MN 552 MID TERM EXAM Q&A
POLYPHARMACY-major contributor to confusion in older
adults 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.
CONCERN ABOUT A DIAGNOSIS OF DEMENTIA-Pt may have a hard time
finding wordsDELERIUM-One of the things that can cause is chronic kidney disease
TRIGGER FOR MIGRAINES-red wine (Merlot)
DIZZINESS AND VERTIGO-Decrease swelling in ear DIAMOX
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
ABSENT SEIZURE-One of the hallmark features is a blank
stare 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
MS-Classic presenter might be a 25yo female
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
O2 THERAPY-Treatment of cluster HA and migraines
When administered at the beginning of an attack, oxygen therapy may help this kind of headache?
a. Tension
b. Migraine
c. Cluster
d. Stress
CVA-Ischemic stroke, thrombolytic therapy within 3 hours of symptoms
Intravenous thrombolytic therapy following an ischemic CVA should be given within how many
hours of symptom onset?
a. 1 hour
b. 3 hours
c. 6 hours
,d. 12 hours
MINI MENTAL STATUS EXAM (MMSE)-May help diagnose Alzheimer‟s
disease A score of 20 to 25 on this test indicates early-stage Alzheimer‟s
disease:
a. SLUMS
b. MoCA
c. FAST
d.
MMSE
ALZHEIMER‟S- Characterized by impaired learning, cognitive disturbances, language and function
disturbances Which condition is characterized by the impaired ability to learn new information along with
either a cognitive disturbance in language, function, or perception?
a. Guillain-Barré syndrome
b. Parkinson‟s disease
c. Alzheimer‟s
disease
d. Delirium
COGWHEELING-Jerky movement in hand when moving joint/elbow PARKINSON‟S disease. Also FREEZING
PHENOMENOM is also a hallmark
29. The „freezing phenomenon‟ is a cardinal feature of?
a. Parkinson‟s disease
b. Alzheimer‟s disease
c. A CVA
d. Bell‟s palsy
A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as?
a. Spinothalamic dysfunction
b. Ratcheting
c.
Cogwheeling
d. Hand tremors
NATALIZAMUB- Monthly IV tx for MS, usually after failed Interferon injections
Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon.
Which medication might help given intravenously once a month?
a. Glatiramer acetate
b. Natalizumab
c. Fingolimod
d. Glucocorticoids
SEIZURES-Each state has their own laws regarding driving after suffering a seizure
Which statement is true regarding driving and patients with a seizure disorder?
a. Once diagnosed with a seizure disorder, patients must never drive again.
b. After being seizure free for 6 months, patients may drive.
c. Each state has different laws governing driving for individuals with a seizure
disorder.
d. These persons may drive but never alone
,90% of HA have no pathological
cause About 90% of all headaches
are?
a. Tension
b. Migraine
c. Cluster
d. Without pathological cause
FUNCTIONAL ACITIVITY QUESTIONAIRE-Ask the patient about a current news event for that
week Which of the following activities is part of the functional activities questionnaire?
a. Asking the patient to unravel a Rubik‟s cube
b. Determining if the patient can drive on the highway
c. Asking the patient about a news event from the current week
d. Seeing if the patient can keep his or her home clean
CAROTID ENDARECTOMY-Only for symptomatic pt, >50% blockage, MITRAL STENOSIS
Carotid endarterectomy should be considered only for symptomatic patients with greater than what percentage
of stenosis?
a. Greater than 25%
b. Greater than 50%
c. Greater than 75%
d. Only for 100% occlusion
MIGRAINES-Light sensitivity (photophobia)
Which of the following is the most commonly experienced symptom of migraine?
a. Light sensitivity
b. Pulsatile pain
c. Sound sensitivity
d. Experiencing an aura
PARKINSON‟S PLUS SYNDROME-postural instability
Which of the following signs is seen in a patient with more advanced PD?
a. Resting tremor
b. Bradykinesia
c. Rigidity
d. Postural instability
HUNTINGTON‟S CHOREA/DISEASE-rhythmic, dancelike movements
6.The nurse is caring for a client diagnosed with Huntingtons disease. Which of the following are
considered hallmark clinical manifestations of this disorder? (Select all that apply.)
