Title EVAL EXAM - NEURO (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 3 | 1 A. Shuffling gait B. Uncontrolled head movement C. Tremor at rest D. Cogwheel rigidity of limbs 31. A 28-year-old woman who has multiple sclerosis (MS) asks the nurse about risks associated with pregnancy. Which response by the nurse is accurate? A. Women with MS frequently have premature labor. B. Symptoms of MS are likely to become worse during pregnancy. C. MS is associated with a slightly increased risk for congenital defects. D. MS symptoms may be worse after the pregnancy. 32. When the nurse is assessing a patient with myasthenia gravis, which action will be most important to take? A. Check pupillary size. B. Monitor grip strength. C. Observe respiratory effort. D. Assess level of consciousness. 33. A patient with multiple sclerosis (MS) is to begin treatment with glatiramer acetate (Copaxone). Which information will the nurse include in patient teaching? A. Recommendation to drink at least 3 to 4 L daily B. Need to avoid driving or operating heavy machinery C. How to draw up and administer injections of the medication D. Use of contraceptive methods other than oral contraceptives 34. Which information about a patient with MS indicates that the nurse should consult with the health care provider before giving the prescribed dose of fampridine (Ampyra)? A. The patient has relapsing-remitting MS. B. The patient has an increased creatinine level. C. The patient enjoys walking for relaxation. D. The patient complains of pain with neck flexion. 35. A patient with multiple sclerosis (MS) has urinary retention caused by a flaccid bladder. Which action will the nurse plan to take? A. Teach the patient how to use the Cred method. B. Decrease the patients fluid intake in the evening. C. Suggest the use of incontinence briefs for nighttime use only. D. Assist the patient to the commode every 2 hours during the day. 36. A patient with Parkinsons disease has a nursing diagnosis of impaired physical mobility related to bradykinesia. Which action will the nurse include in the plan of care? A. Instruct the patient in activities that can be done while lying or sitting. B. Have the patient take small steps in a straight line directly in front of the feet. C. Teach the patient to keep the feet in contact with the floor and slide them forward. D. Suggest that the patient rock from side to side to initiate leg movement. 37. When teaching a patient with myasthenia gravis (MG) about management of the disease, the nurse advises the patient to A. perform physically demanding activities in the morning. B. anticipate the need for weekly plasmapheresis treatments. C. do frequent weight-bearing exercise to prevent muscle atrophy. D. protect the extremities from injury due to poor sensory perception. 38. A patient with amyotrophic lateral sclerosis (ALS) is hospitalized with pneumonia. Which nursing action will be included in the plan of care? A. Assist with active range of motion. B. Observe for agitation and paranoia. C. Give muscle relaxants as needed to reduce spasms. D. Use simple words and phrases to explain procedures. 39. A 42-year-old patient who was adopted at birth is diagnosed with early Huntingtons disease (HD). When teaching the patient, spouse, and children about this disorder, the nurse will provide information about the A. use of levodopa-carbidopa (Sinemet) to help reduce HD symptoms. B. availability of genetic testing to determine the HD risk for the patients children. C. need to take prophylactic antibiotics to decrease the risk for pneumonia. D. lifestyle changes such as increased exercise that delay disease progression. 40. A patient is seen in the health clinic with symptoms of a stooped posture, shuffling gait, and pill rollingtype tremor. The nurse will anticipate teaching the patient about A. oral corticosteroids. B. the purpose of electroencephalogram (EEG) testing. C. preparation for magnetic resonance imaging (MRI). D. antiparkinsonian drugs. 41. A patient seen at the health clinic with a severe migraine headache tells the nurse about having four similar headaches in the last 3 months. Which initial action should the nurse take? A. Refer the patient for stress counseling. B. Suggest the use of muscle-relaxation techniques. C. Ask the patient to keep a headache diary. D. Teach about the effectiveness of the triptan drugs. 42. The nurse identifies the nursing diagnosis of impaired verbal communication for a patient with expressive aphasia. An appropriate nursing intervention to help the patient communicate is to A. have the patient practice facial and tongue exercises. B. develop a list of words that the patient can read and practice reciting. C. ask simple questions that the patient can answer with yes or no. D. prevent embarrassing the patient by changing the subject if the patient does not respond. 43. A hospitalized patient complains of a moderate bilateral headache that radiates from the base of the skull. Which of these prescribed PRN medications should the nurse administer initially? A. lorazepam (Ativan) B. acetaminophen (Tylenol) C. morphine sulfate (Roxanol) D. butalbital and aspirin (Fiorinal) 44. The health care provider is considering the use of sumatriptan (Imitrex) for a patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider? A. The patient has at least 1 to 2 cups of coffee daily. B. The patient has had migraine headaches for 30 years. C. The patient has a history of a recent acute myocardial infarction. D. The patient has been taking topiramate (Topamax) for 2 months. 45. A patient who has had a subarachnoid hemorrhage is being cared for in the intensive care unit. Which information about the patient is most important to communicate to the health care provider? A. The patient complains about having a stiff neck. B. he cerebrospinal fluid (CSF) report shows red blood cells (RBCs). C. The patients blood pressure is 90/50 mm Hg. D. The patient complains of an ongoing severe headache. 46. The nurse witnesses a patient with a seizure disorder as the patient suddenly jerks the arms and legs, falls to the floor,