NEUROLOGICAL FINAL EXAM ACTUAL QUESTIONS
AND CORRECT ANSWERS ALREADY GRADED A+
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The nurse is preparing educational materials about the differences between Bell's palsy and
trigeminal neuralgia. What information should the nurse include about Bell's palsy?
It affects the seventh cranial nerve, whereas trigeminal neuralgia affects the fifth.
Which manifestations in a patient with a T4 spinal cord injury should alert the nurse to the
possibility of autonomic dysreflexia?
Headache and rising blood pressure
A patient with spinal cord injury has begun to get stress ulcers. What nursing interventions should
be performed for this patient? Select all that apply.
-Check stools for blood
-Motivate the patient and provide a stress-free environment
-Administer proton pump inhibitors for prophylaxis as prescribed
The nurse is presenting information to a group of nursing students about the incidence of trigeminal
neuralgia. What is appropriate for the nurse to include?
It usually affects only one side of the body
A patient has been diagnosed with trigeminal neuralgia. For which etiologic factors should the
nurse assess the patient? Select all that apply.
-Brainstem infarct
-Herpes virus infection
-Infection of the teeth and jaw
A patient diagnosed with Guillain-Barré syndrome has a weak gag reflex. For which complication
associated with a weak gag reflex should the nurse intervene?
Aspiration of food into the airways
,A nurse is preparing a nursing care plan for a patient with trigeminal neuralgia. What information
should the nurse elicit during the patient's health history to aid in planning? Select all that apply.
-Food habits
-Self-medication to decrease pain
-Frequency of attacks and triggers
The nurse is providing teaching to a group of nursing students about the actions of the primary
medications used to treat trigeminal neuralgia. What is appropriate for the nurse to include in the
education? Select all that apply.
-Lamotrigine blocks the nerve firing
-Nortriptyline can be used to treat constant burning
A patient having trigeminal neuralgia has been prescribed antiseizure drugs. The patient asks the
nurse about how the drug would prevent painful episodes. What explanation should the nurse give
in order to explain the mechanism of action of the drug?
It attenuates the transmission of nerve impulses from the trigeminal nerve
The nurse recalls that which surgical therapy for trigeminal neuralgia is a peripheral procedure?
Glycerol rhizotomy
The oral intake of a patient with trigeminal neuralgia is sharply reduced, and the patient's
nutritional status is compromised. What is the priority nursing intervention?
Providing food through a nasogastric tube
A nurse is explaining to a patient with Bell's palsy the preventive measures for complications
related to the eye. What instructions should the nurse give the patient? Select all that apply.
-Wear dark glasses
-Tape eyelids at night
-Instill artificial tears frequently
A patient develops Bell's palsy weeks after being diagnosed with a middle ear infection. What
explanation should the nurse give when asked about the cause of the condition?
A virus causes inflammation, which leads to paralysis of the facial nerve
A patient presents with initial manifestations of tetanus. The nurse expects what assessment
finding?
Stiffness in the jaw
, Which of the following assessment findings demonstrates effective use of carbamazepine in the
patient with trigeminal neuralgia?
Less frequent and severe facial pain
The nurse is providing care for a patient who has been diagnosed with Guillain-Barré syndrome.
Which assessment should be the nurse's priority ?
Respiratory assessment
The nurse is preparing educational materials about the differences between the facial
characteristics of Bell's palsy and those of trigeminal neuralgia. What characteristics of Bell's palsy
should the nurse include? Select all that apply.
-Unable to whistle
-Flat nasolabial fold
A patient has been diagnosed with botulism. The nurse is explaining to the patient and the
caregivers about the pathology involved in the disease. What points should the nurse emphasize
while explaining it? Select all that apply.
-The spores of the organism are difficult to destroy
-This neurotoxin inhibits nerve impulses from reaching the muscle
-The neurotoxin produced by the bacteria is absorbed in the gastrointestinal (GI) tract.
A patient asks the nurse about the differences between trigeminal neuralgia and Bell's palsy. What
symptoms of trigeminal neuralgia should the nurse include in the teaching? Select all that apply.
-Tearing of the eye
-Pain on the side of the nose
What body system is the major focus for nursing care of the patient with Guillain-Barré syndrome?
Respiratory
The nurse is caring for a patient with trigeminal neuralgia. What conservative therapies are
appropriate to be included on the patient's plan for treatment? Select all that apply.
-Acupuncture
-Vitamin therapy
The nurse is providing care to a patient with trigeminal neuralgia. Which first-line drug prescribed
to this patient does the nurse prepare to administer?
