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WorksheetsNEURO 3 - POST TEST (Worksheet Questions Extraction)
Total questions: 20
Worksheet time: 10mins
I. Neurodegenerative Disorders. Situation: Alois, 85-year-old, is admitted to the hospital. Upon assessment, memory loss is significant. Diagnosis of the patient is Alzheimer’s disease. Nurse Adon is teaching a group of student nurses about Alzheimer’s disease. Which description is correct?
Alzheimer’s disease is a degenerative disorder involving the motor system and is cause by excess glutamate.
Alzheimer’s disease is a degenerative demyelination of the CNS characterized by intentional tremors, scanning speech, and nystagmus.
Alzheimer’s disease is the demyelination of the PNS.
Alzheimer’s disease is the degeneration of the dopamine producing cell in the substantia nigra.
Alzheimer’s disease is the degeneration of nucleus basalis of Meynert that ultimately leads to dementia.
I. Neurodegenerative Disorders. Situation: Alois, 85-year-old, is admitted to the hospital. Upon assessment, memory loss is significant. Diagnosis of the patient is Alzheimer’s disease. Nurse Adon asks student Nurse John Ray, what is the most common form of dementia? He is correct when he answered:
Alzheimer’s disease
Parkinsons
Multiple sclerosis
Amyotrophic lateral sclerosis
I. Neurodegenerative Disorders. Situation: Alois, 85-year-old, is admitted to the hospital. Upon assessment, memory loss is significant. Diagnosis of the patient is Alzheimer’s disease. Which of the following is not included in the 4 brain changes in Alzheimer’s disease?
Cerebral atrophy
Senile plaques
Decrease acetylcholine
Nephrofibrillary tangles
I. Neurodegenerative Disorders. Situation: Alois, 85-year-old, is admitted to the hospital. Upon assessment, memory loss is significant. Nurse Kate is assigned to patient Aloise. When she noticed that the patient forgets what he ate during breakfast, this is interpreted as:
Amnesia
Memory lapses
Anterograde amnesia
Retrograde amnesia
I. Neurodegenerative Disorders. Situation: Alois, 85-year-old, is admitted to the hospital. Upon assessment, memory loss is significant. Which of the following is new drug of choice for Alzheimer’s disease?
Cognex
Haldol
Aricept
Rivastigmine
Situation: Fidel, 69-year-old, came to the hospital with resting tremors, bradykinesia, and rigidity. Initial diagnosis is Parkinson’s disease. Nurse Joy is teaching a group of student nurses about Parkinson’s disease. Which description is correct?
Parkinson’s disease is a degenerative disorder involving the motor system and is cause by excess glutamate.
Parkinson’s disease is a degenerative demyelination of the CNS characterized by intentional tremors, scanning speech, and nystagmus.
Parkinson’s disease is the demyelination of the PNS.
Parkinson’s disease is the degeneration of the dopamine producing cell in the substantia nigra.
Parkinson’s disease is the degeneration of nucleus basalis of Meynert that ultimately leads to dementia.
Situation: Fidel, 69-year-old, with resting tremors, bradykinesia, and rigidity diagnosed with Parkinson’s disease. The neurotransmitter involved in Parkinsons is:
Decrease acetylcholine
Decrease serotonin
Decrease dopamine
GABA
Situation: Fidel, 69-year-old, with Parkinson’s disease. The initial manifestation for patients with Parkinsons diseases is:
Resting tremors
Bradykinesia
Rigidity
Shuffling gait
Situation: Fidel, 69-year-old, with Parkinson’s disease. Nurse Joy administered L-dopa to patient Fidel. Nurse Joy is aware that this medication is an:
Anti parkinsons agent, short acting
Anti parkinsons agent, long acting
Anti cholinergic
Anti histamine
Situation: Fidel, 69-year-old, with Parkinson’s disease. Which of the following needs further instruction when taking Anti parkinsons agent?
“I need to consume low protein in the morning.”
“I need to avoid food rich in Vit B6 such as organ meat, green leafy vegetables.”
“I need to increase fat and low carbo in my diet.”
“I need to consume large amount of protein and food rich in Vit B6 such as organ meat to enhance the effect of Ldopa.”
Situation: Multiple Sclerosis and ALS. It is an autoimmune and degenerative demyelination of the CNS characterized by white patches demyelination.
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Myastenia Gravis
Parkinson’s disease
Situation: Multiple Sclerosis and ALS. Intentional tremors, scanning speech and nystagmus in multiple sclerosis is known as:
Bulbar’s sign
Charcot’s triad
Cushing’s triad
Virchow’s triad
Beck’s triad
Situation: Multiple Sclerosis and ALS. To relieve spasm and improve muscle movement, Nurse Aliya is expected to give ______?
IV interferon
Rilutek
Corticosteroids
Baclofen
Situation: Multiple Sclerosis and ALS. Amyotrophic Lateral Sclerosis is an incurable degenerative disorder involving the motor system due to excess ______?
GABA
Serotonin
Glutamate
Norepinephrine
Situation: Multiple Sclerosis and ALS. In ALS, this is the only drug approved by the FDA. This is:
IV interferon
Rilutek
Corticosteroids
Baclofen
Situation: Other Health Care Problem Related to Elderly. The most common etiologic agent for patients with pneumonia is:
Bacteria
Virus
Fungi
Protozoa
Situation: Other Health Care Problem Related to Elderly. Uvo, 86-year-old patient with productive cough, fever, chest pain, and chills is admitted in MERHAKI General Hospital. Initial diagnosis is pneumonia. Which of the following lung sounds is expected upon auscultation of the nurse?
Wheezing
Stridor
Crackles
Adventitious lung sound
Situation: Other Health Care Problem Related to Elderly. ________ is the most common type of Alzheimer’s.
Delirium
Dementia
Depression
Extreme sadness
Situation: Other Health Care Problem Related to Elderly. A 72-year-old patient hospitalized with pneumonia is disoriented and confused 2 days after admission. Which assessment information obtained by the nurse about the patient indicates that the patient is experiencing delirium rather than dementia?
The patient is disoriented to place and time but oriented to person.
The patient has a history of increasing confusion over several years.
The patient's speech is fragmented and incoherent.
The patient was oriented and alert when admitted.
Situation: Other Health Care Problem Related to Elderly. When developing a plan of care for a hospitalized patient with moderate dementia, which intervention will the nurse include?
Reminding the patient frequently about being in the hospital
Placing suction at the bedside to decrease the risk for aspiration
Providing complete personal hygiene care for the patient
Repositioning the patient frequently to avoid skin breakdown
