Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 69 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Prepare the client for a CT scan.
B Administer prescribed antibiotics.
C Encourage oral fluid intake.
D Assess the CSF fluid laboratory test results
Question #2
A Positive Brudzinski sign
B Positive Kerning sign
C Nuchal rigidity
D Photophobia
Question #3
A Urine output of 40 ml/hour
B Soft, nondistended abdomen
C Even, unlabored respirations
D Warm, dry skin
Question #4
A Help the patient flex his neck and observe for flexion of the hips and knees
B Assess the patient’s sensitivity to light.
C Support the patient’s neck through normal range of motion and evaluate stiffness.
D Flex the patient’s thigh on his abdomen and assess the extension of the leg.
Question #5
A Administering amphotericin B
B Initiating isolation procedures
C Providing palliative care
D Preparing for organ donation
Question #6
A choking.
B falls.
C infection.
D complications.
Question #7
A Carries message to the next nerve cell
B Acts as chemical messenger
C Speeds nerve impulse transmission
D Represents building block of nervous system
Question #8
A Azathioprine (Imuran)
B Deltasone (Prednisone)
C Pyridostigmine bromide (Mestinon)
D Lioresal (Baclofen)
Question #9
A Incentive spirometer
B Nebulizer and thermometer
C Blood pressure apparatus
D Intubation tray and suction apparatus
Question #10
A Ptosis and diplopia
B Hyporeflexia in the lower extremities
C Headache and nuchal rigidity
D Numbness and vomiting
Question #11
A Neuropsychological testing
B Evoked potential studies
C CSF electrophoresis
D Magnetic resonance imaging
Question #12
A are primarily associated with infection with Coccidioides immitis and Aspergillus.
B indicate renal toxicity and a worsening condition.
C may be controlled by the administration of diphenhydramine and acetaminophen approximately 30 minutes before administration of the amphotericin.
D indicate the need for immediate blood and cerebral spinal fluid (CSF) cultures.
Question #13
A Sphygmomanometer
B Suction machine with catheters
C Nasal cannula and oxygen
D Padded tongue blade
Question #14
A Call the rapid response team because the patient is preparing to arrest.
B Place the patient in the supine position
C Administer atropine to control the side effects of edrophonium.
D Administer diphenhydramine (Benadryl) for the allergic reaction.
Question #15
A Within 48 hours after exposure
B Within 72 hours after exposure
C Therapy is not necessary prophylactically and should only be used if the person develops symptoms.
D Within 24 hours after exposure
Question #16
A It’s too early to give a prognosis.”
B There are no guarantees, but a large portion of people with Guillain-Barré syndrome survive.”
C Don’t worry; your child will be fine.”
D Once Guillain-Barré syndrome progresses to the diaphragm, survival decreases significantly.”
Question #17
A Neuropsychological testing
B Magnetic resonance imaging (MRI)
C Cerebrospinal fluid (CSF) electrophoresis
D Evoked potential studies
Question #18
A Ensure that client takes nothing by mouth.
B Assess for facial weakness.
C Initiate seizure precautions.
D Assess visual acuity.
Question #19
A Parkinson disease
B Multiple sclerosis
C Creutzfeldt-Jakob disease
D Huntington disease
Question #20
A Prevention of joint contractures
B Use of adaptive equipment
C Promoting ability to critically think
D Creating a positive environment
Question #21
A Diplopia and ptosis
B Patchy blindness
C Loss of proprioception
D Numbness
Question #22
A Parkinson disease
B Creutzfeldt-Jakob disease
C Multiple sclerosis
D Huntington disease
Question #23
A The patient will have recovery of symptoms for at least 24 hours after the administration of the Tensilon.
B After administration of the medication, there will be no change in the status of the ptosis or facial weakness.
C Thirty seconds after administration, the facial weakness and ptosis will be relieved for approximately 5 minutes.
D Eight hours after administration, the acetylcholinesterase begins to regenerate the available acetylcholine and will relieve symptoms.
Question #24
A I will take hot tub baths to decrease spasms.”
B I should participate in non–weight-bearing exercises.”
C exercises should be completed quickly to reduce fatigue.”
D I will stretch daily as directed by the physical therapist.”
Question #25
A diplopia and bradykinesia.
B sensory disturbance, limb pain, and behavioral changes.
C muscle rigidity, memory impairment, and cognitive impairment.
D akathisia and dysphagia.
Question #26
A assessing vital signs frequently
B reporting changes to the physician
C destabilizing client’s condition
D preventing further neurologic damage
Question #27
A Overmedication
B Compliance with medication
C Infection
D Undermedication
Question #28
A Immune globulin is given intravenously.
B Antibodies are removed from the plasma.
C The thymus gland is removed.
D Mestinon therapy is initiated.
Question #29
A Prednisone
B Atropine
C Azathioprine
D Pyridostigmine bromide
Question #30
A signs of improvement in the patient’s condition.
B renal complications related to acyclovir therapy.
C signs and symptoms of cardiac insufficiency.
D signs of relapse.
Question #31
A You’ll be permanently paralyzed; however, you won’t have any sensory loss.”
B The paralysis caused by this disease is temporary.”
C You’ll first regain use of your legs and then your arms.”
D It must be hard to accept the permanency of your paralysis.”
Question #32
A Apply a cooling blanket.
B Ensure the family receives prophylaxis antibiotic treatment.
C Administer prescribed antibiotics.
D Initiate isolation precautions.
