Exam 3) NUR 426 Test 3: Questions & Answers
A patient is prescribed carbamazepine (Tegretol) for a new onset seizure disorder. The nurse is educating
the patient about this drug. What teaching comment by the nurse is most accurate?
1 This medication is given to treat absence and myloclonic seizures.
2 Don't be concerned if any visual disturbances occur while taking this medication.
3 Do not take this medication with grapefruit.
4 The goal of this medication is to cure your condition and prevent any more seizures. - ANSWER:3
A 50-year-old male patient has been diagnosed with amyotrophic lateral sclerosis (ALS). What nursing
intervention is most important to help prevent a common cause of death for patients with ALS?
1 Reduce fat intake
2 Reduce the risk of aspiration
3 Decrease injury related to falls
4 Decrease pain secondary to muscle weakness - ANSWER:2
Which criterion is included to establish that a patient has Parkinson's disease? Select all that apply.
1 Decreased serum dopamine levels.
2 Tumor present in the thymus gland.
3 Magnetic resonance imaging (MRI) shows areas of plaque on cranial nerves.
4 Presence of two of the three classic features: rigidity, bradykinesia, and tremor.
5 Positive response to antiparkinsonian medications. - ANSWER:4,5
When performing a physical assessment of a patient with myasthenia gravis, what are the manifestations
that the nurse is likely to find? Select all that apply.
1 Muscle atrophy
2 Abnormal reflexes
3 Impaired facial mobility
4 Difficulty in swallowing food
5 Voice fading after a long conversation - ANSWER:3, 4, & 5
,A patient is advised to use diazepam (Valium) for multiple sclerosis. What patient teaching is important
for those taking this drug? Select all that apply
1 Avoid driving while on the drug.
2 Do not stop the drug abruptly.
3 Avoid taking alcohol with the drug.
4 Monitor blood pressure regularly.
5 Avoid contact with large crowds. - ANSWER:1, 2, & 3
The nurse performs a pull test on a patient with suspected Parkinson's disease. The nurse stands behind
the patient and gives a tug backward on the shoulder. What would be the patient's reaction if he has
Parkinson's disease?
1 Lose balance and sit down
2 Lose balance and fall forward
3 Lose balance and fall backward
4 Lose balance and become unconscious - ANSWER:3
A patient diagnosed with seizures is advised to take phenytoin (Dilantin). Which common side effects of
phenytoin (Dilantin) should the nurse inform the patient about? Select all that apply.
1 Gingival hyperplasia
2 Neuropathy
3 Memory loss
4 Hirsutism
5 Weight gain - ANSWER:1 & 4
A patient is advised to use teriflunomide (Aubagio) for multiple sclerosis. What nursing interventions are
important for this patient? Select all that apply.
1 Instruct the patient to avoid driving.
2 Monitor liver function tests.
3 Instruct the patient to avoid pregnancy.
4 Ask the patient to restrict salt intake.
5 Monitor blood pressure levels. - ANSWER:2 & 3
The nurse is caring for a patient with Parkinson's disease. What adjustments should the nurse make in
the dietary habits of the patient to prevent malnutrition and constipation? Select all that apply.
1
, Include whole grains and fruits in the diet.
2
Cut food into bite-size pieces.
3
Serve hot foods on a warmed plate.
4
Include plenty of food items high in protein.
5
Provide three large meals rather than six small meals. - ANSWER:1, 2, & 3
A patient is brought to the emergency department. The family members express that the patient
suddenly fell down and became unconscious, and his left leg had jerky movements for a few seconds.
Which type of seizure should the nurse suspect?
1
Clonic seizure
2
Atonic seizure
3
Focal seizure
4
Absence seizure - ANSWER:1
The nurse admits the 24-year-old female patient with epilepsy to the trauma unit following a motor
vehicle accident. The patient asks the nurse about the incidence of her condition. What response by the
nurse is most appropriate?
1
In younger patients, epilepsy generally is caused by some birth injury, infection, trauma, or genetic
factor.
2
30% of all epilepsy cases are not attributable to a specific cause.
