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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?a.Rheumatic heart diseaseb.Thrombic.Aneurysmd.Hypotension1 points   QUESTION 2A 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?a.Gaspingb.Ataxic breathingc.Apneusisd.Central neurogenic hyperventilation1 points   QUESTION 3A 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):a.Partial seizureb.Absence seizurec.Myoclonic seizured.Tonic-clonic seizure1 points   QUESTION 4A 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?a.Hypomimesisb.Agnosiac.Dysphasiad.Echolalia1 points   QUESTION 5Which finding indicates the patient is having complications from heat stroke?a.Mild elevation of core body temperaturesb.Cerebral edema and degeneration of the CNSc.Spasmodic cramping in the abdomen and extremitiesd.Alterations in calcium uptake1 points   QUESTION 6A 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:a.He developed pneumonia.b.His sympathetic nervous system has been damaged and thermal control disturbed.c.He has a brain injury.d.He has septicemia from an unknown source.1 points   QUESTION 7A 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:a.Concussionb.Chronic subdural hematomac.Epidural hematomad.Subacute subdural hematoma1 points   QUESTION 8When a patient has a peculiar sensation that immediately precedes a seizure, what term should the nurse use to describe this sensation?a.Prodromab.Agnosiac.Spasmd.Aura1 points   QUESTION 9A 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:a.Tardive dyskinesiab.Huntington diseasec.Hypokinesiad.Alzheimer disease1 points   QUESTION 10A 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 eye movements. Which of the following diagnosis will the nurse most likely see on the chart?a.Psychogenic arousal alterationb.Metabolically induced comac.Structurally induced comad.Structural arousal alteration1 points   QUESTION 11A 20-year-old male was brought to the emergency room (ER) for severe burns. He requested something for the excruciating pain he was experiencing. Blocking which of the following neurotransmitters would reduce his pain?a.Enkephalinb.Dopaminec.Acetylcholined.Substance P1 points   QUESTION 12A 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?a.Cerebral cortexb.Brainstemtd style=”outline: 0px; font-weight: inherit; font-style: inherit; font-family: inherit; font-size: 12.8px;” valign=”top”>c.Spinal cordd.Cerebellum1 points   QUESTION 13A 30-year-old female had a seizure that started with 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?a.Myoclonic seizureb.Tonic-clonic seizurec.Focal motor seizured.Atonic seizure1 points   QUESTION 14A patient has memory loss of events that occurred before a head injury. What cognitive disorder does the nurse suspect the patient is experiencing?a.Selective memory deficitb.Anterograde amnesiac.Retrograde amnesiad.Executive memory deficit1 points   QUESTION 15A 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?a.Acute confusional stateb.Echolaliac.Dementiad.Dysphagia1 points   QUESTION 16The nursing student would correctly identify the most common symptom of brain abscess as:a.Nuchal rigidityb.Vomitingc.Drowsinessd.Headache1 points   QUESTION 17A 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?a.Depletion of dopamine in the central nervous system (CNS)b.Demyelination of nerve fibers in the CNSc.The development of neurofibril webs in the CNSd.Reduced amounts of acetylcholine at the neuromuscular junction1 points   QUESTION 18A 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?a.Eastern equine encephalitisb.Venezuelan encephalitisc.St. Louis encephalitisd.West Nile encephalitis1 points   QUESTION 19When a patient has a fever, which of the following thermoregulatory mechanisms is activated?a.The body’s thermostat is adjusted to a lower temperature.b.Temperature is raised above the set point.c.Bacteria directly stimulate peripheral thermogenesis.d.The body’s thermostat is reset to a higher level.1 points   QUESTION 20Parents 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?a.Juvenile myoclonic epilepsyb.Congenital encephalopathyc.Tay-Sachs diseased.PKU1 points   QUESTION 21An initial assessment finding associated with acute spinal cord injury is _____ the injury.a.Pain below the level ofb.Loss of autonomic reflexes abovec.Loss of voluntary control belowd.Hyperactive spinal reflexes below1 points   QUESTION 22A nurse should document on the chart that chronic pain is occurring when the patient reports the pain has lasted longer than:a.1 monthb.3 to 6 monthsc.1 yeard.2 to 3 years1 points   QUESTION 23A teenage boy sustains a severe closed head injury following an all-terrain vehicle (ATV) accident. He is in a state of deep sleep that requires vigorous stimulation to elicit eye opening. How should the nurse document this in the chart?a.Confusionb.Comac.Obtundationd.Stupor1 points   QUESTION 24Which system modulates a patient’s perception of pain?a.Reticular-discriminative systemb.Affective-motivational systemc.Cognitive-evaluative systemd.Reticular-activating system1 points   QUESTION 25A 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?a.Epilepsyb.Reye syndromec.Tay-Sachsd.PKU1 points   Click Save and Submit to save and submit. Click Save All Answers to save all answers. 

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