Question #33
A Gamma-aminobutyric acid
B Acetylcholine
C Dopamine
D Serotonin
Question #34
A Decreased pulse rate, abdominal breathing
B Increased pulse rate, respirations of 16 breaths/minute
C Increased pulse rate, adventitious breath sounds
D Decreased pulse rate, respirations of 20 breaths/minute
Question #35
A Endocrine system
B Cardiovascular system
C Neurovascular system
D Respiratory system
Question #36
A Computed tomography (CT) scan
B Electromyogram (EMG)
C Tensilon test
D Serum studies
Question #37
A Gag reflex and bowel sounds
B Condition of skin
C Urinary output and capillary refill
D Respiratory status
Question #38
A Ptosis and diplopia
B Fatigue and depression
C Facial distortion and pain
D Hyporeflexia and weakness of the lower extremities
Question #39
A Hyper-alertness
B Negative Brudzinski’s sign
C Positive Kernig’s sign
D Positive Romberg sign
Question #40
A Human immunodeficiency virus (HIV
B Lyme Disease
C Western equine bacteria
D Herpes simplex virus (HSV)
Question #41
A Migraine headache
B Bell’s palsy
C Angina pectoris
D Trigeminal neuralgia
Question #42
A White blood cells in the CSF
B Elevated protein levels in the CSF
C Red blood cells present in the CSF
D Glucose in the CSF
Question #43
A Creutzfeldt-Jakob disease
B Multiple sclerosis
C Parkinson disease
D Huntington disease
Question #44
A Dexamethasone (Decadron)
B Vancomycin
C Acyclovir (Zovirax)
D Phenytoin (Dilantin)
Question #45
A A disorder in which the body does not have enough immunoglobulins
B A disorder in which histocompatible cells attack the immunoglobulins
C A disorder in which killer T cells and autoantibodies attack or destroy natural cells—those cells that are “self”
D A disorder in which the body has too many immunoglobulins
Question #46
A Headache and nuchal rigidity
B Numbness and vomiting
C Hyporeflexia in the lower extremities
D Ptosis and diplopia
Question #47
A Ptosis and diplopia
B Fatigue and depression
C Hyporeflexia and weakness of the lower extremities
D Facial pain in the areas of the fifth cranial nerve
Question #48
A Fever and cough
B Ptosis and muscle weakness of upper extremities
C Hyporeflexia and skin rash
D Muscle weakness and hyporeflexia of the lower extremities
Question #49
A Avoid hot temperatures.
B Take moderate amounts of alcohol
C Avoid physical activity.
D Avoid analgesic medication.
Question #50
A Facial (VII)
B Trigeminal (V)
C Vestibulocochlear (VIII)
D Vagus (X)
Question #51
A Avoid taking daytime naps.”
B Avoid hot baths and showers.”
C Limit your fruit and vegetable intake.”
D Restrict fluid intake to 1,500 ml/day.”
Question #52
A I was putting my shoes on.”
B I was brushing my teeth.”
C I was sitting at home watching television.”
D I was taking a bath.”
Question #53
A The muscles will become fatigued and the patient will not be able to chew food or swallow pills.
B The patient will go into cardiac arrest.
C There should not be a problem, since the medication was only delayed by about 2 hours.
D The patient will require a double dose prior to lunch.
Question #54
A A donor with a history of hypertension with a blood pressure of 140/90 mm Hg
B A donor who moved to the United States from Canada
C A donor who is taking medication for benign prostatic hyperplasia
D A donor who was in college in England for 1 year
Question #55
A Exercise the right eye twice a day.
B Place needed items on the right side.
C Administer eye drops as needed.
D Apply an eye patch to the right eye.
Question #56
A Maintaining hemodynamic stability and adequate cardiac output
B Preventing muscular atrophy
C Preventing renal insufficiency
D Controlling seizures and increased intracranial pressure
Question #57
A Include client in planning of care and setting of goals.
B Praise client when using adaptive equipment.
C Provide instruction on blood-thinning medication.
D Assess client for ability to ambulate independently.
Question #58
A Bedrest at home for 72 hours
B Admission to the nearest hospital for observation
C Treatment with antimicrobial prophylaxis as soon as possible
D treatment unless the roommate begins to show symptoms
Question #59
A Have you had difficulty with urination in the last 6 weeks?”
B Have you experienced any viral infections in the last month?”
C Have you experienced any ptosis in the last few weeks?”
D Have you developed any new allergies in the last year?”
Question #60
A Edrophonium (Tensilon)
B Cyclosporine (Sandimmune)
C Immunoglobulin G (Iveegam EN)
D Azathioprine (Imuran)
Question #61
A Turn out the lights in the room.
B Encourage the client to close his eyes.
C Instill artificial tears.
D Alternatively patch one eye every 2 hours.
Question #62
A Stop the infusion immediately.
B Assess laboratory values for renal insufficiency.
C Administer diphenhydramine and acetaminophen per orders.
D Notify the physician and prepare for a lumbar puncture to obtain CSF cultures.
Question #63
A Prednisone
B Pyridostigmine bromide
C Atropine
D Azathioprine
Question #64
A preventing muscular atrophy.
B preventing renal insufficiency
C maintaining hemodynamic stability and adequate cardiac output
D controlling seizures and increased intracranial pressure.
Question #65
A mosquito.
B tick.
C flea.
D horse.
Question #66
A take a hot bath.
B increase the dose of muscle relaxants.
C avoid naps during the day.
D rest in an air-conditioned room.