Ch. 22 Flashcards
The part of the nervous system that extends throughout the body is called the ________ nervous system.
A) afferent
B) somatic
C) peripheral
D) ventral
C) peripheral
Page Ref: 566
Objective: Supplemental
The division of the autonomic nervous system that is responsible for controlling vegetative functions is the ________ nervous system.
A) somatic
B) parasympathetic
C) sympathetic
D) afferent
B) parasympathetic
Page Ref: 567
Objective: Supplemental
Your patient opens his eyes only when you pinch his shoulder. He has no verbal response and withdraws from pain. His Glasgow Coma score total is:
A) two.
B) four.
C) three.
D) seven.
D) seven.
Page Ref: 573
Objective: 22.6 Given a scenario with a patient who has indications of a neurologic emergency, perform a focused physical examination.
A problem with the eighth cranial nerve can lead to which of the following disorders involving a sensation of movement when there is none?
A) Photophobia
B) Meningismus
C) Vertigo
D) Macrotia
C) Vertigo
Page Ref: 583
Objective: 22.1 Define key terms introduced in this chapter; 22.7 Apply knowledge of the nervous system to patient findings to identify more likely causes of the patient’s condition.
Bell’s palsy is a temporary weakness or paralysis of which cranial nerve?
A) Third
B) Fifth
C) Seventh
D) Ninth
C) Seventh
Page Ref: 584
Objective: 22.25 Describe basic information about various neurologic disorders, such as Bell’s palsy, vertigo, Parkinson’s disease, Wernicke-Korsakoff syndrome, multiple sclerosis, normal pressure hydrocephalus, and others that may affect the assessment and management of patients.
Which of the following mnemonics is used to help determine the cause of a patient’s altered mental status?
A) SAMPLE
B) AEIOU-TIPS
C) AVPU
D) OPQRST
B) AEIOU-TIPS
Page Ref: 573
Objective: 22.3 List possible underlying causes of neurologic emergencies.
The prehospital stroke scoring system that assesses blood glucose levels, facial droop, grip strength, and arm drift is the:
A) Los Angeles Prehospital Stroke Screen.
B) New York Prehospital Stroke Screen.
C) Cincinnati Prehospital Stroke Scale.
D) North American Prehospital Stroke Scale.
A) Los Angeles Prehospital Stroke Screen.
Page Ref: 572
Objective: 22.13 Assess the patient with possible stroke for neurologic deficits, including use of a stroke assessment scale.
Symptoms from a transient ischemic attack (TIA) generally resolve within:
A) 6 hours.
B) 12 hours.
C) 24 hours.
D) 48 hours.
C) 24 hours.
Page Ref: 576-577
Objective: 22.1 Define key terms introduced in this chapter; 22.9 Identify the signs and symptoms of stroke.
When caring for a patient suffering from a nervous system condition or disease, the FIRST priority in patient care is to:
A) administer thrombolytic therapy.
B) assess for any neurological deficits.
C) establish and maintain a patent airway.
D) apply high-concentration oxygen.
C) establish and maintain a patent airway.
Page Ref: 569
Objective: 22.4 Explain the importance of airway assessment and management in patients with altered mental status and neurologic deficit; 22.8 Determine the need for emergency interventions in the primary assessment of patients with a neurologic emergency.
A generalized motor seizure that begins with a hypertonic state of the muscles is known as a(n):
A) absence seizure.
B) hysterical seizure.
C) complex partial seizure.
D) tonic-clonic seizure.
D) tonic-clonic seizure.
Page Ref: 578
Objective: 22.19 Describe the various ways that seizures can present.
The term “status epilepticus” refers to:
A) a chronic seizure patient taking anticonvulsant medication regularly.
B) a generalized seizure lasting more than one minute.
C) two or more seizures with no intervening periods of consciousness.
D) a patient experiencing a seizure for the first time.
C) two or more seizures with no intervening periods of consciousness.
Page Ref: 580
Objective: 22.1 Define key terms introduced in this chapter; 22.19 Describe the various ways that seizures can present.
What is the name for a series of one-sided headaches that are sudden and intense but of short duration?
A) Syncope
B) Organic
C) Migraine
D) Cluster
D) Cluster
Page Ref: 581
Objective: 22.7 Apply knowledge of the nervous system to patient findings to identify more likely causes of the patient’s condition.
You are caring for a patient whom you suspect has had a stroke. She is having difficulty forming words, resulting in slurred speech and making it difficult for you to understand her. Which of the following would describe the condition of her speech?
A) Dysarthria
B) Ataxia
C) Dysphagia
D) Hypophasia
A) Dysarthria
Page Ref: 576
Objective: 22.2 Recognize complaints that may indicate a neurologic problem; 22.9 Identify the signs and symptoms of stroke.
Consider a hemorrhagic stroke if the patient describes it as:
A) lasting for more than 18-24 hours.