1.Intellectual decline
2.Weight loss
3.Decreased appetite
4.Reduced blood pressure
5.Nausea
6. Abnormal movements
BELLS PALSY-Recovery usually within 3-6 months
, Gabby, aged 22, has Bell‟s palsy on the right side of her face. Her mouth is distorted, and she is
concerned about permanent paralysis and pain. What do you tell her?
a. “Most patients have complete recovery in 3 to 6 months.”
b. “Unfortunately, you‟ll probably have a small amount of residual damage.”
c. “Don‟t worry, I‟ll take care of everything.”
d. “You may have a few more episodes over the course of your lifetime but no
permanent damage.”
GUILLIAN BURRE‟-72 yo woman
HERPES ZOOSTER-Vesicular lesions on 1 side of the body-along nerve line
What is usually the first sign or symptom that a patient would present with that would make you
suspect herpes zoster?
a. A stabbing pain on one small area of the body
b. A vesicular skin lesion on one side of the body
c. A pain that is worse upon awakening
d. A lesion on the exterior ear canal
VIRAL ENCEPHALITIS-Tx with IV Acyclovir
STREP PNEUMONAIE- Tx with Cefotaxime (PCNs are tx of choice)
ASEPTIC MENINGITIS-Typically viral or from inflammation resulting from medication
IV Ig) Which type of meningitis is more benign, self-limiting, and caused primarily by a
virus?
a. Purulent meningitis
b. Chronic
meningitis
c. Aseptic meningitis
d. Herpes meningitis
SLEEP-WAKE CYCLE DISTURBANCES-Delirium
Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?
a. Dementia
b. Alzheimer‟s disease
c. Parkinson‟s disease
d. Delirium
MYASTHENIA GRAVES-31 yo Hispanic woman
CLUSTER HA-45 yo male who frequently awakened at night
Which patient is more likely to have a cluster headache?
a. A female in her reproductive years
b. A 40-year-old African American male
c. A 55-year-old female who drinks 10 cups of coffee
daily
d. A 45-year-old male awakened at night
HX OF PERIPHERAL VASCULAR OCCULSIVE DISEASE-may present with carotid bruit
POLYPHARMACY-major contributor to confusion in older
adults 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.
CONCERN ABOUT A DIAGNOSIS OF DEMENTIA-Pt may have a hard time
finding wordsDELERIUM-One of the things that can cause is chronic kidney disease
TRIGGER FOR MIGRAINES-red wine (Merlot)
DIZZINESS AND VERTIGO-Decrease swelling in ear DIAMOX
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
ABSENT SEIZURE-One of the hallmark features is a blank
stare 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
MS-Classic presenter might be a 25yo female
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
O2 THERAPY-Treatment of cluster HA and migraines
When administered at the beginning of an attack, oxygen therapy may help this kind of headache?
a. Tension
b. Migraine
c. Cluster
d. Stress
CVA-Ischemic stroke, thrombolytic therapy within 3 hours of symptoms
Intravenous thrombolytic therapy following an ischemic CVA should be given within how many
hours of symptom onset?
a. 1 hour
b. 3 hours
c. 6 hours
,d. 12 hours
MINI MENTAL STATUS EXAM (MMSE)-May help diagnose Alzheimer‟s
disease A score of 20 to 25 on this test indicates early-stage Alzheimer‟s
disease:
a. SLUMS
b. MoCA
c. FAST
d.
MMSE
ALZHEIMER‟S- Characterized by impaired learning, cognitive disturbances, language and function
disturbances Which condition is characterized by the impaired ability to learn new information along with
either a cognitive disturbance in language, function, or perception?
a. Guillain-Barré syndrome
b. Parkinson‟s disease
c. Alzheimer‟s
disease
d. Delirium
COGWHEELING-Jerky movement in hand when moving joint/elbow PARKINSON‟S disease. Also FREEZING
PHENOMENOM is also a hallmark
29. The „freezing phenomenon‟ is a cardinal feature of?
a. Parkinson‟s disease
b. Alzheimer‟s disease
c. A CVA
d. Bell‟s palsy
A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as?
a. Spinothalamic dysfunction
b. Ratcheting
c.
