NURS 6501N- 13 Advanced Pathophysiology
Week 3 Quiz
1. A 15-year-old male is brought to the ER for treatment of injuries received in a
motor vehicle accident. An MRI reveals spinal cord injury, and his body temperature
fluctuates markedly. The most accurate explanation of this phenomenon is that:
Correct Answer: a. His sympathetic nervous system has been damaged and thermal
control disturbed.
2. An initial assessment finding associated with acute spinal cord injury is_____ the
injury.
Correct Answer: a. Loss of voluntary control below the injury.
3. A 69-year-old male with a history of alcohol abuse presents to the emergency
room (ER) after a month-long episode of headaches and confusion. Based on his
alcoholism, a likely cause of his neurologic symptoms is:
Correct Answer: a. Chronic subdural hematoma
4. A 30-year-old female had a seizure that stated her fingers and progressively
spread up her arm and then extended to her leg, with no loss of consciousness. How
should the nurse chart this?
Correct Answer: a. Focal motor seizure
5. A 15-year-old male was struck by a motor vehicle and suffered a traumatic brain
injury. Paramedics found him unconscious at the scene of the accident. During the
ambulance ride, the regained consciousness and was able to maintain a conversation with
the medical staff. Upon arrival to the hospital, he was alert and oriented. Physical exam
1
, reveals confusion and impaired responsiveness. What is the probable nature of his brain
injury based on this history?
Correct Answer: a. Extradual (epidural) hematoma
6. A child presents to his primary care provider with disorientation, delirium,
aggressiveness, and stupor. His parents report that he was recently ill with an upper
respiratory infection, which they treated with aspirin. Which of the following is the most
likely diagnosis?
Correct Answer: a. Reye syndrome
7. A 15-month-old child from Pennsylvania was brought to the ER for fever, seizure
activity, cranial palsies, and paralysis. Which of the following diagnosis will be
documented in the chart?
Correct Answer: a. Eastern equine encephalitis
8. Which finding indicates the patient is having complications from heat stroke?
Correct Answer: a. Cerebral edema and degeneration of the CNS
9. Parents of a 3-month-old infant bring him to the emergency room (ER) after he
had a seizure. He has muscle rigidity, and the parents report they are of Jewish ancestry.
For what genetic disease should this infant be screened?
Correct Answer: a. Tay-Sachs disease
10. A 60-year-old female with a recent history of head trauma and a long-term history
of hypertension presents to the ER for changes in mental status. MRI reveals that she had
a hemorrhagic stroke. What does the nurse suspect caused this type of stroke?
Correct Answer: a. Aneurysm
11. A 16-year-old male took a recreational drug that altered his level of arousal.
Physical exam revealed a negative Babinski sign, equal and reactive pupils, and roving
2
Week 3 Quiz
1. A 15-year-old male is brought to the ER for treatment of injuries received in a
motor vehicle accident. An MRI reveals spinal cord injury, and his body temperature
fluctuates markedly. The most accurate explanation of this phenomenon is that:
Correct Answer: a. His sympathetic nervous system has been damaged and thermal
control disturbed.
2. An initial assessment finding associated with acute spinal cord injury is_____ the
injury.
Correct Answer: a. Loss of voluntary control below the injury.
3. A 69-year-old male with a history of alcohol abuse presents to the emergency
room (ER) after a month-long episode of headaches and confusion. Based on his
alcoholism, a likely cause of his neurologic symptoms is:
Correct Answer: a. Chronic subdural hematoma
4. A 30-year-old female had a seizure that stated her fingers and progressively
spread up her arm and then extended to her leg, with no loss of consciousness. How
should the nurse chart this?
Correct Answer: a. Focal motor seizure
5. A 15-year-old male was struck by a motor vehicle and suffered a traumatic brain
injury. Paramedics found him unconscious at the scene of the accident. During the
ambulance ride, the regained consciousness and was able to maintain a conversation with
the medical staff. Upon arrival to the hospital, he was alert and oriented. Physical exam
1
, reveals confusion and impaired responsiveness. What is the probable nature of his brain
injury based on this history?
Correct Answer: a. Extradual (epidural) hematoma
6. A child presents to his primary care provider with disorientation, delirium,
aggressiveness, and stupor. His parents report that he was recently ill with an upper
respiratory infection, which they treated with aspirin. Which of the following is the most
likely diagnosis?
Correct Answer: a. Reye syndrome
7. A 15-month-old child from Pennsylvania was brought to the ER for fever, seizure
activity, cranial palsies, and paralysis. Which of the following diagnosis will be
documented in the chart?
Correct Answer: a. Eastern equine encephalitis
8. Which finding indicates the patient is having complications from heat stroke?
Correct Answer: a. Cerebral edema and degeneration of the CNS
9. Parents of a 3-month-old infant bring him to the emergency room (ER) after he
had a seizure. He has muscle rigidity, and the parents report they are of Jewish ancestry.
For what genetic disease should this infant be screened?
Correct Answer: a. Tay-Sachs disease
10. A 60-year-old female with a recent history of head trauma and a long-term history
of hypertension presents to the ER for changes in mental status. MRI reveals that she had
a hemorrhagic stroke. What does the nurse suspect caused this type of stroke?
Correct Answer: a. Aneurysm
11. A 16-year-old male took a recreational drug that altered his level of arousal.
Physical exam revealed a negative Babinski sign, equal and reactive pupils, and roving
2
