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NURS 201
NURS 201: Midterm Exam - Intermediate Medical and
Surgical | Questions and Answers | 100% Correct (Latest
Update ).
1. A patient with Guillain-Barre syndrome is in the ED with complaints of a
tingling sensation above their waist. What is the primary action the nurse
should take?: Bring crash cart with intubation tray, because it is related to the airway
2. GBS is a critical disease with unknown origin. However, many clients report
what previous infection?: Respiratory and GI infection in the months leading up to
diagnosis
3. A patient with Guillain-Barre syndrome is in the ED for a stage 3 pressure ulcer. Who
does the nurse acknowledge is responsible for preventing skin breakdown?: CNA,
family, dietician, and OT
4. A patient with Guillain-Barre syndrome asks the nurse why they continue to get
pressure ulcers. What is the best response by the nurse?: Patients are at high risk
for skin breakdown because of paralysis.
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5. A nurse is treating a patient with an acute exacerbation of Guillain-Barre syndrome.
What actions are the focus of care?: Management is aimed at supportive care,
particularly ventilator and hemodynamic support, during the acute phase.
The objective of nursing care is to support the body systems until the patient recovers.
6. There is a newly diagnosed patient with MS in the med surg unit. What should the
nurse tell the patient about how the progression of the disease will
effect them?: You will have periods of attacks and remission, but it is a progressive nerve
damaging disease over time.
7. A patient diagnosed with MS is taking Copaxone. What education should the
nurse provide about administering this medication?: The nurse needs to teach the patient
how to self administer the medication via injection and ask for a return demo (teach back)
8. A 23-year-old patient with MS asks the nurse what type of birth control is safe while
taking Copaxone?: Oral contraceptives are ok to take
9. If a MS patient is displaying symptoms of exacerbation, what should be in
the plan of care?: Advise them to rest, or provide a schedule with rest periods to prevent
fatigue to reduce symptoms.
10. What is the most distressing complication for patients with ALS?: Retaining
their cognition. Symptoms of motor deterioration include:
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NURS 201
-Dysphagia
or
-Dropping items
11. A patient with Myasthenia Gravis went home with cholinesterase. What
adverse reactions do you educate them about?: If you experience INCREASED
Muscle weakness
- Call 911
12. A patient with Myasthenia gravis is prescribed an oral medication. How
should the nurse assess the patients ability to swallow this medication?: Give the
patient sips of water to test their ability
13. A patient with myasthenia gravis receives a positive tinsel test result. What is
the reason for this result?: Muscle strength and contraction improvement
14. Why must a nurse assess for generalized weakness in patients with myasthe-
nia gravis?: Weakness can affect intercostal muscles making respiratory distress leading to
respiratory infection
15. A patient with Parkinson's disease is given Cogentin and wants to know why
they were prescribed this medication?: It is an anticholinergic medication, taken to
suppress tremors and to decrease muscle rigidity.
16. What kind of food or consistency should they give to a patient with Parkin-
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NURS 201
son's disease to reduce aspiration?: Small bite sized food, or semi solid food, thickened
food or liquids
17. A patient with Parkinson's disease wants to know what are the adverse
effects of Benstroppin (anticholinergic med)? For decreasing rigidity in mus-
cles: Drowsiness, urinary retention, dry eyes, constipation, dryness of nose, throat,
blurred vision, increased pulse rate, palpitation, restlessness, confusion, photophobia
18. A patient with Parkinson's is unable to move facial muscles, what is the
highest priority for this patient?: Inadequate nutrition intake
19. What are the different types of blood products used for infusion treatments?-
: - Packed RBC
- platelets
- fresh frozen plasma
- RH compatibility ABO as well
- WBC transfusion
20. What are the three primary items that should be documented about blood
transfusions in the medical record?: - Include tolerance
- Response to transfusion
- Reaction to transfusion - was it effective
NURS 201
NURS 201
NURS 201: Midterm Exam - Intermediate Medical and
Surgical | Questions and Answers | 100% Correct (Latest
Update ).
