Unit 5 Quiz Flashcards
During a routine 2-month checkup at the pediatric clinic, a mother expresses concern that her son looks “cross-eyed.” She asks if she need to put patches over his good eye. Assessment reveals full eye movement, and the child uses each eye independently. The health care provider explains that the best treatment for the infant’s eye problem is:
a) to buy some prescription eye glasses so that lazy eye will get stronger
b) “pretend like you are going to poke him in the eye so that he will blink more and tighten up some muscles”
c) to prepare for some surgery to correct this problem on to correct the eye muscle disorder
d) a prescription for drips to put in the eyes twice/day
C
Common manifestations of acute meningococcal meningitis, a highly contagious and lethal form of meningitis, include:
a) focal paralysis
b) diplopia
c) papilledema
d) petechiae
D
While playing outside in the snow, a young child complained of painful fingertips since he would not keep his gloves on. In the emergency department, the nurse knows this painful sensation is a result of which transmission of proprioceptive somatosensory information?
a) myelinated type B trigeminal sensory neurons
b) type C dorsal root ganglion neurons
c) anterolateral pathway
d) reflexive networks
B
A family brings their father to his primary care physician for a checkup. Since their last visit, they note their dad has developed a tremor in his hands and feet. He also rolls his fingers like he has a marble in his hand. The primary physician suspects the onset of Parkinson disease when he notes which of the following abnormalities in the client’s gait?
a) difficulty putting weight on soles of feet and tends to walk on tiptoes
b) hyperactive leg motions like he can’t stand still
c) slow to start walking and has difficulty when asked to “stop” suddenly
d) takes large, exaggerated strides and swings arms/hands wildly
C
A clinician is assessing the muscle tone of a client who has been diagnosed with a lower motor neuron (LMN) lesion. Which of the following assessment findings is congruent with the client’s diagnosis?
a) spasticity
b) hypotonia
c) tetany
d) rigidity
B
One of the causes of conductive hearing loss is:
a) auditory nerve damage
b) ototoxic medication
c) excess middle ear fluid
d) sudden loud noise
C
The family of a multiple sclerosis client asks, “What psychological manifestations may we expect to see in our mother?” The health care provider informs them to expect which of the following? Select all that apply.
a) forgetfulness
b) depression
c) inattentiveness
d) hallucinations
e) delirium
A, B, C
While on a cruise to the Caribbean, a person develops “motion sickness” with associated malaise, and nausea/vomiting. The nurse notes the client’s BP is 88/52; pulse is 110; and skin moist with perspiration. The client diagnosis related to the clinical manifestations would most likely be:
a) vertigo
b) light-headedness
c) syncope
d) dizzy
A
While teaching a class of nursing students about spinal cord injury, the instructor mentions that male SCI clients will be able to have a sexual response if their injury is at which level on the spinal column?
a) L2
b) S4
c) S1
d) T12
B
Parents with a profoundly deaf child ask, “How can you test such a young infant for hearing loss?” The health care provider will likely explain which of the following testing procedures? Select all that apply.
a) EEG with auditory brainstem-evoked responses (ABRs)
b) tuning fork
c) PET scanning
d) audioscope
e) playing music and slowly increasing the sound until response is elicited
A, B, D
Knowing that she is a carrier for Duchene muscular dystrophy (DMD), a pregnant woman arranged for prenatal genetic testing, during which her child was diagnosed with DMD. As her son develops, the woman should watch for which of the following early signs that the disease is progressing?
a) muscle atrophy with decreased coordination
b) frequent falls and increased muscle size
c) spasticity and hypertonic reflexes
d) impaired sensory perception and frequent wounds
B
When the nurse administers a drug that stimulates the nicotinic receptors, what manifestation would indicate the drug is working?
a) pupil constriction
b) decrease in heart rate
c) increased gastrointestinal (GI) motility
d) muscle contraction
D
The Air Force nurse is treating a patient who was exposed to a particular nerve gas. What drug has been approved to treat this patient?
a) ambenonium (Mytelase)
b) neostigmine (Prostigmin)
c) edrophonium (Enlon, Reversol)
d) pyridostigmine (Mestinon)
D
The nurse administers a drug that stimulates the parasympathetic nervous system. What physiological response would indicate the drug is working?
a) increased gastrointestinal (GI) motility
b) increased heart rate
c) pupil dilation
d) vasoconstriction
A
A patient has a new order for carbamazepine (Tegretol). What does the nurse know is a contraindication to administration of carbamazepine?
a) allergy to sulfonamides
b) diabetes
c) bipolar disorder
d) bone marrow depression
D
