A nurse is monitoring a patient for Cushing's triad. Which of the following should he note? Select all that
apply.
a. Resting heart rate of 52 bpm
b. Blood pressure of 90/40 mm Hg
c. Irregular respiratory rate
d. Resting heart rate (HR) of 88 bpm
e. Blood pressure (BP) of 158/100 mm Hg *** a,c,e
A clinician is concerned about restoring perfusion to an area damaged by ischemic stroke. Which of the
following shows correct understanding?
a. Reperfusion should be withheld until the extent of damage and recovery can be assessed.
b. Reperfusion is important because cells in the ischemic penumbra can be recovered.
c. Reperfusion is not time dependent because brain cells can rely on anaerobic metabolism indefinitely.
d. Reperfusion has been shown to be an ineffective strategy in stroke treatment. *** b
A patient has suffered a stroke and is experiencing facial droop. What cranial nerve (CN) does the nurse
expect to be affected?
a. CN III
b. CN IV
c. CN VII
d. CN IX *** c
A nurse notes an acetylcholinesterase inhibitor on a patient's medication list. Which disorder does the
nurse suspect?
,a. Parkinson's disease
b. Myasthenia gravis
c. Migraines
d. Multiple sclerosis *** b
A patient has suffered a traumatic head injury. Given an initial clearance, the patient is asked to return
in two days. Which of the following may develop over several days?
a. Subdural hematoma
b. Epidural hematoma
c. Aneurysmal subarachnoid hemorrhage
d. Mild concussion *** a
The neurological examination results on an adult patient state "negative Babinski test". Which of the
following is the correct interpretation?
a. The test result is normal in an adult.
b. The test result indicates an upper motor neuron injury.
c. The test result indicates lack of proprioception.
d. The test results indicate lack of sensation. *** a
A patient is worried about her risk of developing a stroke because her mother has a stroke in her early
60s. Which of the following could the nurse convey as factors that increase a person's risk for stroke?
Select all that apply.
a. Family history of stroke
b. Tobacco usage
c. Hypotension
d. Active lifestyle
e. African American *** a,b,e
, A nursing student is reviewing strokes. Which of the following indicates correct understanding?
a. Initial clinical presentation does not distinguish between hemorrhagic and ischemic stroke.
b. Treatment of stroke is the same regardless of whether it is hemorrhagic or ischemic.
c. No diagnostic test can be used to determine ischemic versus hemorrhagic stroke.
d. The risk factors for ischemic and hemorrhagic stroke are the same. *** a
A nurse reminds a patient of the acronym of FAST regarding stroke presentation. Which of the following
lists shows that the patient has a correct understanding of the acronym?
a. Fear, Anxiety, Stress, Tremors
b. Facial droop, Arm weakness, Speech difficulties, Time
c. Facial droop, Ataxia, Speech difficulties, Time
d. Facial droop, Arm weakness, Sensations, Time *** b
A patient says he has never heard of ALS or amyotrophic lateral sclerosis. Which of the following other
names may the clinician use for which the patient may be familiar?
a. Parkinson's disease
b. Lou Gehrig's disease
c. Guillain-Barré syndrome
d. Zollinger-Ellison syndrome *** b
1. Why is the incidence of strokes rising every year?
a. There is an increased number of older adults.
b. There is an increased incidence of cardiovascular disease.
c. Both A and B.
d. None of the above. *** a
A patient has suffered a spinal cord injury. Which level of injury would most likely compromise phrenic
nerve function?
a. L4 and below
b. T6 and below
c. C4 and above
d. C6 and below *** c
A patient with head trauma is displaying bradycardia with elevated blood pressure and irregular
respirations. What is the correct interpretation?
a. This is the expected compensation by the body.
b. Patient is experiencing anxiety.
c. Cranial nerve (CN) VII is compromised.
d. Cushing's triad is present. *** d
A patient has experienced a vertebral-basilar insufficiency. Which of the following will the nurse expect
the patient to experience?
a. Loss of language expression
b. Loss of language reception
c. Loss of coordination
d. Loss of hearing *** c
A nursing educator is discussing spinal cord injuries with nursing students. Which shows correct
understanding by the students?
a. Neurogenic shock is marked by increasing heart rate compensating for decreases in blood pressure.
b. Neurogenic shock and spinal shock are the same thing.
