NR 325- Exam 2 Questions and Answers
Complete 100% Pass A+
In a patient with a disease that affects the myelin sheath of nerves, such as
multiple sclerosis, the glial cells affected are the:
a. microglia.
b. astrocytes.
c. ependymal cells.
d. oligodendrocytes. - Ans D
A patient taking a drug that impairs function of the extrapyramidal system
may have loss of
a. sensations of pain and temperature.
b. regulation of the autonomic nervous system.
c. integration of somatic and special sensory inputs.
d. automatic movements associated with skeletal muscle activity - Ans d.
automatic movements associated with skeletal muscle activity
During the neurologic assessment, the nurse finds the patient has speech
problems with weakness of the right arm and lower face. The nurse would
expect a CT scan to show pathology in the distribution of the
a. basilar artery.
b. left middle cerebral artery.
c. right anterior cerebral artery.
d. left posterior communicating artery. - Ans b. left middle cerebral artery
A patient is seen in the emergency department after diving into the pool and
hitting the bottom with a blow to the face that hyperextended the neck and
scraped the skin off the nose. The patient reports double vision when looking
down. During the neurologic assessment, the nurse finds the patient is unable
to abduct either eye. The nurse recognizes this finding is related to
a. a basal skull fracture.
b. an injury to CN VI on both sides.
c. a stiff neck from the hyperextension injury.
d. facial swelling from the scrape on the bottom of the pool. - Ans b. an injury
to CN VI on both sides.
Stimulation of the parasympathetic nervous system results in (select all that
apply)
a. constriction of the bronchi.
b. dilation of skin blood vessels.
c. increased secretion of insulin.
d. increased blood glucose levels.
e. relaxation of the urinary sphincters. - Ans a. constriction of the bronchi.
b. dilation of skin blood vessels.
c. increased secretion of insulin.
,e. relaxation of the urinary sphincters.
When assessing the muscle strength of an older adult, the nurse cannot
compare the findings with those of a younger adult because
a. nutrition status is better in young adults.
b. muscle tone and strength decrease in older adults.
c. muscle strength should be the same for all adults.
d. most young adults exercise more than older adults. - Ans b. muscle tone
and strength decrease in older adults.
A patient is admitted with a headache, fever, and general malaise. The HCP
has asked that the patient be prepared for a lumbar puncture. What is a
priority nursing action to avoid complications?
a. Review laboratory results for changes in the white cell count.
b. Give acetaminophen for the headache and fever before the procedure.
c. Notify the provider if signs of increased intracranial pressure are present.
d. Administer antibiotics before the procedure to treat the potential meningitis
- Ans c. Notify the provider if signs of increased intracranial pressure are
present.
During neurologic testing, the patient can perceive pain elicited by pinprick.
Based on this finding, the nurse may omit testing for
a. position sense.
b. patellar reflexes.
c. temperature perception.
d. heel-to-shin movements. - Ans c. temperature perception
A patient's eyes jerk while the patient looks to the left. The nurse records this
finding as
a. nystagmus.
b. CN VI palsy.
c. ophthalmic dyskinesia.
d. oculocephalic response - Ans a. nystagmus.
The nurse is caring for a patient with peripheral neuropathy who is scheduled
for EMG studies tomorrow morning. The nurse should
a. ensure the patient has an empty bladder.
b. instruct the patient about the risk for electric shock.
c. ensure the patient has no metallic jewelry or metal fragments.
d. teach the patient that pain may be experienced during the study - Ans d.
teach the patient that pain may be experienced during the study
Vasogenic cerebral edema increases intracranial pressure by
a. shifting fluid in the gray matter.
b. disrupting the blood-brain barrier.
c. leaking molecules from the intracellular fluid to the capillaries.
d. altering the osmotic gradient flow into the intravascular component. - Ans
b. disrupting the blood-brain barrier.
, A patient with intracranial pressure monitoring has a pressure of 12 mm Hg.
