GNRS 558: EXAM 4 \GNRS 558: PHARMACOLOGY
FOR ADVANCED NURSING PRACTICE EXAM 260
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+ 2026-2027.
During neurologic testing, the patient can perceive pain elicited by pinprick.
Based on this finding, the nurse may omit testing for
a. position sense.
b. patellar reflexes.
c. temperature perception.
d. heel-to-shin movements. - ANSWER-c. temperature perception.
A patient's eyes jerk while the patient looks to the left. The nurse records this
finding as
,a. nystagmus.
b. CN VI palsy.
c. ophthalmic dyskinesia.
d. oculocephalic response. - ANSWER-a. nystagmus.
The nurse is caring for a patient with peripheral neuropathy who is scheduled
for EMG studies tomorrow morning. The nurse should
a. ensure the patient has an empty bladder.
b. instruct the patient about the risk for electric shock.
c. ensure the patient has no metallic jewelry or metal fragments.
d. teach the patient that pain may be experienced during the study - ANSWER-
d. teach the patient that pain may be experienced during the study
,Which nursing action will the home health nurse include in the plan of care for
a patient with paraplegia in order to prevent autonomic dysreflexia? a. Assist
with selection of a high protein diet.b. Use quad coughing to assist cough
effort.c. Discuss options for sexuality and fertility.d. Teach the purpose of a
prescribed bowel program. - ANSWER-ANS: D
Fecal impaction is a common stimulus for autonomic dysreflexia. The other
actions may be included in the plan of care but will not reduce the risk for
autonomic dysreflexia.
A patient with a history of a T2 spinal cord injury tells the nurse, "I feel awful
today. My head is throbbing, and I feel sick to my stomach." Which action
should the nurse take first?a. Assess for a fecal impaction.b. Give the
prescribed antiemetic.c. Check the blood pressure (BP).d. Notify the health
care provider - ANSWER-ANS: C
The BP should be assessed immediately in a patient with an injury at the T6
level or higher who complains of a headache to determine if autonomic
, hyperreflexia is occurring. Notification of the patient's health care provider is
appropriate after the BP is obtained. Administration of an antiemetic is
indicated if autonomic hyperreflexia is ruled out as the cause of the nausea.
After checking the BP, the nurse may assess for a fecal impaction using
lidocaine jelly to prevent further increased BP.DIF: Cognitive Level: Analyze
(analysis)
Which signs and symptoms in a patient with a T4 spinal cord injury should
alert you to the possibility of autonomic dysreflexia?A. Headache and rising
blood pressureB. Irregular respirations and shortness of breathC. Decreased
level of consciousness or hallucinationsD. Abdominal distention and absence
of bowel sounds - ANSWER-A. Headache and rising blood pressure
Among the manifestations of autonomic dysreflexia are hypertension (up to
300 mm Hg systolic) and throbbing headache. Respiratory manifestations,
decreased level of consciousness, and gastrointestinal manifestations are not
characteristic.
FOR ADVANCED NURSING PRACTICE EXAM 260
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+ 2026-2027.
During neurologic testing, the patient can perceive pain elicited by pinprick.
Based on this finding, the nurse may omit testing for
a. position sense.
b. patellar reflexes.
c. temperature perception.
d. heel-to-shin movements. - ANSWER-c. temperature perception.
A patient's eyes jerk while the patient looks to the left. The nurse records this
finding as
,a. nystagmus.
b. CN VI palsy.
c. ophthalmic dyskinesia.
d. oculocephalic response. - ANSWER-a. nystagmus.
The nurse is caring for a patient with peripheral neuropathy who is scheduled
for EMG studies tomorrow morning. The nurse should
a. ensure the patient has an empty bladder.
b. instruct the patient about the risk for electric shock.
c. ensure the patient has no metallic jewelry or metal fragments.
d. teach the patient that pain may be experienced during the study - ANSWER-
d. teach the patient that pain may be experienced during the study
,Which nursing action will the home health nurse include in the plan of care for
a patient with paraplegia in order to prevent autonomic dysreflexia? a. Assist
with selection of a high protein diet.b. Use quad coughing to assist cough
effort.c. Discuss options for sexuality and fertility.d. Teach the purpose of a
prescribed bowel program. - ANSWER-ANS: D
Fecal impaction is a common stimulus for autonomic dysreflexia. The other
actions may be included in the plan of care but will not reduce the risk for
autonomic dysreflexia.
A patient with a history of a T2 spinal cord injury tells the nurse, "I feel awful
today. My head is throbbing, and I feel sick to my stomach." Which action
should the nurse take first?a. Assess for a fecal impaction.b. Give the
prescribed antiemetic.c. Check the blood pressure (BP).d. Notify the health
care provider - ANSWER-ANS: C
The BP should be assessed immediately in a patient with an injury at the T6
level or higher who complains of a headache to determine if autonomic
, hyperreflexia is occurring. Notification of the patient's health care provider is
appropriate after the BP is obtained. Administration of an antiemetic is
indicated if autonomic hyperreflexia is ruled out as the cause of the nausea.
After checking the BP, the nurse may assess for a fecal impaction using
lidocaine jelly to prevent further increased BP.DIF: Cognitive Level: Analyze
(analysis)
Which signs and symptoms in a patient with a T4 spinal cord injury should
alert you to the possibility of autonomic dysreflexia?A. Headache and rising
blood pressureB. Irregular respirations and shortness of breathC. Decreased
level of consciousness or hallucinationsD. Abdominal distention and absence
of bowel sounds - ANSWER-A. Headache and rising blood pressure
Among the manifestations of autonomic dysreflexia are hypertension (up to
300 mm Hg systolic) and throbbing headache. Respiratory manifestations,
decreased level of consciousness, and gastrointestinal manifestations are not
characteristic.