B) sudden in onset and “the worst headache of my life.”
C) being accompanied by nausea and photosensitivity.
D) dull or achy pain with a feeling of forceful pressure.
B) sudden in onset and “the worst headache of my life.”
Page Ref: 576
Objective: 22.9 Identify the signs and symptoms of stroke.
When assessing a patient with a possible stroke, what is the priority of care?
A) Identifying the risk factors for stroke
B) Determining if there is a family history of stroke
C) Recognizing the signs and symptoms of stroke
D) Determining what type of stroke has occurred
C) Recognizing the signs and symptoms of stroke
Page Ref: 577
Objective: 22.2 Recognize complaints that may indicate a neurologic problem; 22.8 Determine the need for emergency interventions in the primary assessment of patients with a neurologic emergency.
Which of the following statements regarding the pathophysiology of stroke is TRUE?
A) Ischemic stroke is often a result of an aneurysm.
B) Neurological damage and death can begin within four minutes.
C) Ventricular fibrillation leads to the formation of blood clots in the atria.
D) Ischemic stroke usually presents with a severe headache.
B) Neurological damage and death can begin within four minutes.
Page Ref: 575
Objective: 22.10 Describe the pathophysiology of stroke.
Which of the following statements regarding a transient ischemic attack is TRUE?
A) Signs and symptoms are very different from a stroke.
B) If it doesn’t resolve within two hours, it is a full-blown stroke.
C) If not promptly treated, a TIA will progress to a stroke.
D) A patient who has had a TIA is at high risk for subsequent stroke.
D) A patient who has had a TIA is at high risk for subsequent stroke.
Page Ref: 577
Objective: 22.12 Describe the relationship between stroke and transient ischemic attack.
Of the following, which is the MOST important in caring for a possible stroke patient?
A) Establish the time of onset of signs and symptoms.
B) Administer oxygen to patients with a SpO2 <94 percent.
C) Recognize signs and symptoms that may indicate stroke.
D) Check the patient’s blood glucose level.
C) Recognize signs and symptoms that may indicate stroke.
Page Ref: 577
Objective: 22.2 Recognize complaints that may indicate a neurologic problem; 22.8 Determine the need for emergency interventions in the primary assessment of patients with a neurologic emergency.
You have arrived on the scene of a call for a possible stroke. On your arrival, the patient denies signs and symptoms, is alert and oriented, and moves all extremities well. Her husband states that before you arrived the patient could not move her right arm and the left side of her face seemed to be “slack.” Which of the following has MOST likely occurred?
A) The patient suffered a cerebral vascular accident.
B) The patient is suffering from aphasia.
C) The patient has had a subarachnoid hemorrhage.
D) The patient suffered a transient ischemic attack.
D) The patient suffered a transient ischemic attack.
Page Ref: 576-577
Objective: 22.7 Apply knowledge of the nervous system to patient findings to identify more likely causes of the patient’s condition.
Which of the following is NOT a common sign or symptom of stroke?
A) Acute chest pain
B) Facial numbness
C) Visual disturbances
D) Loss of coordination
A) Acute chest pain
Page Ref: 576
Objective: 22.9 Identify the signs and symptoms of stroke.
Your patient is a 68-year-old man who has apparently suffered a stroke. He is unable to hold himself in an upright position on the stretcher and has begun to vomit. Which of the following actions would be MOST appropriate?
A) Tighten the chest straps and begin suctioning.
B) Insert an oral airway and lower the head of the stretcher.
C) Place him in the left lateral recumbent position.
D) Begin ventilations with a bag-valve-mask.
C) Place him in the left lateral recumbent position.
Page Ref: 577
Objective: 22.4 Explain the importance of airway assessment and management in patients with altered mental status and neurologic deficit.
Which of the following is a risk factor for hemorrhagic stroke?
A) Atrial fibrillation
B) Hypoglycemia
C) Spinal injury
D) Hypertension
D) Hypertension
Page Ref: 575
Objective: 22.10 Describe the pathophysiology of stroke.
Your patient tells you that he is suffering with a bad migraine. Which of the following would provide the patient with the MOST comfort?
A) Provide three adult aspirins per protocol.
B) Place a cool compress on his forehead.
C) Transport in left lateral recumbent position.
D) Apply gentle pressure to the temples.
B) Place a cool compress on his forehead.
Page Ref: 581
Objective: 22.17 Describe measures that you can take to improve the comfort level of the patient suffering from a headache.
Which of the following is the BEST way to differentiate between non-life-threatening and life-threatening causes of headache?
A) Gather a good history using OPQRST.
B) Find out if trauma was involved.
C) Ask if the patient has allergies.
D) Evaluate the blood glucose level.
A) Gather a good history using OPQRST.
Page Ref: 581
Objective: 22.16 Recognize indications that a headache may have a potentially life-threatening underlying cause.