The nurse understands that this pressure reflects
a. a severe decrease in cerebral perfusion pressure.
b. an alteration in the production of cerebrospinal fluid.
c. the loss of autoregulatory control of intracranial pressure.
d. a normal balance among brain tissue, blood, and cerebrospinal fluid. - Ans
d. a normal balance among brain tissue, blood, and cerebrospinal fluid.
A nurse plAns care for the patient with increased intracranial pressure with
the knowledge that the best way to position the patient is to
a. keep the head of the bed flat.
b. elevate the head of the bed to 30 degrees.
c. maintain patient on the left side with the head supported on a pillow.
d. use a continuous-rotation bed to continuously change patient position. -
Ans b. elevate the head of the bed to 30 degrees.
The nurse is alert to a possible acute subdural hematoma in the patient who
a. has a linear skull fracture crossing a major artery.
b. has focal symptoms of brain damage with no recollection of a head injury.
c. develops decreased level of consciousness and a headache within 48 hours
of a head injury.
d. has an immediate loss of consciousness with a brief lucid interval followed
by decreasing level of consciousness. - Ans c. develops decreased level of
consciousness and a headache within 48 hours of a head injury.
During admission of a patient with a severe head injury to the emergency
department, the nurse places the highest priority on assessment of
a. airway patency.
b. presence of a neck injury.
c. neurologic status with the Glasgow Coma Scale.
d. cerebrospinal fluid leakage from the ears or nose. - Ans a. airway patency
A patient suspected of having a brain tumor has memory deficits, visual
changes, weakness of right upper and lower extremities, and personality
changes. The nurse determines that the tumor is likely located in the
a. frontal lobe.
b. parietal lobe.
c. occipital lobe.
d. temporal lobe - Ans a. frontal lobe.
Management of a patient with a brain tumor includes (select all that apply)
a. discussing with the patient methods to control inappropriate behavior.
b. using diversion techniques to keep the patient stimulated and motivated.
c. assisting and supporting the family in understanding any changes in
behavior.
d. limiting self-care activities until the patient has regained maximum physical
functioning.
Complete 100% Pass A+
In a patient with a disease that affects the myelin sheath of nerves, such as
multiple sclerosis, the glial cells affected are the:
a. microglia.
b. astrocytes.
c. ependymal cells.
d. oligodendrocytes. - Ans D
A patient taking a drug that impairs function of the extrapyramidal system
may have loss of
a. sensations of pain and temperature.
b. regulation of the autonomic nervous system.
c. integration of somatic and special sensory inputs.
d. automatic movements associated with skeletal muscle activity - Ans d.
automatic movements associated with skeletal muscle activity
During the neurologic assessment, the nurse finds the patient has speech
problems with weakness of the right arm and lower face. The nurse would
expect a CT scan to show pathology in the distribution of the
a. basilar artery.
b. left middle cerebral artery.
c. right anterior cerebral artery.
d. left posterior communicating artery. - Ans b. left middle cerebral artery
A patient is seen in the emergency department after diving into the pool and
hitting the bottom with a blow to the face that hyperextended the neck and
scraped the skin off the nose. The patient reports double vision when looking
down. During the neurologic assessment, the nurse finds the patient is unable
to abduct either eye. The nurse recognizes this finding is related to
a. a basal skull fracture.
b. an injury to CN VI on both sides.
c. a stiff neck from the hyperextension injury.
d. facial swelling from the scrape on the bottom of the pool. - Ans b. an injury
to CN VI on both sides.
Stimulation of the parasympathetic nervous system results in (select all that
apply)
a. constriction of the bronchi.
b. dilation of skin blood vessels.
c. increased secretion of insulin.
d. increased blood glucose levels.
e. relaxation of the urinary sphincters. - Ans a. constriction of the bronchi.
b. dilation of skin blood vessels.
c. increased secretion of insulin.
,e. relaxation of the urinary sphincters.
