Tiêu đề WORKBOOK - NEURO (SC) ✅

A. Promote cerebral vasodilation for more blood flow to the brain B. Promote respiratory alkalosis C. To control the temperature of the client and decrease metabolic demand D. To allow more oxygen delivery to the brain SITUATION: Marian R. consulted to the doctor due to muscle weakness and ptosis. She was diagnosed with myasthenia gravis. 13. Respiratory complications are common for individuals with myasthenia gravis because of: A. narrowed airways B. impaired immunity C. ineffective coughing D. viscosity of secretions 14. During her diagnostic workup, she was administered with Edrophonium HCL (Tensilon). If she really has myasthenia gravis, which of the following outcomes is expected? A. increase in symptoms B. drying of the mouth and throat C. increase in blood pressure D. increase in muscle strength 15. Marian R suddenly developed cholinergic crisis. The nurse administered an antidote. Which of the following s/sx would you expect? I. Increase urine output II. Constipation III. Increase secretions IV. Pupil dilation V. Decrease urine output VI. Salivation A. 1, 3 and 6 B. except 2 and 5 C. 2, 4 and 5 D. 1, 4 and 6 16. Marian R. had not been taking her medications regularly. She was rushed to the ER due to difficulty of breathing. If the client would undergo an arterial blood gas analysis, which of the following would be seen? A. Respiratory acidosis B. Metabolic alkalosis C. Respiratory alkalosis D. Metabolic acidosis 17. When caring for a client with myasthenia gravis, an important nursing consideration would be to A. Prevent accidents from falls as a result of vertigo B. Maintain fluid and electrolyte balance C. Control situations that could increase intracranial pressure and cerebral edema D. Assess muscle groups toward the end of the day SITUATION: Lyndon J. sought consult as his son noticed pill rolling tremors. He was diagnosed with Parkinson’s Disease. 18. In order to decrease the frequency of tremors, which of the following actions should the nurse advise the family? A. Take a warm bath B. Hold an object in that hand C. Take diazepam (Valium) as needed D. Try to rest the hand and limit holding objects 19. Lyndon J’s son asks you about how he can help his father stand from a chair. Which of the following should you advise? A. Choose clothing with several snaps and buttons to increase the benefits of physical therapy B. Use a rocking motion to get up out of chairs C. Sit in a soft reclining chair to support joints while watching television D. None of the above 20. As Lyndon J. is discharged from the hospital, the home care nurse is doing her assessment on the client’s neurological status; the nurse would find the client’s gait to be: A. Staggering and unsteady B. Moonwalking but broad-based C. Walking on tips of toes D. Shuffling and propulsive SITUATION: Anthony C. is a school principal. During the flag raising ceremony, he suddenly experienced tonic clonic seizures. He was admitted in the ward for diagnostic workup. 21. A nurse was about to measure the intake and output of the patient when Anthony C. who was sitting on a chair begins seizing. Which of the following must the nurse do first? A. Insert a rubber slippers inside his mouth B. Ease the patient to the floor C. Lift the patient and put him on bed D. Ensure patient will not fall from the chair 22. Anthony C is scheduled for CT SCAN for the next day, noon time. Which of the following is the correct preparation as instructed by the nurse? A. Shampoo hair with Head and ShouldersTM thoroughly to remove oil and dirt and dandruff B. Shave scalp and securely attach electrodes to it C. Both A and B D. All are incorrect 23. Anthony C is placed on seizure precaution. All but one is not incorrect: A. Allow him to wear his own clothing B. Obtain his oral temperature C. Encourage to perform his own personal hygiene D. Encourage him to be out of bed 24. After his episode of seizure, which of the following patient status would you expect? A. Sleeps for a period of time B. Most comfortable walking and moving about C. Becomes restless and agitated D. Saying he is thirsty and hungry 25. Before, during and after seizure, the nurse knows that the patient is placed in what position? A. Low fowler’s B. Lateral C. Modified Trendelenburg D. Supine SITUATION: Mikee is an equestrian. During one of her races, she accidentally fell sustaining a spinal cord injury. 26. Her spinal cord injury led to paraplegia. Formation of urinary calculi is a complication that may be encountered by the client with paraplegia. A factor that contributes to this condition is: A. High fluid intake B. Increased intake of calcium C. Inadequate kidney function D. Increased loss of calcium from the bones 27. Another patient with a spinal cord injury at level C3 – C4 is being cared for by the nurse. What is the priority management? A. Determine the level at which the patient has intact sensation. B. Ineffective airway clearance C. Monitor respiratory effort and oxygen saturation level. D. Assess the level at which the patient has retained mobility. 28. A 16-year old with T8 spinal cord injury is seen also by the nurse. Given the patient’s deficits, which of the following is an unrealistic statement concerning her expected outcome? A. "I know this means being on a ventilator the rest of my life." B. "I know this means using a catheter for a while." C. "I know this means my legs won't work like before." D. None of the above TOP RANK REVIEW ACADEMY, INC. Page 2 | 7
