NUR 2755 MDC IV Exam 1 Questions & Answers

NUR 2755 MDC IV Exam 1 Questions & Answers 1. Ergotamine tartrate medications are beneficial in migraine headaches because they a. Dilate cerebral blood vessels *b. Constrict cerebral blood vessels c. Reduce neurotransmission of pain impulses d. Enhance endorphin secretion 2. A patient, age 27, has been admitted to the neurological department because of seizures of unknown cause. The nurse should take precautions by placing the patient in a. protective restraints *b. being certain padded side rails are present c. suggesting that the family monitor the patient d. placing the patient with one-on-one nursing service 3. Before the patient undergoes computed tomographic (CT) scanning with a contrast medium, the nurse should *a. verify that the patient is not allergic to seafood or iodine b. explain that the patient will have to change position frequently during the procedure c. maintain a safe distance from the patient to reduce the exposure to radiation d. verify that the patient has no metal objects such as an implant or a pacemaker 4. A patient, age 69, is being evaluated by a neurologist for signs of muscle rigidity, masklike face (area from forehead to chin), and propulsive gait. These signs are often characteristic of a. Multiple sclerosis *b. Parkinsonism c. Alzheimer’s disease d. Epilepsy 5. Which food may worsen headaches? Select all that apply. *a. Yogurt *b. Caffeine c. Beef d. Pears *e. Marinated food f. Milk 6. A method of reducing a person’s risk of becoming infected with the West Nile virus would be to a. Wear shorts and short-sleeve shirts b. Apply baby lotion to all extremities *c. Apply insect repellent that contain DEET d. Apply flea and tick repellent 7. A patient, age 23, has a comminuted fracture of T6-T7. She has a spinal cord injury resulting in paraplegia. She manifests signs and symptoms of autonomic dysreflexia, which is frequently triggered by *a. Bladder distention b. Nausea c. Food allergies d. Electrolyte imbalance 8. The nurse is caring for a client diagnosed with Alzheimer’s disease. Which nursing tasks should not be delegated to the unlicensed assistive personnel (UAP)? Select all that apply. *a. Check the client’s skin under the restraints *b. Administer the client’s antipsychotic medication c. Perform the client’s morning hygiene care d. Ambulate the client to the bathroom e. Obtain the client’s routine vital signs 9. A patient has a history of tonic-clonic seizures. She was admitted to the neurological unit after having had three tonic-clonic seizures in the past 2 days. Her husband reported that she had been sleeping for long periods after each seizure. The nurse explains to him that this rest period after a tonic-clonic seizure is called a a. convalescent period b. post-status epilepticus period c. post-tonic-clonic period *d. postictal period 10. The Glasgow coma scale is a screening tool used to assess level of consciousness in three major areas. They are a. Verbal, sensation, motor *b. Eye, motor, verbal c. Verbal, pain, reflexes d. Eye, pain, verbal 11. The client with a C-6 spinal cord injury (SCI) comes to the emergency department complaining of a throbbing headache and has a B/P of 200/120. Which intervention a. should the nurse implement first? b. Place the client on a telemetry unit c. Complete a neurological assessment *d. Insert an indwelling urinary catheter e. Request a STAT CT scan on the head 12. Important nursing measures needed when feeding a hemiplegic patient include: Select all that apply. a. Mixing liquids and solid foods together b. Taking the patient’s dentures out to prevent choking *c. Offering small bites of food *d. Checking the affected side of mouth for food accumulation e. Elevating the patient to no more than 30 degrees *f. Adding a thickening agent to liquids 13. If a patient with a head injury has drainage from the nose or ears, which nursing intervention would be appropriate? a. Cleanse the ear or nose with a soft cotton-tipped swab b. Gently suction the nasal cavity *c. Allow the patient to wipe the nose or ears, but not blow the nose or place anything in the external ear d. Place a pressure dressing over the ear 14. A patient has recently suffered a stroke with left-sided weakness. She has problems with choking, especially when she drinks thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safely? a. Having her avoid all liquids *b. Instructing her to tuck her chin when swallowing c. Giving her sips of water with each bite d. Having her turn her head to the left 15. A patient, age 52, is brought to the emergency department by ambulance after she hit her head on her bathroom sink and fell unconscious to the floor. Which assessment should the nurse perform first? a. History of health problems *b. Patency of airway c. Neurological status d. Status of bodily functions 16. The patient, injured in an automobile accident, is being evaluated in the emergency department for possible head injury. Which test should not be done if there is an indication of increased intracranial pressure? a. CT scan b. MRI scan *c. Lumbar puncture d. Electroencephalogram 17. A patient’s neurological status deteriorates over hours, and a craniotomy is performed to evacuate the hematoma. Which nursing intervention is indicated to help decrease the threat of increased intracranial pressure? *a. Elevate the head of the bed 30 degrees b. Cluster nursing interventions to provide uninterrupted periods of rest c. Teach him to cough and deep breathe to prevent the necessity for suctioning d. Teach him to hold his breath and bear down while repositioning in bed 18. A patient has been injured in a motorcycle accident and is presenting with signs and symptoms of increased intracranial pressure. What is the most significant sign or symptom of increased intracranial pressure? a. Pupil changes b. Ipsilateral paralysis c. Vomiting *d. Decrease in the level of consciousness 19. The three components of Cushing's response are: Select all that apply. a. Increased pulse rate b. Increased blood pressure *c. Widened pulse pressure *d. Bradycardia *e. Increased systolic blood pressure f. Uncontrolled thermoregulation 20. A patient, age 69, is being evaluated by a neurologist for signs of muscle rigidity, masklike face (area from forehead to chin), and propulsive gait. These signs are often characteristic of a. Multiple sclerosis *b. Parkinsonism c. Alzheimer’s disease d. Epilepsy