Bell's palsy is a disorder of which cranial nerve?
a) Trigeminal (V)
b) Vagus (X)
c) Vestibulocochlear (VIII)
d) Facial (VII)
Asnwer: Facial (VII)
Showing posts with label Neurologic Infections. Show all posts
Showing posts with label Neurologic Infections. Show all posts
The primary North American vector transmitting arthropod-borne virus encephalitis is the
The primary North American vector transmitting arthropod-borne virus encephalitis is the
a) horse.
b) flea.
c) tick.
d) mosquito
Asnwer: mosquito
Which is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of demyelination in the brain and spinal cord?
Which is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of demyelination in the brain and spinal cord?
a) Huntington disease
b) Parkinson's disease
c) Creutzfeldt-Jakob disease
d) Multiple sclerosis (MS)
Asnwer: Multiple sclerosis (MS)
Which of the following is the priority nursing intervention for a patient in myasthenic crisis?
Which of the following is the priority nursing intervention for a patient in myasthenic crisis?
a) Ensuring adequate nutritional support
b) Administering intravenous immunoglobin (IVIG) per orders
c) Assessing respiratory effort
d) Preparing for plasmapheresis
Asnwer: Assessing respiratory effort
The nurse caring for a patient with bacterial meningitis is administering dexamethasone (Decadron) that has been ordered as an adjunct to antibiotic therapy. When does the nurse know is the appropriate time to administer this medication?
The nurse caring for a patient with bacterial meningitis is administering dexamethasone (Decadron) that has been ordered as an adjunct to antibiotic therapy. When does the nurse know is the appropriate time to administer this medication?
a) 1 hour after the antibiotic has infused and daily for 7 days
b) 2 hours prior to the administration of antibiotics for 7 days
c) It can be administered every 6 hours for 10 days.
d) 15 to 20 minutes before the first dose of antibiotic and every 6 hours for the next 4 days
Asnwer: 15 to 20 minutes before the first dose of antibiotic and every 6 hours for the next 4 days
The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe?
The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe?
a) Numbness
b) Diplopia and ptosis
c) Loss of proprioception
d) Patchy blindness
Asnwer: Diplopia and ptosis
The nurse is performing an initial assessment on a client with suspected Bell's palsy. Which of the following findings would the nurse be most focused on related to this medical diagnosis?
The nurse is performing an initial assessment on a client with suspected Bell's palsy. Which of the following findings would the nurse be most focused on related to this medical diagnosis?
a) Hyporeflexia and weakness of the lower extremities
b) Ptosis and diplopia
c) Facial distortion and pain
d) Fatigue and depression
Asnwer: Facial distortion and pain
A client who recently experienced a stroke tells the nurse that he has double vision. Which nursing intervention is the most appropriate?
A client who recently experienced a stroke tells the nurse that he has double vision. Which nursing intervention is the most appropriate?
a) Encourage the client to close his eyes.
b) Alternatively patch one eye every 2 hours.
c) Instill artificial tears.
d) Turn out the lights in the room.
Asnwer: Alternatively patch one eye every 2 hours.
A patient suspected of having Guillain-Barré syndrome has had a lumbar puncture for cerebrospinal fluid (CSF) evaluation. When reviewing the laboratory results, what does the nurse find that is diagnostic for this disease?
A patient suspected of having Guillain-Barré syndrome has had a lumbar puncture for cerebrospinal fluid (CSF) evaluation. When reviewing the laboratory results, what does the nurse find that is diagnostic for this disease?
a) Red blood cells present in the CSF
b) Glucose in the CSF
c) White blood cells in the CSF
d) Elevated protein levels in the CSF
Asnwer: Elevated protein levels in the CSF
A nurse is providing education to a client with newly diagnosed multiple sclerosis (MS). Which of the following will the nurse include?
A nurse is providing education to a client with newly diagnosed multiple sclerosis (MS). Which of the following will the nurse include?
a) Avoid physical activity.
b) Take moderate amounts of alcohol.
c) Avoid hot temperatures.
d) Avoid analgesic medication.