Cogwheeling
d. Hand tremors
NATALIZAMUB- Monthly IV tx for MS, usually after failed Interferon injections
Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon.
Which medication might help given intravenously once a month?
a. Glatiramer acetate
b. Natalizumab
c. Fingolimod
d. Glucocorticoids
SEIZURES-Each state has their own laws regarding driving after suffering a seizure
Which statement is true regarding driving and patients with a seizure disorder?
a. Once diagnosed with a seizure disorder, patients must never drive again.
b. After being seizure free for 6 months, patients may drive.
c. Each state has different laws governing driving for individuals with a seizure
disorder.
d. These persons may drive but never alone
,90% of HA have no pathological
cause About 90% of all headaches
are?
a. Tension
b. Migraine
c. Cluster
d. Without pathological cause
FUNCTIONAL ACITIVITY QUESTIONAIRE-Ask the patient about a current news event for that
week Which of the following activities is part of the functional activities questionnaire?
a. Asking the patient to unravel a Rubik‟s cube
b. Determining if the patient can drive on the highway
c. Asking the patient about a news event from the current week
d. Seeing if the patient can keep his or her home clean
CAROTID ENDARECTOMY-Only for symptomatic pt, >50% blockage, MITRAL STENOSIS
Carotid endarterectomy should be considered only for symptomatic patients with greater than what percentage
of stenosis?
a. Greater than 25%
b. Greater than 50%
c. Greater than 75%
d. Only for 100% occlusion
MIGRAINES-Light sensitivity (photophobia)
Which of the following is the most commonly experienced symptom of migraine?
a. Light sensitivity
b. Pulsatile pain
c. Sound sensitivity
d. Experiencing an aura
PARKINSON‟S PLUS SYNDROME-postural instability
Which of the following signs is seen in a patient with more advanced PD?
a. Resting tremor
b. Bradykinesia
c. Rigidity
d. Postural instability
HUNTINGTON‟S CHOREA/DISEASE-rhythmic, dancelike movements
6.The nurse is caring for a client diagnosed with Huntingtons disease. Which of the following are
considered hallmark clinical manifestations of this disorder? (Select all that apply.)
1.Intellectual decline
2.Weight loss
3.Decreased appetite
4.Reduced blood pressure
5.Nausea
6. Abnormal movements
BELLS PALSY-Recovery usually within 3-6 months
, Gabby, aged 22, has Bell‟s palsy on the right side of her face. Her mouth is distorted, and she is
concerned about permanent paralysis and pain. What do you tell her?
a. “Most patients have complete recovery in 3 to 6 months.”
b. “Unfortunately, you‟ll probably have a small amount of residual damage.”
c. “Don‟t worry, I‟ll take care of everything.”
d. “You may have a few more episodes over the course of your lifetime but no
permanent damage.”
GUILLIAN BURRE‟-72 yo woman
HERPES ZOOSTER-Vesicular lesions on 1 side of the body-along nerve line
What is usually the first sign or symptom that a patient would present with that would make you
suspect herpes zoster?
a. A stabbing pain on one small area of the body
b. A vesicular skin lesion on one side of the body
c. A pain that is worse upon awakening
d. A lesion on the exterior ear canal
VIRAL ENCEPHALITIS-Tx with IV Acyclovir
STREP PNEUMONAIE- Tx with Cefotaxime (PCNs are tx of choice)
ASEPTIC MENINGITIS-Typically viral or from inflammation resulting from medication
IV Ig) Which type of meningitis is more benign, self-limiting, and caused primarily by a
virus?
a. Purulent meningitis
b. Chronic
meningitis
c. Aseptic meningitis
d. Herpes meningitis
SLEEP-WAKE CYCLE DISTURBANCES-Delirium
Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?
a. Dementia
b. Alzheimer‟s disease
c. Parkinson‟s disease
d. Delirium
MYASTHENIA GRAVES-31 yo Hispanic woman
CLUSTER HA-45 yo male who frequently awakened at night
Which patient is more likely to have a cluster headache?
a. A female in her reproductive years
b. A 40-year-old African American male
c. A 55-year-old female who drinks 10 cups of coffee
daily
d. A 45-year-old male awakened at night
HX OF PERIPHERAL VASCULAR OCCULSIVE DISEASE-may present with carotid bruit
