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MARYVILLE NURS 623 EXAM 4 ACTUAL
QUESTIONS WITH CORRECT ANSWERS
What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy?-correct-answer-The straight leg raise (assesses L5-S1). pain would
indicate most common disc herniation
What cranial nerve is affected in Bell's Palsy?-correct-answer-CN VII
S/S of Bell's Palsy-correct-answer-* Acute onset one-sided Facial paralysis with
normal ocular movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
How is Bell's Palsy diagnosed?-correct-answer-Clinical history and exam
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What is a serious risk in patients with Bell's Palsey?-correct-answer-Loss of the
ability to blink and close the eyelid subjects the cornea to drying and ulceration
Patient teaching for Bell's Palsey-correct-answer-*reassure it is self-limiting with
3-6 month recovery
*prevent corneal ulceration/ use artificial tears
*unilateral and tends to have a throbbing or pulsatile (head)
*precipitated by aura
*nausea
*vomiting
*photophobia
*phonophobia-correct-answer-S/S of Migraine H/A
A patient reports seeing flashes 20 minutes before having a severe H/A what type
of H/A is it?-correct-answer-Classic migraine
*unilateral orbital, supraorbital, and/or temporal (headache)
*causes lacrimation, rhinorrhea, and nasal congestion)-correct-answer-S/S of
cluster H/A
MARYVILLE NURS 623 EXAM 4 ACTUAL
QUESTIONS WITH CORRECT ANSWERS
What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy?-correct-answer-The straight leg raise (assesses L5-S1). pain would
indicate most common disc herniation
What cranial nerve is affected in Bell's Palsy?-correct-answer-CN VII
S/S of Bell's Palsy-correct-answer-* Acute onset one-sided Facial paralysis with
normal ocular movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
How is Bell's Palsy diagnosed?-correct-answer-Clinical history and exam
, 2|Page
What is a serious risk in patients with Bell's Palsey?-correct-answer-Loss of the
ability to blink and close the eyelid subjects the cornea to drying and ulceration
Patient teaching for Bell's Palsey-correct-answer-*reassure it is self-limiting with
3-6 month recovery
*prevent corneal ulceration/ use artificial tears
*unilateral and tends to have a throbbing or pulsatile (head)
*precipitated by aura
*nausea
*vomiting
*photophobia
*phonophobia-correct-answer-S/S of Migraine H/A
A patient reports seeing flashes 20 minutes before having a severe H/A what type
of H/A is it?-correct-answer-Classic migraine
*unilateral orbital, supraorbital, and/or temporal (headache)
*causes lacrimation, rhinorrhea, and nasal congestion)-correct-answer-S/S of
cluster H/A