Asnwer: Avoid hot temperatures.
A patient has been diagnosed with a frontal lobe brain abscess. Which of the following nursing interventions is appropriate?
A patient has been diagnosed with a frontal lobe brain abscess. Which of the following nursing interventions is appropriate?
a) Initiate seizure precautions.
b) Ensure that patient takes nothing by mouth (NPO).
c) Assess for facial weakness.
d) Assess visual acuity.
Asnwer: Initiate seizure precautions.
During a Tensilon test to determine if a patient has myasthenia gravis, the patient complains of cramping and becomes diaphoretic. Vital signs are BP 130/78, HR 42, and respiration 18. What intervention should the nurse prepare to do?
During a Tensilon test to determine if a patient has myasthenia gravis, the patient complains of cramping and becomes diaphoretic. Vital signs are BP 130/78, HR 42, and respiration 18. What intervention should the nurse prepare to do?
a) Place the patient in the supine position.
b) Administer atropine to control the side effects of edrophonium.
c) Call the rapid response team because the patient is preparing to arrest.
d) Administer diphenhydramine (Benadryl) for the allergic reaction.
Asnwer: Administer atropine to control the side effects of edrophonium.
The diagnosis of multiple sclerosis is based on which of the following tests?
The diagnosis of multiple sclerosis is based on which of the following tests?
a) Cerebrospinal fluid (CSF) electrophoresis
b) Magnetic resonance imaging (MRI)
c) Evoked potential studies
d) Neuropsychological testing
Asnwer: Magnetic resonance imaging (MRI)
The nurse has been educating a patient newly diagnosed with MS. Which of the following statements by the patient indicates an understanding of the education?
The nurse has been educating a patient newly diagnosed with MS. Which of the following statements by the patient indicates an understanding of the education?
a) "The exercises should be completed quickly to reduce fatigue."
b) "I should participate in non-weight-bearing exercises."
c) "I will take hot tub baths to decrease spasms."
d) "I will stretch daily as directed by the physical therapist."
Asnwer: "I will stretch daily as directed by the physical therapist."
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?
a) Acts as chemical messenger
b) Carries message to the next nerve cell
c) Speeds nerve impulse transmission
d) Represents building block of nervous system
Asnwer: Speeds nerve impulse transmission
The diagnosis of multiple sclerosis is based upon which of the following tests?
The diagnosis of multiple sclerosis is based upon which of the following tests?
a) Evoked potential studies
b) CSF electrophoresis
c) Neuropsychological testing
d) MRI
Asnwer: MRI
Vagus nerve demyelinization, which may occur in Guillain-Barré syndrome, is manifested by which of the following?
Vagus nerve demyelinization, which may occur in Guillain-Barré syndrome, is manifested by which of the following?
a) Blindness
b) Bulbar weakness
c) Inability to swallow
d) Tachycardia
Asnwer: Tachycardia
Which of the following is the most common clinical manifestation of multiple sclerosis?
Which of the following is the most common clinical manifestation of multiple sclerosis?
a) Pain
b) Spasticity
c) Ataxia
d) Fatigue
Asnwer: Fatigue
A client in a long-term nursing facility has severe dysphagia. Which of the following would best assist this client in preventing further complications?
A client in a long-term nursing facility has severe dysphagia. Which of the following would best assist this client in preventing further complications?
a) Placement of a feeding tube
b) Placement of a urinary catheter
c) Placement of a tracheostomy tube
d) Placement of a colostomy tube
Asnwer: Placement of a feeding tube
A nurse is assisting with a neurological examination of a client who reports a headache in the occipital area and shows signs of ataxia and nystagmus. Which of the following conditions is the most likely reason for the client's problems?
A nurse is assisting with a neurological examination of a client who reports a headache in the occipital area and shows signs of ataxia and nystagmus. Which of the following conditions is the most likely reason for the client's problems?
a) Wernicke's abscess
b) Frontal lobe abscess
c) Temporal lobe abscess
d) Cerebellar abscess
Asnwer: Cerebellar abscess
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