Walden University - NURS 6501 Adv Patho Quiz 3/Download To Score An A

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NURS 6501 Adv Patho Quiz 3 Question 1 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 2 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 3 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 4 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 5 1 out of 1 points A 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? Selected Answer: c. Focal motor seizure Correct Answer: c. Focal motor seizure • Question 6 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 7 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 8 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: b. His sympathetic nervous system has been damaged and thermal control disturbed. Correct Answer: b. His sympathetic nervous system has been damaged and thermal control disturbed. • Question 9 1 out of 1 points A 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? Selected Answer: d. Stupor Correct Answer: d. Stupor • Question 10 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 11 1 out of 1 points A nurse thinks a patient may be experiencing dementia. Which assessment finding will most help support this diagnosis? Selected Answer: d. Loss of recent and remote memory Correct Answer: d. Loss of recent and remote memory • Question 12 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 13 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: d. Tonic-clonic seizure Correct Answer: d. Tonic-clonic seizure • Question 14 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 15 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 16 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 17 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 18 1 out of 1 points A nurse should document on the chart that chronic pain is occurring when the patient reports the pain has lasted longer than: Selected Answer: b. 3 to 6 months Correct Answer: b. 3 to 6 months • Question 19 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 20 1 out of 1 points A 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? Selected Answer: b. Metabolically induced coma Correct Answer: b. Metabolically induced coma • Question 21 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 22 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 23 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 24 1 out of 1 points A 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? Selected Answer: d. Substance P Correct Answer: d. Substance P • Question 25 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 Sunday, June 18, 2017 2:12:58 PM EDT [Show More]

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