,c. Neurogenic shock occurs in all spinal cord injuries but will resolve.
d. Spinal shock makes it difficult to initially assess the degree of spinal injury. *** d
A nurse is monitoring a patient for Cushing's triad. Which of the following should he note? Select all that
apply.
a. Resting heart rate of 52 bpm
b. Blood pressure of 90/40 mm Hg
c. Irregular respiratory rate
d. Resting heart rate (HR) of 88 bpm
e. Blood pressure (BP) of 158/100 mm Hg *** a,c,e
A clinician is concerned about restoring perfusion to an area damaged by ischemic stroke. Which of the
following shows correct understanding?
a. Reperfusion should be withheld until the extent of damage and recovery can be assessed.
b. Reperfusion is important because cells in the ischemic penumbra can be recovered.
c. Reperfusion is not time dependent because brain cells can rely on anaerobic metabolism indefinitely.
d. Reperfusion has been shown to be an ineffective strategy in stroke treatment. *** b
A patient has suffered a stroke and is experiencing facial droop. What cranial nerve (CN) does the nurse
expect to be affected?
a. CN III
b. CN IV
c. CN VII
d. CN IX *** c
A nurse notes an acetylcholinesterase inhibitor on a patient's medication list. Which disorder does the
nurse suspect?
,a. Parkinson's disease
b. Myasthenia gravis
c. Migraines
d. Multiple sclerosis *** b
A patient has suffered a traumatic head injury. Given an initial clearance, the patient is asked to return
in two days. Which of the following may develop over several days?
a. Subdural hematoma
b. Epidural hematoma
c. Aneurysmal subarachnoid hemorrhage
d. Mild concussion *** a
The neurological examination results on an adult patient state "negative Babinski test". Which of the
following is the correct interpretation?
a. The test result is normal in an adult.
b. The test result indicates an upper motor neuron injury.
c. The test result indicates lack of proprioception.
d. The test results indicate lack of sensation. *** a
A patient is worried about her risk of developing a stroke because her mother has a stroke in her early
60s. Which of the following could the nurse convey as factors that increase a person's risk for stroke?
Select all that apply.
a. Family history of stroke
b. Tobacco usage
c. Hypotension
d. Active lifestyle
e. African American *** a,b,e
, A nursing student is reviewing strokes. Which of the following indicates correct understanding?
a. Initial clinical presentation does not distinguish between hemorrhagic and ischemic stroke.
b. Treatment of stroke is the same regardless of whether it is hemorrhagic or ischemic.
c. No diagnostic test can be used to determine ischemic versus hemorrhagic stroke.
d. The risk factors for ischemic and hemorrhagic stroke are the same. *** a
A nurse reminds a patient of the acronym of FAST regarding stroke presentation. Which of the following
lists shows that the patient has a correct understanding of the acronym?
a. Fear, Anxiety, Stress, Tremors
b. Facial droop, Arm weakness, Speech difficulties, Time
c. Facial droop, Ataxia, Speech difficulties, Time
d. Facial droop, Arm weakness, Sensations, Time *** b
A patient says he has never heard of ALS or amyotrophic lateral sclerosis. Which of the following other
names may the clinician use for which the patient may be familiar?
a. Parkinson's disease
b. Lou Gehrig's disease
c. Guillain-Barré syndrome
d. Zollinger-Ellison syndrome *** b
1. Why is the incidence of strokes rising every year?
a. There is an increased number of older adults.
b. There is an increased incidence of cardiovascular disease.
c. Both A and B.
d. None of the above. *** a
