NCM 116 Lec Midterm Exam (Alzeihmer's and Myasthenia Gravis) with correct answers 100% 2026

NCM 116 Lec Midterm Exam (Alzeihmer's and Myasthenia Gravis) with correct answers 100% 2026 In making a diagnosis of myasthenia gravis Edrophonium HCI (Tensilon) is used. The nurse knows that this drug will cause a temporary increase in A. Blood Pressure B. Symptoms C. Muscle strength D. Conciousness - Correct Answer C. Muscle strength The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.20 F), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent off urine and stool. What is your best first action at this time? A. Administer an acetaminophen suppository B. Notify the physician immediately C. Reschedule patient's physical therapy D. Recheck vital signs in 1 hour - Correct Answer B. Notify the physician immediately Which of the following is not an autoimmune disease? A. Insulin-dependent diabetes mellitus B. Graves disease C. Alzheimer's disease D. Myasthenia gravis - Correct Answer C. Alzheimer's disease A client with myasthenia gravis has been receiving Neostigmine (Prostigmin). This drug acts by: A. Stimulating the cerebral cortex B. Blocking the action of cholinesterase C. Accelerating transmission along neural swaths D. Replacing deficient neurotransmitters - Correct Answer B. Blocking the action by cholinesterase The most significant initial nursing observations that need to be made about a client with myasthenia include: A. Ability to smile an to close her eyelids B. Degree of anxiety about her diagnosis C. Respiratory exchange and ability to swallow D. Ability to chew and speak distinctly - Correct Answer C. Respiratory exchange and ability to swallow A client with myasthenia gravis asks the nurse why the disease has occured. The nurse bases the reply on the knowledge that there is: A. A reduced amount of neurotransmitter acetylcholine B. A genetic in the production acetylcholine C. A decreased number of functioning acetylcholine receptor sites D. An inhibition of the enzyme ACHE leaving the end plates folded - Correct Answer C. A decreased number of functioning acetylcholine receptor sites Myasthenia gravis is due to___ receptors being blocked and destroyed by antibodies A. Epinephrine B. Transient C. Nicotinic D. Acetylcholine - Correct Answer D. Acetylcholine While reviewing a client's chart, the nurse notices that the female client has myasthenia gravis. Which of the following statements about neuromuscular blocking agents is true for a client with this condition? A. Pancuronium shouldn't be used; succinylcholine may be used in a lower dosage B. Pancuronium and succinylcholine both require cautious administration C. Succinylcholine shouldn't be used; pancuronium may be used in a lower dosage D. The client may be less sensitive to the effects of a neuromuscular blocking agent - Correct Answer B. Pancuronium and succinylcholine both require cautious administration Jane, a 20- year old college student is admiited to the hospital with a tentative diagnosis of myasthenia gravis. She is scheduled to have a series of diagnostic studies for myasthenia gravis, including a Tensilon test. In preparing her for this procedure, the nurse explains that her response to the medication will confirm the diagnosis if Tensilon produces: A. Symptomatic improvement of just the ptosis B. Prolonged symptomatic improvement