NUR 228 EXAM 100% SOLVED.
An adult client is having a generalized seizure. The nurse recognizes which clinical
manifestation of this type of seizure?
Confusion about their location
Continuous picking at their shirt
Motionless and fixed gaze
Stiffening of body for 10 seconds - ANSWERStiffening of body for 10 seconds
The clinical manifestations associated with Parkinson's disease are caused by which
of the following?
Inflammation of the neurons and glial cells in the central nervous system
More excitatory neurotransmitter activity than inhibitory activity
Abnormal storage of acetylcholine in dopamine uptake cells
The cause of clinical manifestations in Parkinson's disease is unknown -
ANSWERMore excitatory neurotransmitter activity than inhibitory activity
Which of the following types of hemorrhages are most associated with an arterio-
venous malformation?
Parenchyma
Subarachnoid hemorrhage
TIA
Intracranial hemorrhage - ANSWERSubarachnoid hemorrhage
Anti-epileptic drugs work through which of the following mechanisms of action?
Select all
Potentiation of sodium influx
Blocking glutamate receptors
Suppression of calcium influx
Suppression of gamma-aminobutyric acid - ANSWERBlocking glutamate receptors
Suppression of calcium influx
The nurse is reviewing the neuron in a anatomy and physiology class. Which
statement made by the student requires correction?
The neuron consists of the cell body, axon, and dendrites.
The myelin sheath is a coating on the axon that helps with conduction.
Neurons typically replicate to replace damaged or destroyed cells.
The neuron is the primary functional unit of the nervous system. - ANSWERNeurons
typically replicate to replace damaged or destroyed cells.
ictal - ANSWERthe actual seizure
prodroma - ANSWERactivity preceding a seizure, can be days or hours in advance
aura - ANSWERsensory warning that is considered part of the seizure
post-ictal - ANSWERrecovery phase of the seizure
, A client is currently having a medical workup performed for possible myasthenia
gravis (MG). Which manifestation, if present, would support a diagnosis of MG?
Difficulty speaking
Fever and night sweats
Severe headaches
Resting tremors - ANSWERDifficulty speaking
A friend has been told that they had a TIA (transient ischemic attack). You know that
to be classified as a TIA, all symptoms have to be gone within how many hours?
12
24
48
6 - ANSWER24
A 55 year old developed a communication deficit after suffering an ischemic stroke.
They are able to communicate thought to the nurse but are unable to understand
what the nurse is communicating back. The nurse recognizes that this is what type of
deficit?
Aphasia
Hemianopsia
Dysphagia
Dysarthria - ANSWERAphasia
Which of the following are risk factors for stroke?
Select all that apply.
alcohol abuse
tobacco use
African American heritage
iron deficiency anemia
hypertension
heart failure - ANSWERalcohol abuse
tobacco use
African American heritage
hypertension
heart failure
Ischemic stroke is associated with occlusion of cerebral artery by a thrombus or
embolus.
True
False - ANSWERTrue
Drug therapy to treat bacterial meningitis typically includes:
No drug therapy; the disease is self-limiting
IV fluid maintenance
Intravenous antibiotic therapy
Immunosuppressant drugs - ANSWERIntravenous antibiotic therapy
A 47 year old is diagnosed with atrial fibrillation and placed on warfarin. You teach
the patient that it is important to take this medication because it will:
decrease the risk of an embolic stroke
An adult client is having a generalized seizure. The nurse recognizes which clinical
manifestation of this type of seizure?
Confusion about their location
Continuous picking at their shirt
Motionless and fixed gaze
Stiffening of body for 10 seconds - ANSWERStiffening of body for 10 seconds
The clinical manifestations associated with Parkinson's disease are caused by which
of the following?
Inflammation of the neurons and glial cells in the central nervous system
More excitatory neurotransmitter activity than inhibitory activity
Abnormal storage of acetylcholine in dopamine uptake cells
The cause of clinical manifestations in Parkinson's disease is unknown -
ANSWERMore excitatory neurotransmitter activity than inhibitory activity
Which of the following types of hemorrhages are most associated with an arterio-
venous malformation?
Parenchyma
Subarachnoid hemorrhage
TIA
Intracranial hemorrhage - ANSWERSubarachnoid hemorrhage
Anti-epileptic drugs work through which of the following mechanisms of action?
Select all
Potentiation of sodium influx
Blocking glutamate receptors
Suppression of calcium influx
Suppression of gamma-aminobutyric acid - ANSWERBlocking glutamate receptors
Suppression of calcium influx
The nurse is reviewing the neuron in a anatomy and physiology class. Which
statement made by the student requires correction?
The neuron consists of the cell body, axon, and dendrites.
The myelin sheath is a coating on the axon that helps with conduction.
Neurons typically replicate to replace damaged or destroyed cells.
The neuron is the primary functional unit of the nervous system. - ANSWERNeurons
typically replicate to replace damaged or destroyed cells.
ictal - ANSWERthe actual seizure
prodroma - ANSWERactivity preceding a seizure, can be days or hours in advance
aura - ANSWERsensory warning that is considered part of the seizure
post-ictal - ANSWERrecovery phase of the seizure
, A client is currently having a medical workup performed for possible myasthenia
gravis (MG). Which manifestation, if present, would support a diagnosis of MG?
Difficulty speaking
Fever and night sweats
Severe headaches
Resting tremors - ANSWERDifficulty speaking
A friend has been told that they had a TIA (transient ischemic attack). You know that
to be classified as a TIA, all symptoms have to be gone within how many hours?
12
24
48
6 - ANSWER24
A 55 year old developed a communication deficit after suffering an ischemic stroke.
They are able to communicate thought to the nurse but are unable to understand
what the nurse is communicating back. The nurse recognizes that this is what type of
deficit?
Aphasia
Hemianopsia
Dysphagia
Dysarthria - ANSWERAphasia
Which of the following are risk factors for stroke?
Select all that apply.
alcohol abuse
tobacco use
African American heritage
iron deficiency anemia
hypertension
heart failure - ANSWERalcohol abuse
tobacco use
African American heritage
hypertension
heart failure
Ischemic stroke is associated with occlusion of cerebral artery by a thrombus or
embolus.
True
False - ANSWERTrue
Drug therapy to treat bacterial meningitis typically includes:
No drug therapy; the disease is self-limiting
IV fluid maintenance
Intravenous antibiotic therapy
Immunosuppressant drugs - ANSWERIntravenous antibiotic therapy
A 47 year old is diagnosed with atrial fibrillation and placed on warfarin. You teach
the patient that it is important to take this medication because it will:
decrease the risk of an embolic stroke
