Pathophysiology Exam 4 Questions With Complete Solutions
A client has a seizure disorder. When the client experiences symptoms such as headache, malaise, and a
sense of depression, which term should the nurse use to describe these symptoms? -
(ANSWER)prodroma
A client is diagnosed with Parkinson disease. Which clinical manifestation will the nurse expect to
observe? - (ANSWER)Flexed, forward leaning posture
Which classic clinical manifestations will the nurse observe in a client diagnosed with Parkinson disease?
Select all that apply - (ANSWER)dysarthria, dysphagia, bradykinesia
Which type of movement will the nurse expect to observe in a client diagnosed with hepatic
encephalopathy? - (ANSWER)asterixis
Upon assessment of a client, the nurse finds permanent progressive loss of memory, orientation,
judgment, and problem-solving ability. The nurse is caring for which client? - (ANSWER)dementia
Which client is most at risk for the sudden development of secondary parkinsonism? - (ANSWER)The
client that was prescribed a neuroleptic medication.
Which symptom supports the nurse's suspicion that a patient with a neuromuscular junction disorder
has myasthenia gravis? - (ANSWER)muscle fatigue
While assessing a patient, the nurse finds that the patient has paresis of the legs, paralysis of the eye
muscles, and respiratory insufficiency. The laboratory reports indicate that the patient has respiratory
viral infection. What condition should the nurse anticipate to find in the patient? - (ANSWER)Guillain-
Barré syndrome
The nurse is assessing a patient with a history of spinal shock. After assessing the patient, the nurse finds
that the patient has developed dysreflexia. Which findings support the nurse's opinion? Select all that
apply. - (ANSWER)HR 32bpm, BP 240/110
, Pathophysiology Exam 4 Questions With Complete Solutions
Which information indicates the nurse has a correct understanding of the causes for the development of
sensory and motor symptoms in clients with multiple sclerosis? - (ANSWER)Immunologic demyelination
of axons in the central nervous system
Which client does the nurse most closely monitor for a chronic subdural hematoma? - (ANSWER)An
elderly client who fell
A client was injured 6 weeks ago in a diving accident and has been diagnosed with a spinal cord injury at
the level of the fourth cervical vertebra. The client starts to have a pounding headache, bradycardia, and
sweating above the level of the lesion. Which complication does the nurse suspect? -
(ANSWER)Autonomic hyperreflexia
A nurse is administering recombinant tissue plasminogen activator (rtPA). The nurse is caring for which
client? - (ANSWER)A client with thrombotic stroke within 3 hours of symptom onset
A client is 64 years old and has experienced a hemorrhagic cerebrovascular accident (CVA). Based on the
pathophysiology of a hemorrhagic cerebrovascular disease, a nurse should anticipate finding that the
client had which risk factors? - (ANSWER)Hypertension and cerebral aneurysm
Which information should the nurse consider when caring for a client with transient ischemic attack? -
(ANSWER)This client is at a higher risk for a subsequent stroke.
With aging, what occurrences are due to the loss of epidermal rete pegs? Select all that apply. -
(ANSWER)Increased likelihood of tearing of the skin; Weakening of the connection to the dermis
During the planning of care for a client with major burn injuries, which essential elements are needed
for survival? Select all that apply. - (ANSWER)Promotion of thermoregulation
Aggressive treatment of sepsis
Early excision of the burn followed by skin grafting
For the geriatric client, the nurse would observe for increased risk of injury and infection due to the
reduction of which layer of the epidermis? - (ANSWER)Stratum corneum
A client has a seizure disorder. When the client experiences symptoms such as headache, malaise, and a
sense of depression, which term should the nurse use to describe these symptoms? -
(ANSWER)prodroma
A client is diagnosed with Parkinson disease. Which clinical manifestation will the nurse expect to
observe? - (ANSWER)Flexed, forward leaning posture
Which classic clinical manifestations will the nurse observe in a client diagnosed with Parkinson disease?
Select all that apply - (ANSWER)dysarthria, dysphagia, bradykinesia
Which type of movement will the nurse expect to observe in a client diagnosed with hepatic
encephalopathy? - (ANSWER)asterixis
Upon assessment of a client, the nurse finds permanent progressive loss of memory, orientation,
judgment, and problem-solving ability. The nurse is caring for which client? - (ANSWER)dementia
Which client is most at risk for the sudden development of secondary parkinsonism? - (ANSWER)The
client that was prescribed a neuroleptic medication.
Which symptom supports the nurse's suspicion that a patient with a neuromuscular junction disorder
has myasthenia gravis? - (ANSWER)muscle fatigue
While assessing a patient, the nurse finds that the patient has paresis of the legs, paralysis of the eye
muscles, and respiratory insufficiency. The laboratory reports indicate that the patient has respiratory
viral infection. What condition should the nurse anticipate to find in the patient? - (ANSWER)Guillain-
Barré syndrome
The nurse is assessing a patient with a history of spinal shock. After assessing the patient, the nurse finds
that the patient has developed dysreflexia. Which findings support the nurse's opinion? Select all that
apply. - (ANSWER)HR 32bpm, BP 240/110
, Pathophysiology Exam 4 Questions With Complete Solutions
Which information indicates the nurse has a correct understanding of the causes for the development of
sensory and motor symptoms in clients with multiple sclerosis? - (ANSWER)Immunologic demyelination
of axons in the central nervous system
Which client does the nurse most closely monitor for a chronic subdural hematoma? - (ANSWER)An
elderly client who fell
A client was injured 6 weeks ago in a diving accident and has been diagnosed with a spinal cord injury at
the level of the fourth cervical vertebra. The client starts to have a pounding headache, bradycardia, and
sweating above the level of the lesion. Which complication does the nurse suspect? -
(ANSWER)Autonomic hyperreflexia
A nurse is administering recombinant tissue plasminogen activator (rtPA). The nurse is caring for which
client? - (ANSWER)A client with thrombotic stroke within 3 hours of symptom onset
A client is 64 years old and has experienced a hemorrhagic cerebrovascular accident (CVA). Based on the
pathophysiology of a hemorrhagic cerebrovascular disease, a nurse should anticipate finding that the
client had which risk factors? - (ANSWER)Hypertension and cerebral aneurysm
Which information should the nurse consider when caring for a client with transient ischemic attack? -
(ANSWER)This client is at a higher risk for a subsequent stroke.
With aging, what occurrences are due to the loss of epidermal rete pegs? Select all that apply. -
(ANSWER)Increased likelihood of tearing of the skin; Weakening of the connection to the dermis
During the planning of care for a client with major burn injuries, which essential elements are needed
for survival? Select all that apply. - (ANSWER)Promotion of thermoregulation
Aggressive treatment of sepsis
Early excision of the burn followed by skin grafting
For the geriatric client, the nurse would observe for increased risk of injury and infection due to the
reduction of which layer of the epidermis? - (ANSWER)Stratum corneum
