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Neurological System (Theory Post Quiz

Total questions: 25

Worksheet time: 15mins

Name
Class
Date
1.

Signs of possible stroke include (Select all that apply)

a)

Face Drooping

b)

Arm Weakness

c)

Speech Difficulty

d)

Shuffling gait

2.

Stroke due to occlusion of an artery where an infarction occurs is:

a)

a hemorrhagic stoke

b)

an ischemic stroke

c)

a transient ischemic attack

3.

Which of the following is a symptom of parkinson's disease

a)

Fast speaking

b)

Hyper activity

c)

Bradykinesia(slow movement)

4.

Which of the following organs have a role in the pathophysiology of myasthenia gravis?

a)

Heart

b)

Thymus

c)

Liver

d)

Kidney

5.

Postpolio syndrome is diagnosed based on which of the following criteria?

a)

There is a new onset of problems within 10 years of original infection

b)

There is onset of weakness in previously unaffected muscles years after the original infection

c)

Blood tests show low levels of creatine kinase

d)

Muscle biopsy indicates long-term denervation with no signs of reinnervation

6.

Signs of possible stroke include (Select all that apply)

a)

Face Drooping

b)

Arm Weakness

c)

Speech Difficulty

d)

Shuffling gait

7.

The most important modifiable risk factor for stroke is

a)

Diabetes

b)

Hypertension

c)

Obesity

d)

Poor diet

8.

Which of the following is not an appropriate intervention for a patient with a hemorrhagic stroke?

a)

Antiepileptics

b)

Anticoagulants

c)

Clipping

d)

Coiling

9.

What acronym can help you identify a stroke?

a)

SLOW

b)

FAST

c)

STROKE

d)

SLEEP

10.

What is a complication of a deep vein thrombosis?

a)

pulmonary embolism

b)

chest pain

c)

developing an ulcer

d)

having a seizure

11.

How do you prevent a deep vein thrombosis?

a)

move and ambulate the patient

b)

taking deep breaths

c)

soaking in water

d)

sitting and relaxing

12.

The early stage of Alzheimer's Disease is characterized by?

a)

No noticeable change in behavior

b)

Memory problems and mild confusion

c)

increased time spent sleeping or in bed

d)

Incontinence, agitation and wandering behavior

13.

The use of the GCS provides a relatively objective assessment of LOC. The three functions assessed are:

a)

pupil reaction, orientation, and sensation

b)

verbal response, eye opening, and motor response

c)

eye opening, motor response, and sensation

d)

verbal response, pupil response, and motor response

14.

The chart states that a 62-year-old person has had a stroke in the right parietal area of the brain. The nurse expects to note which of the following?

a)

Tremors on the left side of the face.

b)

Tremors on the right side of the face.

c)

Weakness in the right arm.

d)

Weakness in the left arm.

15.

Stimulus: Stroke foot from HEEL to FOREFOOT on LATERAL SIDE with SHARP object

a)

Reflex: Positive Support

b)

Reflex: Asymmetrical Tonic Neck Reflex (ATNR)

c)

Reflex: Plantar Reflex (Babinski Reflex)

d)

Reflex: Tonic Labyrinthine Reflex (TLR)

e)

Reflex: Symmetrical Tonic Neck Reflex (STNR)

16.

The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to walk in which manner?

a)

stagger and need support of a walker.

b)

shuffle with arms flexed.

c)

fall over to one wide when walking.

d)

take small steps balanced on the toes.

17.

A patient who has experienced a stroke has expressive aphasia. Which abnormal manner of communication does the patient display?

a)

Has difficulty comprehending spoken and written communication.

b)

Cannot make any vocal sounds.

c)

Has total loss and understanding of language.

d)

Can understand the spoken word, but cannot speak.

18.

The nurse is aware that the drug t-PA a tissue plasminogen activator, must be given within how many hours of the onset of symptoms to have maximum benefit?

a)

3 hours

b)

4.5 hours

c)

6 hours

d)

8 hours

19.

Which benefit do the drugs neostigmine and pyridostigmine have for the person with myasthenia gravis?

a)

Improves speech.

b)

Improves visual disturbances.

c)

Reduces pain.

d)

Promotes nerve impulse transmission.

20.

Which action will the nurse take when caring for a child recently diagnosed with bacterial meningitis?

a)

Arrange for humidified oxygen per mask.

b)

Place the child in respiratory isolation.

c)

Inquire about drug allergy.

d)

Hold NPO until orders arrive.

21.

Which sign is the first sign of Bell’s palsy?

a)

Inability to wrinkle forehead and pucker lips on affected side

b)

Sudden pain in nostril on affected side

c)

Excessive salivation on the affected side

d)

Excessive mucus running from nostril on affected side

22.

For which reason is the patient with suspected Guillain-Barre Syndrome (GBS) hospitalized immediately?

a)

The infection needs to be treated with IV antibiotics to prevent paralysis.

b)

The brain may swell quickly causing seizures.

c)

The disease can rapidly progress into respiratory failure.

d)

IV hydration is needed to prevent possible fatal hypotension.

23.

Which is a sign of Cushing response?

a)

Increased pulse rate

b)

Increased systolic blood pressure

c)

Bradycardia

d)

Widened pulse pressure

e)

Increased blood pressure

24.

Which technique is necessary for safely feeding a patient with hemiplegia?

a)

Taking the patient’s dentures out to prevent choking

b)

Checking the affected side of mouth for food accumulation

c)

Offering small bites of food

d)

Adding a thickening agent to liquids

e)

Mixing liquids and solid foods together

25.

X-Ray of the blood vessels in the brain after a contrast medium has been injected. Used to dx a CVA

a)

Plain X-Ray

b)

MRI

c)

cerebral angiography

d)

CT Scan