Practice Questions Acute & Chronic Neuro
Practice Questions: Acute & Chronic Neuro
Study online at https://quizlet.com/_bwr4t5
1. The nurse assessing a 54-year-old ANS: B
female patient with newly diag-
nosed trigeminal neuralgia will ask The major clinical manifestation of trigeminal neural-
the patient about gia is severe facial pain that is triggered by cutaneous
a. visual problems caused by pto- stimulation of the nerve. Ptosis, loss of taste, and facial
sis. weakness are not characteristics of trigeminal neural-
b. triggers leading to facial discom- gia.
fort.
c. poor appetite caused by loss of
taste.
d. weakness on the affected side of
the face.
2. Which action should the nurse ANS: B
take when assessing a patient with
trigeminal neuralgia? Oral hygiene is frequently neglected because of fear
a. Have the patient clench the jaws. of triggering facial pain. Having the patient clench the
b. Inspect the oral mucosa and facial muscles will not be useful because the sensory
teeth. branches of the nerve are affected by trigeminal neural-
c. Palpate the face to compare skin gia. Light touch and palpation may be triggers for pain
temperature bilaterally. and should be avoided
d. Identify trigger zones by lightly
touching the affected side.
3. When evaluating outcomes of ANS: C
a glycerol rhizotomy for a pa-
tient with trigeminal neuralgia, the Because withdrawal from social activities is a common
nurse will manifestation of trigeminal neuralgia, asking about so-
a. assess whether the patient is do- cial activities will help in evaluating whether the patient's
ing daily facial exercises. symptoms have improved. Glycerol rhizotomy does not
b. question whether the patient is damage the corneal reflex or motor functions of the
using an eye shield at night. trigeminal nerve, so there is no need to use an eye
actualstudy Page 1 of 14
, Practice Questions Acute & Chronic Neuro
Practice Questions: Acute & Chronic Neuro
Study online at https://quizlet.com/_bwr4t5
c. ask the patient about social activ- shield, do facial exercises, or take precautions with
ities with family and friends. chewing
d. remind the patient to chew on
the unaffected side of the mouth.
4. Which action will the nurse include ANS: A
in the plan of care for a 62-year-old
patient who is experiencing pain The patient with an acute episode of trigeminal neural-
from trigeminal neuralgia? gia may be unwilling to eat or drink, so assessment of
a. Assess fluid and dietary intake. nutritional and hydration status is important. Because
b. Apply ice packs for 20 minutes. stimulation by touch is the precipitating factor for pain,
c. Teach facial relaxation tech- relaxation of the facial muscles will not improve symp-
niques. toms. Application of ice is likely to precipitate pain. The
d. Spend time talking with the pa- patient will not want to engage in conversation, which
tient. may precipitate attacks.
5. The nurse identifies a patient with ANS: D
type 1 diabetes and a history of
herpes simplex infection as being Pain or herpes lesions near the ear may indicate the
at risk for Bell's palsy. Which infor- onset of Bell's palsy and rapid corticosteroid treatment
mation should the nurse include in may reduce the duration of Bell's palsy symptoms. An-
teaching the patient? tiviral therapy for herpes simplex does not reduce the
a. "You may be able to prevent Bell's risk for Bell's palsy. Corticosteroid therapy will be most
palsy by doing facial exercises reg- effective in reducing symptoms if started before paraly-
ularly." sis is complete but will still be somewhat effective when
b. "Prophylactic treatment of her- started later. Facial exercises do not prevent Bell's palsy
pes with antiviral agents prevents
Bell's palsy."
c. "Medications to treat Bell's palsy
work only if started before paralysis
onset."
d. "Call the doctor if you experience
actualstudy Page 2 of 14
Practice Questions: Acute & Chronic Neuro
Study online at https://quizlet.com/_bwr4t5
1. The nurse assessing a 54-year-old ANS: B
female patient with newly diag-
nosed trigeminal neuralgia will ask The major clinical manifestation of trigeminal neural-
the patient about gia is severe facial pain that is triggered by cutaneous
a. visual problems caused by pto- stimulation of the nerve. Ptosis, loss of taste, and facial
sis. weakness are not characteristics of trigeminal neural-
b. triggers leading to facial discom- gia.
fort.
c. poor appetite caused by loss of
taste.
d. weakness on the affected side of
the face.
2. Which action should the nurse ANS: B
take when assessing a patient with
trigeminal neuralgia? Oral hygiene is frequently neglected because of fear
a. Have the patient clench the jaws. of triggering facial pain. Having the patient clench the
b. Inspect the oral mucosa and facial muscles will not be useful because the sensory
teeth. branches of the nerve are affected by trigeminal neural-
c. Palpate the face to compare skin gia. Light touch and palpation may be triggers for pain
temperature bilaterally. and should be avoided
d. Identify trigger zones by lightly
touching the affected side.
3. When evaluating outcomes of ANS: C
a glycerol rhizotomy for a pa-
tient with trigeminal neuralgia, the Because withdrawal from social activities is a common
nurse will manifestation of trigeminal neuralgia, asking about so-
a. assess whether the patient is do- cial activities will help in evaluating whether the patient's
ing daily facial exercises. symptoms have improved. Glycerol rhizotomy does not
b. question whether the patient is damage the corneal reflex or motor functions of the
using an eye shield at night. trigeminal nerve, so there is no need to use an eye
actualstudy Page 1 of 14
, Practice Questions Acute & Chronic Neuro
Practice Questions: Acute & Chronic Neuro
Study online at https://quizlet.com/_bwr4t5
c. ask the patient about social activ- shield, do facial exercises, or take precautions with
ities with family and friends. chewing
d. remind the patient to chew on
the unaffected side of the mouth.
4. Which action will the nurse include ANS: A
in the plan of care for a 62-year-old
patient who is experiencing pain The patient with an acute episode of trigeminal neural-
from trigeminal neuralgia? gia may be unwilling to eat or drink, so assessment of
a. Assess fluid and dietary intake. nutritional and hydration status is important. Because
b. Apply ice packs for 20 minutes. stimulation by touch is the precipitating factor for pain,
c. Teach facial relaxation tech- relaxation of the facial muscles will not improve symp-
niques. toms. Application of ice is likely to precipitate pain. The
d. Spend time talking with the pa- patient will not want to engage in conversation, which
tient. may precipitate attacks.
5. The nurse identifies a patient with ANS: D
type 1 diabetes and a history of
herpes simplex infection as being Pain or herpes lesions near the ear may indicate the
at risk for Bell's palsy. Which infor- onset of Bell's palsy and rapid corticosteroid treatment
mation should the nurse include in may reduce the duration of Bell's palsy symptoms. An-
teaching the patient? tiviral therapy for herpes simplex does not reduce the
a. "You may be able to prevent Bell's risk for Bell's palsy. Corticosteroid therapy will be most
palsy by doing facial exercises reg- effective in reducing symptoms if started before paraly-
ularly." sis is complete but will still be somewhat effective when
b. "Prophylactic treatment of her- started later. Facial exercises do not prevent Bell's palsy
pes with antiviral agents prevents
Bell's palsy."
c. "Medications to treat Bell's palsy
work only if started before paralysis
onset."
d. "Call the doctor if you experience
actualstudy Page 2 of 14
