OF MEDICAL NURSING EXAM 3 NEWEST 2025
ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ (BRAND NEW VERSION!)
What is encephalitis? - ✔✔ANSW✔✔..inflammation or infection of
the brain
What causes encephalitis? - ✔✔ANSW✔✔..West Nile Virus
Herpes
What are the s/s of encephalitis? - ✔✔ANSW✔✔..High fever, N/V,
stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
What is used to dx encephalitis? - ✔✔ANSW✔✔..lumbar puncture
EEG
CT (looks for mass)
What are N/I for encephalitis? - ✔✔ANSW✔✔..Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
,What is the tx for encephalitis? - ✔✔ANSW✔✔..acyclovir
What are complications from encephalitis? - ✔✔ANSW✔✔..ICP
that leads to herniation of brain tissue or death
What is myasthenia gravis? - ✔✔ANSW✔✔..Autoimmune
disorder that is characterized by weakness in the muscles
What causes myasthenia gravis? - ✔✔ANSW✔✔..lack of Ach
receptor sites, leads to lack of nerve impulses
What are s/s of myasthenia gravis? - ✔✔ANSW✔✔..difficulty
holding up head or brushing teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
How is myasthenia gravis diagnosed? - ✔✔ANSW✔✔..tensillon
test.
s/s improve with Edrophonium .
How does edrophonium work? - ✔✔ANSW✔✔..w/in 30-60sec of
1st dose, most show lots of improvement, lasts 4-5mins
What are n/i for myasthenia gravis? - ✔✔ANSW✔✔..assess adls,
speech & facial weakness
resp support
keep oxygen equipment & suction at bedside for r/f of resp
distress
promote mobility
,What is tx for myasthenia gravis? - ✔✔ANSW✔✔..plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants
What is cholinergic crisis? - ✔✔ANSW✔✔..too much
cholinesterase inhibitor drug
What are s/s of cholinergic crisis? - ✔✔ANSW✔✔..fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? - ✔✔ANSW✔✔..atropine
DO NOT GIVE ANTICHOLINESTERASE
What is myasthenic crisis? - ✔✔ANSW✔✔..too little
cholinesterase inhibitor drug
What is the priority with myasthenic crisis? - ✔✔ANSW✔✔..resp
function
What are s/s of myasthenic crisis? - ✔✔ANSW✔✔..increase HR,
RR, BP
decrease u/o
no cough or swallow reflex
dry
What time should ChE inhibitor be given? - ✔✔ANSW✔✔..45-1hr
before meals to avoid aspiration
What can tensilon test cause? - ✔✔ANSW✔✔..cardiac
dysrhythmias, have atropine on hand
, What is nursing priority with myasthenic crisis? -
✔✔ANSW✔✔..maintain airway, may require to intubate
What is Guillain-Barre? - ✔✔ANSW✔✔..an uncommon acute
inflammatory disorder that affects axons and/or myelin sheath
(neurons can't impulse)
where does Guillain Barre Syndrome start - ✔✔ANSW✔✔..-Starts
in feet and hands (numbness, tingling)
What are causes of Guillain Barre? - ✔✔ANSW✔✔..bacterial
infection
influenza
epstein barr
zika
What are s/s of guillain barre? - ✔✔ANSW✔✔..loss of reflexes
hypotension
labile BP
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
tachycarida
What are complications from guillain barre? - ✔✔ANSW✔✔..resp
& cardiac problems
decreased mobility, DVTs
What is tx for guillain barre? - ✔✔ANSW✔✔..plasmapheresis
asap