3
New cases of epilepsy are most common in Hispanic patients.
A patient is prescribed carbamazepine (Tegretol) for a new onset seizure disorder. The nurse is educating
the patient about this drug. What teaching comment by the nurse is most accurate?
1 This medication is given to treat absence and myloclonic seizures.
2 Don't be concerned if any visual disturbances occur while taking this medication.
3 Do not take this medication with grapefruit.
4 The goal of this medication is to cure your condition and prevent any more seizures. - ANSWER:3
A 50-year-old male patient has been diagnosed with amyotrophic lateral sclerosis (ALS). What nursing
intervention is most important to help prevent a common cause of death for patients with ALS?
1 Reduce fat intake
2 Reduce the risk of aspiration
3 Decrease injury related to falls
4 Decrease pain secondary to muscle weakness - ANSWER:2
Which criterion is included to establish that a patient has Parkinson's disease? Select all that apply.
1 Decreased serum dopamine levels.
2 Tumor present in the thymus gland.
3 Magnetic resonance imaging (MRI) shows areas of plaque on cranial nerves.
4 Presence of two of the three classic features: rigidity, bradykinesia, and tremor.
5 Positive response to antiparkinsonian medications. - ANSWER:4,5
When performing a physical assessment of a patient with myasthenia gravis, what are the manifestations
that the nurse is likely to find? Select all that apply.
1 Muscle atrophy
2 Abnormal reflexes
3 Impaired facial mobility
4 Difficulty in swallowing food
5 Voice fading after a long conversation - ANSWER:3, 4, & 5
,A patient is advised to use diazepam (Valium) for multiple sclerosis. What patient teaching is important
for those taking this drug? Select all that apply
1 Avoid driving while on the drug.
2 Do not stop the drug abruptly.
3 Avoid taking alcohol with the drug.
4 Monitor blood pressure regularly.
5 Avoid contact with large crowds. - ANSWER:1, 2, & 3
The nurse performs a pull test on a patient with suspected Parkinson's disease. The nurse stands behind
the patient and gives a tug backward on the shoulder. What would be the patient's reaction if he has
Parkinson's disease?
1 Lose balance and sit down
2 Lose balance and fall forward
3 Lose balance and fall backward
4 Lose balance and become unconscious - ANSWER:3
A patient diagnosed with seizures is advised to take phenytoin (Dilantin). Which common side effects of
phenytoin (Dilantin) should the nurse inform the patient about? Select all that apply.
1 Gingival hyperplasia
2 Neuropathy
3 Memory loss
4 Hirsutism
5 Weight gain - ANSWER:1 & 4
A patient is advised to use teriflunomide (Aubagio) for multiple sclerosis. What nursing interventions are
important for this patient? Select all that apply.
1 Instruct the patient to avoid driving.
2 Monitor liver function tests.
3 Instruct the patient to avoid pregnancy.
4 Ask the patient to restrict salt intake.
5 Monitor blood pressure levels. - ANSWER:2 & 3
The nurse is caring for a patient with Parkinson's disease. What adjustments should the nurse make in
the dietary habits of the patient to prevent malnutrition and constipation? Select all that apply.
1
, Include whole grains and fruits in the diet.
2
Cut food into bite-size pieces.
3
Serve hot foods on a warmed plate.
4
Include plenty of food items high in protein.
5
Provide three large meals rather than six small meals. - ANSWER:1, 2, & 3
A patient is brought to the emergency department. The family members express that the patient
suddenly fell down and became unconscious, and his left leg had jerky movements for a few seconds.
Which type of seizure should the nurse suspect?
1
Clonic seizure
2
Atonic seizure
3
Focal seizure
4
Absence seizure - ANSWER:1
The nurse admits the 24-year-old female patient with epilepsy to the trauma unit following a motor
vehicle accident. The patient asks the nurse about the incidence of her condition. What response by the
nurse is most appropriate?
1
In younger patients, epilepsy generally is caused by some birth injury, infection, trauma, or genetic
factor.
2
30% of all epilepsy cases are not attributable to a specific cause.
3
New cases of epilepsy are most common in Hispanic patients.
