NU272 HESI Prep: Med-surg Neurologic
and Sensory Questions and Correct
Answers/ Latest Update / Already Graded
Which medication is a beta-adrenergic blocker used to reduce
intraocular pressure?
Ans: Timolol
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Glaucoma is manifested by increased intraocular pressure.
Timolol is a beta-adrenergic blocker used in the treatment of
glaucoma. Carbachol is a cholinergic agonist used to treat
glaucoma. Travoprost is a prostaglandin agonist, and
apraclonidine is an adrenergic agonist used in the treatment of
glaucoma.
Which hearing disorder is more common in women than in men?
Ans: Otosclerosis
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Sex of the client may also influence the conditions associated
with hearing loss. Women are at a higher risk of otosclerosis
compared with men. Both men and women are equally at risk of
some hearing loss due to conditions such as tinnitus and
hyperacusis. Meniere disease is more common in men
compared with women.
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During the neurological assessment of a client with a tentative
diagnosis of Guillain-Barré syndrome, which clinical finding would the
nurse expect the client to manifest?
Ans: Increased muscular weakness
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Muscular weakness with paralysis results from impaired nerve
conduction because the motor nerves become demyelinated.
Diminished visual acuity usually is not a problem; motor loss is
greater than sensory loss, with paresthesia of the extremities
being the most frequent sensory loss. Demyelination o ccurs
rapidly early in the disease, and the muscles will not have had
time to atrophy; this can occur later if rehabilitation is delayed.
Only the peripheral nerves are involved; the central nervous
system is unaffected.
When assessing a client with a diagnosed "brain attack"
(cerebrovascular accident [CVA]), the nurse evaluated the baseline
vital signs of pulse rate of 78 beats per minute (bpm) and a blood
pressure (BP) of 120/80 mm Hg. Which changes in the baseline vital
signs indicate an increasing intracranial pressure (ICP)?
Ans: Pulse 50 bpm and BP 140/60 mm Hg
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increased ICP → decreased HR and increased BP..
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