MDC 4 Exam 1 Questions
With Answers
what is the normal range of ICP?
{{Ans- 10-25 mmHg
nurses should cluster cares for those with increased ICP (true/false)
{{Ans- false
Bacterial meningitis is highlycontagious (true/false)
{{Ans- true
what fluid would we assess glucose in relation to CSF?
a. blood
b. nasal drainage
c. urine
d. sweat teat
{{Ans- b. nasal drainage
what nursing care should we provide patients with ICP?
a. use multiple pillows to support head
b. lower HOB
c. maintain head in the midline position
d. keep oxygen saturation above 88%
{{Ans- c. maintain head in the midline position
,What is the first sign of increased ICP?
a. fever
b. increased weakness on one side
c. bradycardia
d. decline LOC and headache
{{Ans- d. decline LOC and headache
What is myasthenia gravis?
{{Ans- an autoimmune disease that leads to fatigue and weakness of the voluntary muscles. this
weakness often occurs during periods of activity and improves with rest
How does MG work in the body (pathophysiology)
{{Ans- It is caused by a malfunction in the immune system in which the body produces antibodies that
attack receptors located on the surface of muscle cells. these are found on what is called the
neuromuscular junction
What manifestations are associated with MG?
{{Ans- poor posture, ocular palsies, ptosis, incomplete eyelid closure, diplopia, respiratory compromise,
loss of bowel and bladder control, and fatigue
What should you ask your client with MG?
{{Ans- ask the patient with MG when symptoms worsen and any limitations or inability to perform ADLs
What are the clinical manifestations of a cholinergic crisis?
{{Ans- bradycardia, bronchospasm, hypersecretions, n/v/d, miosis, blurred vision
What are the clinical manifestations of a myasthenia crisis?
, {{Ans- increased pulse and respirations, increased blood pressure, bowel & bladder incontinence,
absence of cough and swallow reflex
Restless leg syndrome is the irresistible urge to move (true/false)
{{Ans- true
Restless leg syndrome is caused by
{{Ans- peripheral and central nerve damage
Restless leg syndrome is relieved by relaxation (true/false)
{{Ans- false- restless leg is a neurological disorder that causes sensations in the leg that creates an
uncomfortable and uncontrollable urge to move, trying to relax makes it worse. relief is felt when
moving around and walking
Trigeminal neuralgia is caused by impaired inhibitory mechanisms in the brainstem caused by excessive
firing of irritated in the trigeminal nerve (true/false)
{{Ans- true
The myelin sheath is attacked (or affected) by circulating antibodies (true/false)
{{Ans- true
What is the cause of GBS?
{{Ans- over active immunity
What is the hallmark sign of GBS?
{{Ans- ascending weakness
With Answers
what is the normal range of ICP?
{{Ans- 10-25 mmHg
nurses should cluster cares for those with increased ICP (true/false)
{{Ans- false
Bacterial meningitis is highlycontagious (true/false)
{{Ans- true
what fluid would we assess glucose in relation to CSF?
a. blood
b. nasal drainage
c. urine
d. sweat teat
{{Ans- b. nasal drainage
what nursing care should we provide patients with ICP?
a. use multiple pillows to support head
b. lower HOB
c. maintain head in the midline position
d. keep oxygen saturation above 88%
{{Ans- c. maintain head in the midline position
,What is the first sign of increased ICP?
a. fever
b. increased weakness on one side
c. bradycardia
d. decline LOC and headache
{{Ans- d. decline LOC and headache
What is myasthenia gravis?
{{Ans- an autoimmune disease that leads to fatigue and weakness of the voluntary muscles. this
weakness often occurs during periods of activity and improves with rest
How does MG work in the body (pathophysiology)
{{Ans- It is caused by a malfunction in the immune system in which the body produces antibodies that
attack receptors located on the surface of muscle cells. these are found on what is called the
neuromuscular junction
What manifestations are associated with MG?
{{Ans- poor posture, ocular palsies, ptosis, incomplete eyelid closure, diplopia, respiratory compromise,
loss of bowel and bladder control, and fatigue
What should you ask your client with MG?
{{Ans- ask the patient with MG when symptoms worsen and any limitations or inability to perform ADLs
What are the clinical manifestations of a cholinergic crisis?
{{Ans- bradycardia, bronchospasm, hypersecretions, n/v/d, miosis, blurred vision
What are the clinical manifestations of a myasthenia crisis?
, {{Ans- increased pulse and respirations, increased blood pressure, bowel & bladder incontinence,
absence of cough and swallow reflex
Restless leg syndrome is the irresistible urge to move (true/false)
{{Ans- true
Restless leg syndrome is caused by
{{Ans- peripheral and central nerve damage
Restless leg syndrome is relieved by relaxation (true/false)
{{Ans- false- restless leg is a neurological disorder that causes sensations in the leg that creates an
uncomfortable and uncontrollable urge to move, trying to relax makes it worse. relief is felt when
moving around and walking
Trigeminal neuralgia is caused by impaired inhibitory mechanisms in the brainstem caused by excessive
firing of irritated in the trigeminal nerve (true/false)
{{Ans- true
The myelin sheath is attacked (or affected) by circulating antibodies (true/false)
{{Ans- true
What is the cause of GBS?
{{Ans- over active immunity
What is the hallmark sign of GBS?
{{Ans- ascending weakness