Carbamazepine
AND CORRECT ANSWERS ALREADY GRADED A+
GUARANTEED SUCCESS
The nurse is preparing educational materials about the differences between Bell's palsy and
trigeminal neuralgia. What information should the nurse include about Bell's palsy?
It affects the seventh cranial nerve, whereas trigeminal neuralgia affects the fifth.
Which manifestations in a patient with a T4 spinal cord injury should alert the nurse to the
possibility of autonomic dysreflexia?
Headache and rising blood pressure
A patient with spinal cord injury has begun to get stress ulcers. What nursing interventions should
be performed for this patient? Select all that apply.
-Check stools for blood
-Motivate the patient and provide a stress-free environment
-Administer proton pump inhibitors for prophylaxis as prescribed
The nurse is presenting information to a group of nursing students about the incidence of trigeminal
neuralgia. What is appropriate for the nurse to include?
It usually affects only one side of the body
A patient has been diagnosed with trigeminal neuralgia. For which etiologic factors should the
nurse assess the patient? Select all that apply.
-Brainstem infarct
-Herpes virus infection
-Infection of the teeth and jaw
A patient diagnosed with Guillain-Barré syndrome has a weak gag reflex. For which complication
associated with a weak gag reflex should the nurse intervene?
Aspiration of food into the airways
,A nurse is preparing a nursing care plan for a patient with trigeminal neuralgia. What information
should the nurse elicit during the patient's health history to aid in planning? Select all that apply.
-Food habits
-Self-medication to decrease pain
-Frequency of attacks and triggers
The nurse is providing teaching to a group of nursing students about the actions of the primary
medications used to treat trigeminal neuralgia. What is appropriate for the nurse to include in the
education? Select all that apply.
-Lamotrigine blocks the nerve firing
-Nortriptyline can be used to treat constant burning
A patient having trigeminal neuralgia has been prescribed antiseizure drugs. The patient asks the
nurse about how the drug would prevent painful episodes. What explanation should the nurse give
in order to explain the mechanism of action of the drug?
It attenuates the transmission of nerve impulses from the trigeminal nerve
The nurse recalls that which surgical therapy for trigeminal neuralgia is a peripheral procedure?
Glycerol rhizotomy
The oral intake of a patient with trigeminal neuralgia is sharply reduced, and the patient's
nutritional status is compromised. What is the priority nursing intervention?
Providing food through a nasogastric tube
A nurse is explaining to a patient with Bell's palsy the preventive measures for complications
related to the eye. What instructions should the nurse give the patient? Select all that apply.
-Wear dark glasses
-Tape eyelids at night
-Instill artificial tears frequently
A patient develops Bell's palsy weeks after being diagnosed with a middle ear infection. What
explanation should the nurse give when asked about the cause of the condition?
A virus causes inflammation, which leads to paralysis of the facial nerve
A patient presents with initial manifestations of tetanus. The nurse expects what assessment
finding?
Stiffness in the jaw
, Which of the following assessment findings demonstrates effective use of carbamazepine in the
patient with trigeminal neuralgia?
Less frequent and severe facial pain
The nurse is providing care for a patient who has been diagnosed with Guillain-Barré syndrome.
Which assessment should be the nurse's priority ?
Respiratory assessment
The nurse is preparing educational materials about the differences between the facial
characteristics of Bell's palsy and those of trigeminal neuralgia. What characteristics of Bell's palsy
should the nurse include? Select all that apply.
-Unable to whistle
-Flat nasolabial fold
A patient has been diagnosed with botulism. The nurse is explaining to the patient and the
caregivers about the pathology involved in the disease. What points should the nurse emphasize
while explaining it? Select all that apply.
-The spores of the organism are difficult to destroy
-This neurotoxin inhibits nerve impulses from reaching the muscle
-The neurotoxin produced by the bacteria is absorbed in the gastrointestinal (GI) tract.
A patient asks the nurse about the differences between trigeminal neuralgia and Bell's palsy. What
symptoms of trigeminal neuralgia should the nurse include in the teaching? Select all that apply.
-Tearing of the eye
-Pain on the side of the nose
What body system is the major focus for nursing care of the patient with Guillain-Barré syndrome?
Respiratory
The nurse is caring for a patient with trigeminal neuralgia. What conservative therapies are
appropriate to be included on the patient's plan for treatment? Select all that apply.
-Acupuncture
-Vitamin therapy
The nurse is providing care to a patient with trigeminal neuralgia. Which first-line drug prescribed
to this patient does the nurse prepare to administer?
Carbamazepine