MGCCC Class of Fall Nursing Level II, Exam II
Questions With Complete Solutions
Acoustic Neuromas Correct Answers Description
-Tumor on the 8th cranial nerve (responsible for
hearing/balance)
Pathophysiology
-Grows slowly; twice as likely to occur in women as
in men
Signs and Symptoms
-Loss of hearing
-Tinnitus
-Vertigo
-Staggering gait
Treatment/Nursing Implications
-Can be surgically removed; good prognosis, but
removal may cause permanent cranial nerve
dysfunction
Amyotrophic Lateral Sclerosis (ALS; Lou Gehrig's
Disease) Correct Answers Description
-Adult-onset upper and lower motor neuron disease
Signs and Symptoms
-Caused by a loss of motor neurons in the anterior
horn of the spinal cord and loss of motor nuclei in
the brain stem
,-Contributing factors may be genetic, viral, or
environmental
Signs and Symptoms
-Progressive weakness and atrophy of the muscles
of the trunk extremity
-Weakness of bulbar muscles
-Impaired swallowing/talking
-Impaired respiratory function
-Locked in syndrome; brain is still fully functional
Treatment/Nursing Implications
-Be aware of educational issues and family support
-One medication: Riluzole; it is not a cure but does
extend survival time
-Palliative care
Angiomas Correct Answers Description
-Benign; masses of abnormal blood or lymph
vessels
Pathophysiology
-Most are congenital
Signs and Symptoms
-Risk of cerebral hemorrhage
Treatment/Nursing Implications
-General treatment
-Some may disappear spontaneously
,Apply knowledge of actions, potential side effects,
and nursing implications when administering
medications to adults and older adults who have
alterations in mobility.
Medication: Aminoglycosides (Examples:
azithromycin, gentamicin, tobramycin) Correct
Answers Uses/Actions:
-Used for infections (particularly , acute soft tissue
infections
Side Effects:
-Palpitations, chest pain
-N/D, abdominal pain
-Loss of smell/hearing
Nursing Implications:
-Give 1 hour before or 2 hours after meals
-Do not take Al/Mg antacids
-Monitor liver/kidney labs
-Watch for serious skin reactions, superinfection
Apply knowledge of actions, potential side effects,
and nursing implications when administering
medications to adults and older adults who have
alterations in mobility.
, Medication: Antibiotics (Examples: 1st gen
cephalosporins, ciprofloxacin, clindamycin) Correct
Answers Uses/Actions:
-Used for open fractures
Apply knowledge of actions, potential side effects,
and nursing implications when administering
medications to adults and older adults who have
alterations in mobility.
Medication: Bisphophonates (Examples:
alendronate, ibandronate, risendronate) Correct
Answers Uses/Actions:
-Used to treat osteoporosis; most common drug
choice
-Slow bone resorption by binding with crystal
elements in bone
Side Effects:
-May cause esophagitis or esophageal ulcers
Nursing Implications:
-Take early in the morning with 8 oz of water; wait
30-60 minutes in an upright position before eating
-Patient should have an oral
assessment/preventative dentistry before taking
the drug
Apply knowledge of actions, potential side effects,
and nursing implications when administering
Questions With Complete Solutions
Acoustic Neuromas Correct Answers Description
-Tumor on the 8th cranial nerve (responsible for
hearing/balance)
Pathophysiology
-Grows slowly; twice as likely to occur in women as
in men
Signs and Symptoms
-Loss of hearing
-Tinnitus
-Vertigo
-Staggering gait
Treatment/Nursing Implications
-Can be surgically removed; good prognosis, but
removal may cause permanent cranial nerve
dysfunction
Amyotrophic Lateral Sclerosis (ALS; Lou Gehrig's
Disease) Correct Answers Description
-Adult-onset upper and lower motor neuron disease
Signs and Symptoms
-Caused by a loss of motor neurons in the anterior
horn of the spinal cord and loss of motor nuclei in
the brain stem
,-Contributing factors may be genetic, viral, or
environmental
Signs and Symptoms
-Progressive weakness and atrophy of the muscles
of the trunk extremity
-Weakness of bulbar muscles
-Impaired swallowing/talking
-Impaired respiratory function
-Locked in syndrome; brain is still fully functional
Treatment/Nursing Implications
-Be aware of educational issues and family support
-One medication: Riluzole; it is not a cure but does
extend survival time
-Palliative care
Angiomas Correct Answers Description
-Benign; masses of abnormal blood or lymph
vessels
Pathophysiology
-Most are congenital
Signs and Symptoms
-Risk of cerebral hemorrhage
Treatment/Nursing Implications
-General treatment
-Some may disappear spontaneously
,Apply knowledge of actions, potential side effects,
and nursing implications when administering
medications to adults and older adults who have
alterations in mobility.
Medication: Aminoglycosides (Examples:
azithromycin, gentamicin, tobramycin) Correct
Answers Uses/Actions:
-Used for infections (particularly , acute soft tissue
infections
Side Effects:
-Palpitations, chest pain
-N/D, abdominal pain
-Loss of smell/hearing
Nursing Implications:
-Give 1 hour before or 2 hours after meals
-Do not take Al/Mg antacids
-Monitor liver/kidney labs
-Watch for serious skin reactions, superinfection
Apply knowledge of actions, potential side effects,
and nursing implications when administering
medications to adults and older adults who have
alterations in mobility.
, Medication: Antibiotics (Examples: 1st gen
cephalosporins, ciprofloxacin, clindamycin) Correct
Answers Uses/Actions:
-Used for open fractures
Apply knowledge of actions, potential side effects,
and nursing implications when administering
medications to adults and older adults who have
alterations in mobility.
Medication: Bisphophonates (Examples:
alendronate, ibandronate, risendronate) Correct
Answers Uses/Actions:
-Used to treat osteoporosis; most common drug
choice
-Slow bone resorption by binding with crystal
elements in bone
Side Effects:
-May cause esophagitis or esophageal ulcers
Nursing Implications:
-Take early in the morning with 8 oz of water; wait
30-60 minutes in an upright position before eating
-Patient should have an oral
assessment/preventative dentistry before taking
the drug
Apply knowledge of actions, potential side effects,
and nursing implications when administering
