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Unformatted text preview: Question 1
1 out of 1 points
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?
Selected Answer: a.
Eastern equine encephalitis Correct Answer: a.
Eastern equine encephalitis Question 2
1 out of 1 points
A 65-year-old male recently suffered a cerebral vascular accident. He is now unable to
recognize and identify objects by touch because of injury to the sensory cortex. How should
the nurse document this finding?
Selected Answer: b.
Agnosia Correct Answer: b.
Agnosia Question 3
1 out of 1 points
A patient with an addiction to alcohol checked into a rehabilitation center. He experiences
delirium, inability to concentrate, and is easily distracted. From which of the following is he
most likely suffering?
Selected Answer: a.
Acute confusional state Correct Answer: a.
Acute confusional state Question 4 1 out of 1 points
A 50-year-old male suffers a severe head injury when his motorcycle hits a tree. His
breathing becomes deep and rapid but with normal pattern. What term should the nurse use
for this condition?
Selected Answer: d.
Central neurogenic hyperventilation Correct Answer: d.
Central neurogenic hyperventilation Question 5
1 out of 1 points
An initial assessment finding associated with acute spinal cord injury is _____ the injury.
Selected Answer: c.
Loss of voluntary control below Correct Answer: c.
Loss of voluntary control below Question 6
1 out of 1 points
A 33-year-old male is brought to the ER for treatment of injuries received in a motor vehicle
accident. An MRI reveals an injury of the cervical cord. Cord swelling in this region may be
life threatening because:
Selected Answer: c.
Diaphragm function may be impaired. Correct Answer: c.
Diaphragm function may be impaired. Question 7
1 out of 1 points
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? Selected Answer: c.
Aneurysm Correct Answer: c.
Aneurysm Question 8
1 out of 1 points
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:
Selected Answer: b.
Chronic subdural hematoma Correct Answer: b.
Chronic subdural hematoma Question 9
1 out of 1 points
A 23-year-old female begins having problems with tiredness, weakness, and visual changes.
Her diagnosis is multiple sclerosis (MS). What is occurring in the patient’s body?
Selected Answer: b.
Demyelination of nerve fibers in the CNS Correct Answer: b.
Demyelination of nerve fibers in the CNS Question 10
1 out of 1 points
A 20-year-old male was at the supermarket when he fell to the ground. Bystanders reported
that he lost consciousness and his body tensed up then relaxed, then tensed and relaxed
several times. He most likely was experiencing a(n):
Selected Answer:
Correct Answer: d.
Tonic-clonic seizure
d. Tonic-clonic seizure Question 11
1 out of 1 points
Which finding indicates the patient is having complications from heat stroke?
Selected Answer: b.
Cerebral edema and degeneration of the CNS Correct Answer: b.
Cerebral edema and degeneration of the CNS Question 12
1 out of 1 points
An older adult is admitted to the ER following a fall. The patient complains of pain in the
back. The patient has a history of osteoporosis. The nurse would expect the patient’s injury
and subsequent pain is most likely due to:
Selected Answer: d.
A spinal compression fracture Correct Answer: d.
A spinal compression fracture Question 13
1 out of 1 points
Which system modulates a patient’s perception of pain?
Selected Answer: c.
Cognitive-evaluative system Correct Answer: c.
Cognitive-evaluative system Question 14
1 out of 1 points Parents of a 3-month-old infant bring him to the emergency room (ER) after he has 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?
Selected Answer: c.
Tay-Sachs disease Correct Answer: c.
Tay-Sachs disease Question 15
1 out of 1 points
When planning care for a child in pain, which principle should the nurse remember? The
pain threshold in children is _____ that of adults.
Selected Answer: b.
Lower than Correct Answer: b.
Lower than Question 16
1 out of 1 points
When a patient has a fever, which of the following thermoregulatory mechanisms is
activated?
Selected Answer: d.
The body’s thermostat is reset to a higher level. Correct Answer: d.
The body’s thermostat is reset to a higher level. Question 17
1 out of 1 points
A 20-year-old male suffers a severe closed head injury in a motor vehicle accident. He
remains in a vegetative state (VS) 1 month after the accident. Which of the following
structures is most likely keeping the patient alive?
Selected Answer: b. Brainstem
Correct Answer: b.
Brainstem Question 18
1 out of 1 points
A patient has memory loss of events that occurred before a head injury. What cognitive
disorder does the nurse suspect the patient is experiencing?
Selected Answer: c.
Retrograde amnesia Correct Answer: c.
Retrograde amnesia Question 19
1 out of 1 points
A 72-year-old male demonstrates left-sided weakness of upper and lower extremities. The
symptoms lasted 24 hours and resolve with no evidence of infarction. The patient most
likely experienced a(n):
Selected Answer: c.
Transient ischemic attack Correct Answer: c.
Transient ischemic attack Question 20
1 out of 1 points
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:
Selected
Answer:
Correct b.
His sympathetic nervous system has been damaged and thermal control
disturbed.
b. Answer: His sympathetic nervous system has been damaged and thermal control
disturbed. Question 21
1 out of 1 points
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,
he regained consciousness and was able to maintain a conversation with the medical staff.
Upon arrival to hospital, he was alert and oriented. Physical exam reveals confusion and
impaired responsiveness. What is the probable nature of his brain injury based on this
history?
Selected Answer: c.
Extradural (epidural) hematoma Correct Answer: c.
Extradural (epidural) hematoma Question 22
1 out of 1 points
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?
Selected Answer: b.
Reye syndrome Correct Answer: b.
Reye syndrome Question 23
1 out of 1 points
The nursing student would correctly identify the most common symptom of brain abscess
as:
Selected Answer: d.
Headache Correct Answer: d.
Headache Question 24
1 out of 1 points
When a patient has a peculiar sensation that immediately precedes a seizure, what term
should the nurse use to describe this sensation?
Selected Answer: d.
Aura Correct Answer: d.
Aura Question 25
1 out of 1 points
A 40-year-old male complains of uncontrolled excessive movement and progressive
dysfunction of intellectual and thought processes. He is experiencing movement problems
that begin in the face and arms that eventually affect the entire body. The most likely
diagnosis is:
Selected Answer: b.
Huntington disease Correct Answer: b.
Huntington disease Sunday, March 19, 2017 11:07:53 PM EDT ...
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Full Document
- Spring '15
- Correct Answer, Traumatic brain injury