SITUATION: George T. is a 74 year old construction worker. He was lifting hollow blocks when he suddenly felt an intense headache, vomiting, and photophobia. He was rushed to the ER and assessment reveals hemiplegia of the right side of his body. 29. In observing George T, the nurse should check for signs of increased intracranial pressure. Of the following combinations of symptoms the most indicative of increased intracranial pressure is: A. Slow bounding pulse, rising blood pressure, elevated temperature, stupor B. Rapid weak pulse, fall in blood pressure, low temperature, restlessness C. Weak rapid pulse, normal blood pressure, intermittent fever, lethargy D. Slow bounding pulse, fall in blood pressure, temperature below 36 C (97F), stupor 30. Since Mr. Buenaflor is unconscious, the nurse should expect him to be: I. Unable to react to painful stimuli II. Incontinent of urine and feces III. Incapable of spontaneous motion IV. Incapable of hearing A. 1 and 2 B. 2, 3 and 4 C. Except 1, 3 and 4 D. Except 1 and 2 31. George T soon regained consciousness. However, when asked about what his name was, he answered “And the lights all went out in Massachusetts.” This finding is consistent with damage to a part of: A. Cerebellum B. Cerebral Cortex C. Brainstem D. Frontal lobe 32. George T suffered from a hemorrhage stroke. His wife has been reading a lot about strokes and asks why her husband did not receive Alteplase. What is the nurse’s best response? A. “Why ask me? You’d better ask his doctor.” B. “This drug is used primarily for patients who experience an acute heart attack.” C. “Alteplase dissolves clots and may cause more bleeding into your husband’s brain.” D. “Alteplase should be given on the first three hours of stroke attack.” 33. Melissa was diagnosed with Bell’s palsy. The nurse assessing the client expects to note which of the following? I. Difficulty closing the eyelid on the affected side II. A symmetrical smile III. Paroxysms of excruciating pain in the lips and cheeks on the affected side IV. Speech difficulty A. 1, 2 and 4 B. 3 only C. 1 and 4 D. Except 1 and 4 34. What is the primary action of Decadron? A. Reduces cerebral edema B. Improves the CSF outflow C. Reduces CSF production D. Increases GFR 35. Which event may trigger pain in the patient with trigeminal neuralgia? A. Walking in the mall B. Sitting in the sun C. Eating lunch D. Sleeping 36. Guillain Barre is an autoimmune attack of the peripheral nerve myelin. The major precipitating factor or predisposing event that may lead to this syndrome is: A. Change in weather B. Exposure to allergens C. Infection D. Poor nutrition 37. Phenytoin (Dilantin) has been prescribed for a client. Based on an understanding of this medication, the nurse caring for the client should exclude: I. Administer good oral hygiene II. Dilute IV Dilantin with 5% dextrose III. Give Dilantin intravenously with PNSS IV. Maintain a Dilantin level of 30-50 ug/ml A. 1 and 2 B. 2 and 4 C. 1 only D. 3 only 38. Harry D was diagnosed with amyotrophic lateral sclerosis. An early symptom associated with this is: A. Fatigue while talking B. Change in mental status C. Numbness of the hands and feet D. Spontaneous fractures 39. Helena is a world-renowned figure skater. However, during one of her exhibition spins, she slipped on a patch of ice and hit her head. A CT scan of the head shows a collection of blood between the skull and dura mater. Which type of head injury does this finding suggest? A. Subdural hematoma B. Subarachnoid hemorrhage C. Epidural hematoma D. Contusion 40. A 50 year old female was rushed to the ER due to a head injury and an emergency surgery was indicated. A procedure wherein a portion of the cranium is removed to relieve pressure on the brain structures by providing space for expansion is: A. Lobectomy B. Decortication C. Craniotomy D. Craniectomy 41. Mariana O is a patient diagnosed with Alzheimer’s Disease. You are her home care nurse. Her family complains about inadequate nutritional intake. You should: A. Stay with the client and encourage him to eat. B. Help the client fill out his menu. C. Give the client privacy during meals. D. Fill out the menu for the client. 42. Mary H sustained head injuries which were later found out to have caused a subdural hematomA. You are performing a mental status examination. This gives you an idea about the status of: A. Cerebellar function B. Intellectual function C. Cerebral function D. Sensory function 43. Kiera H came to the ER due to pain on A periorbital area, tearing, blurred vision, and photophobia in her right eye. A small, irregular, nonreactive pupil was seen. Atropine sulfate was prescribed. Atropine sulfate belongs to which drug classification A. Parasympathomimetic agent B. Sympatholytic agent C. Adrenergic blocker D. Cholinergic blocker 44. Nurse Yannie is caring for a client who underwent a lumbar laminectomy two (2) days ago. Which of the following findings should the nurse consider abnormal? A. More back pain than the first postoperative day. B. Paresthesia in the dermatomes near the wounds. C. Urine retention or incontinence. D. Temperature of 99.2¬∞ F (37.3¬∞ C). TOP RANK REVIEW ACADEMY, INC. Page 3 | 7