1. A patient with Guillain-Barre syndrome is in the ED with complaints of a
tingling sensation above their waist. What is the primary action the nurse
should take?: Bring crash cart with intubation tray, because it is related to the airway
2. GBS is a critical disease with unknown origin. However, many clients report
what previous infection?: Respiratory and GI infection in the months leading up to
diagnosis
3. A patient with Guillain-Barre syndrome is in the ED for a stage 3 pressure ulcer. Who
does the nurse acknowledge is responsible for preventing skin breakdown?: CNA,
family, dietician, and OT
4. A patient with Guillain-Barre syndrome asks the nurse why they continue to get
pressure ulcers. What is the best response by the nurse?: Patients are at high risk
for skin breakdown because of paralysis.
NURS 201
, 2
NURS 201
5. A nurse is treating a patient with an acute exacerbation of Guillain-Barre syndrome.
What actions are the focus of care?: Management is aimed at supportive care,
particularly ventilator and hemodynamic support, during the acute phase.
The objective of nursing care is to support the body systems until the patient recovers.
6. There is a newly diagnosed patient with MS in the med surg unit. What should the
nurse tell the patient about how the progression of the disease will
effect them?: You will have periods of attacks and remission, but it is a progressive nerve
damaging disease over time.
7. A patient diagnosed with MS is taking Copaxone. What education should the
nurse provide about administering this medication?: The nurse needs to teach the patient
how to self administer the medication via injection and ask for a return demo (teach back)
8. A 23-year-old patient with MS asks the nurse what type of birth control is safe while
taking Copaxone?: Oral contraceptives are ok to take
9. If a MS patient is displaying symptoms of exacerbation, what should be in
the plan of care?: Advise them to rest, or provide a schedule with rest periods to prevent
fatigue to reduce symptoms.
10. What is the most distressing complication for patients with ALS?: Retaining
their cognition. Symptoms of motor deterioration include:
NURS 201
, 3
NURS 201
-Dysphagia
or
-Dropping items
11. A patient with Myasthenia Gravis went home with cholinesterase. What
adverse reactions do you educate them about?: If you experience INCREASED
Muscle weakness
- Call 911
12. A patient with Myasthenia gravis is prescribed an oral medication. How
should the nurse assess the patients ability to swallow this medication?: Give the
patient sips of water to test their ability
13. A patient with myasthenia gravis receives a positive tinsel test result. What is
the reason for this result?: Muscle strength and contraction improvement
14. Why must a nurse assess for generalized weakness in patients with myasthe-
nia gravis?: Weakness can affect intercostal muscles making respiratory distress leading to
respiratory infection
15. A patient with Parkinson's disease is given Cogentin and wants to know why
they were prescribed this medication?: It is an anticholinergic medication, taken to
suppress tremors and to decrease muscle rigidity.
16. What kind of food or consistency should they give to a patient with Parkin-
NURS 201
, 4
NURS 201
son's disease to reduce aspiration?: Small bite sized food, or semi solid food, thickened
food or liquids
17. A patient with Parkinson's disease wants to know what are the adverse
effects of Benstroppin (anticholinergic med)? For decreasing rigidity in mus-
cles: Drowsiness, urinary retention, dry eyes, constipation, dryness of nose, throat,
blurred vision, increased pulse rate, palpitation, restlessness, confusion, photophobia
18. A patient with Parkinson's is unable to move facial muscles, what is the
highest priority for this patient?: Inadequate nutrition intake
19. What are the different types of blood products used for infusion treatments?-
: - Packed RBC
- platelets
- fresh frozen plasma
- RH compatibility ABO as well
- WBC transfusion
20. What are the three primary items that should be documented about blood
transfusions in the medical record?: - Include tolerance
- Response to transfusion
- Reaction to transfusion - was it effective
NURS 201
