NSG 6001 / NSG6001 ADVANCED NURSING PRACTICE UNIT02 SECTION 1.
NEUROLOGICAL PROBLEMS
MULTIPLE CHOICE
1. Which statement about confusion is true?
A. Confusion is a disease process.
B. Confusion is always temporary.
C. Age is a reliable predictor of confusion.
D. Polypharmacy is a major contributor to confusion in older adults.
ANS: D PTS: 1
2. Which of the following indicates a diagnosis of dementia?
A. Onset after an infection
B. Abrupt onset over a week
C. Difficulty with long-term memory
D. Hard time finding words
ANS: D PTS: 1
3. Which of the following aspects of the patient history is a hallmark of delirium?
A. Patient has chronic kidney disease.
B. Patient has had aphasia for a year.
C. Patient has diabetes mellitus.
D. Patient has been getting lost driving home.
ANS: A PTS: 1
4. Which of the following may trigger migraines?
A. Taking an ibuprofen for muscle pain
B. A cup of coffee with regular sweetener
C. A glass of merlot wine
D. Drinking a cup of green tea
ANS: C PTS: 1
5. Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the
following medications will help to decrease edema in the labyrinth of the ear?
A. Meclizine
B. Diphenhydramine
C. Diamox
D. Promethazine
ANS: C PTS: 1
6. The hallmark of an absence seizure is:
A. No activity at all
B. A blank stare
C. Urine is usually voided involuntarily
D. The attack usually lasts several minutes
, ANS: B PTS: 1
7. Which of the following persons fits the classic description of a patient with multiple
sclerosis (MS)?
A. A teenage male
B. A 65-year-old male
C. A 25-year-old female
D. A 60-year-old female
ANS: C PTS: 1
8. Which of the following is a specific test to MS?
A. Magnetic resonance imaging (MRI)
B. Computed tomography (CT) scan
C. A lumbar puncture
D. There is no specific test
ANS: D PTS: 1
9. Over the course of 3 years, a patient has had two MS flares. The patient’s primary
complaints during the episodes are bilateral tingling and pain in their legs, depression, and
numbness in their right hand with complete recovery in between occurrences. Which MS
classification fits their disease process?
A. Clinically isolated syndrome
B. Relapsing-remitting
C. Primary progressive
D. Secondary progressive
ANS: B PTS: 1
10. A patient with MS is complaining of new-onset “electric tingling” in both their arms.
Which medication specifically treats these acute exacerbations?
A. Lemtrada
B. Aubagio
C. Zanaflex
D. Depo-Medrol
ANS: D PTS: 1
11. Which of the following is a risk factor for developing Alzheimer’s disease?
A. Having a master’s or doctoral degree
B. Patient is a physician
C. Patient has Down’s syndrome
D. History of neurological disease
ANS: C PTS: 1
12. Which drug for Alzheimer’s disease should be administered beginning at the time of
diagnosis?
A. Cholinesterase inhibitors
B. Anxiolytics
C. Antidepressants
NEUROLOGICAL PROBLEMS
MULTIPLE CHOICE
1. Which statement about confusion is true?
A. Confusion is a disease process.
B. Confusion is always temporary.
C. Age is a reliable predictor of confusion.
D. Polypharmacy is a major contributor to confusion in older adults.
ANS: D PTS: 1
2. Which of the following indicates a diagnosis of dementia?
A. Onset after an infection
B. Abrupt onset over a week
C. Difficulty with long-term memory
D. Hard time finding words
ANS: D PTS: 1
3. Which of the following aspects of the patient history is a hallmark of delirium?
A. Patient has chronic kidney disease.
B. Patient has had aphasia for a year.
C. Patient has diabetes mellitus.
D. Patient has been getting lost driving home.
ANS: A PTS: 1
4. Which of the following may trigger migraines?
A. Taking an ibuprofen for muscle pain
B. A cup of coffee with regular sweetener
C. A glass of merlot wine
D. Drinking a cup of green tea
ANS: C PTS: 1
5. Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the
following medications will help to decrease edema in the labyrinth of the ear?
A. Meclizine
B. Diphenhydramine
C. Diamox
D. Promethazine
ANS: C PTS: 1
6. The hallmark of an absence seizure is:
A. No activity at all
B. A blank stare
C. Urine is usually voided involuntarily
D. The attack usually lasts several minutes
, ANS: B PTS: 1
7. Which of the following persons fits the classic description of a patient with multiple
sclerosis (MS)?
A. A teenage male
B. A 65-year-old male
C. A 25-year-old female
D. A 60-year-old female
ANS: C PTS: 1
8. Which of the following is a specific test to MS?
A. Magnetic resonance imaging (MRI)
B. Computed tomography (CT) scan
C. A lumbar puncture
D. There is no specific test
ANS: D PTS: 1
9. Over the course of 3 years, a patient has had two MS flares. The patient’s primary
complaints during the episodes are bilateral tingling and pain in their legs, depression, and
numbness in their right hand with complete recovery in between occurrences. Which MS
classification fits their disease process?
A. Clinically isolated syndrome
B. Relapsing-remitting
C. Primary progressive
D. Secondary progressive
ANS: B PTS: 1
10. A patient with MS is complaining of new-onset “electric tingling” in both their arms.
Which medication specifically treats these acute exacerbations?
A. Lemtrada
B. Aubagio
C. Zanaflex
D. Depo-Medrol
ANS: D PTS: 1
11. Which of the following is a risk factor for developing Alzheimer’s disease?
A. Having a master’s or doctoral degree
B. Patient is a physician
C. Patient has Down’s syndrome
D. History of neurological disease
ANS: C PTS: 1
12. Which drug for Alzheimer’s disease should be administered beginning at the time of
diagnosis?
A. Cholinesterase inhibitors
B. Anxiolytics
C. Antidepressants