When assessing the muscle strength of an older adult, the nurse cannot
compare the findings with those of a younger adult because
a. nutrition status is better in young adults.
b. muscle tone and strength decrease in older adults.
c. muscle strength should be the same for all adults.
d. most young adults exercise more than older adults. - Ans b. muscle tone
and strength decrease in older adults.
A patient is admitted with a headache, fever, and general malaise. The HCP
has asked that the patient be prepared for a lumbar puncture. What is a
priority nursing action to avoid complications?
a. Review laboratory results for changes in the white cell count.
b. Give acetaminophen for the headache and fever before the procedure.
c. Notify the provider if signs of increased intracranial pressure are present.
d. Administer antibiotics before the procedure to treat the potential meningitis
- Ans c. Notify the provider if signs of increased intracranial pressure are
present.
During neurologic testing, the patient can perceive pain elicited by pinprick.
Based on this finding, the nurse may omit testing for
a. position sense.
b. patellar reflexes.
c. temperature perception.
d. heel-to-shin movements. - Ans c. temperature perception
A patient's eyes jerk while the patient looks to the left. The nurse records this
finding as
a. nystagmus.
b. CN VI palsy.
c. ophthalmic dyskinesia.
d. oculocephalic response - Ans a. nystagmus.
The nurse is caring for a patient with peripheral neuropathy who is scheduled
for EMG studies tomorrow morning. The nurse should
a. ensure the patient has an empty bladder.
b. instruct the patient about the risk for electric shock.
c. ensure the patient has no metallic jewelry or metal fragments.
d. teach the patient that pain may be experienced during the study - Ans d.
teach the patient that pain may be experienced during the study
Vasogenic cerebral edema increases intracranial pressure by
a. shifting fluid in the gray matter.
b. disrupting the blood-brain barrier.
c. leaking molecules from the intracellular fluid to the capillaries.
d. altering the osmotic gradient flow into the intravascular component. - Ans
b. disrupting the blood-brain barrier.
, A patient with intracranial pressure monitoring has a pressure of 12 mm Hg.
The nurse understands that this pressure reflects
a. a severe decrease in cerebral perfusion pressure.
b. an alteration in the production of cerebrospinal fluid.
c. the loss of autoregulatory control of intracranial pressure.
d. a normal balance among brain tissue, blood, and cerebrospinal fluid. - Ans
d. a normal balance among brain tissue, blood, and cerebrospinal fluid.
A nurse plAns care for the patient with increased intracranial pressure with
the knowledge that the best way to position the patient is to
a. keep the head of the bed flat.
b. elevate the head of the bed to 30 degrees.
c. maintain patient on the left side with the head supported on a pillow.
d. use a continuous-rotation bed to continuously change patient position. -
Ans b. elevate the head of the bed to 30 degrees.
The nurse is alert to a possible acute subdural hematoma in the patient who
a. has a linear skull fracture crossing a major artery.
b. has focal symptoms of brain damage with no recollection of a head injury.
c. develops decreased level of consciousness and a headache within 48 hours
of a head injury.
d. has an immediate loss of consciousness with a brief lucid interval followed
by decreasing level of consciousness. - Ans c. develops decreased level of
consciousness and a headache within 48 hours of a head injury.
During admission of a patient with a severe head injury to the emergency
department, the nurse places the highest priority on assessment of
a. airway patency.
b. presence of a neck injury.
c. neurologic status with the Glasgow Coma Scale.
d. cerebrospinal fluid leakage from the ears or nose. - Ans a. airway patency
A patient suspected of having a brain tumor has memory deficits, visual
changes, weakness of right upper and lower extremities, and personality
changes. The nurse determines that the tumor is likely located in the
a. frontal lobe.
b. parietal lobe.
c. occipital lobe.
d. temporal lobe - Ans a. frontal lobe.
Management of a patient with a brain tumor includes (select all that apply)
a. discussing with the patient methods to control inappropriate behavior.
b. using diversion techniques to keep the patient stimulated and motivated.
c. assisting and supporting the family in understanding any changes in
behavior.
d. limiting self-care activities until the patient has regained maximum physical
functioning.
