Neurological Problems Quiz: Test Questions and Answers | Exams Nursing

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Quiz 2 - Neurological Problems Test Questions and Answers

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Which statement about confusion is true?

A. Confusion is a disease process.

B. Confusion is always temporary.

C. Age is a reliable predictor of confusion.

D. Polypharmacy is a major contributor to

confusion in older adults. - ANSWER -D.

Polypharmacy is a major contributor to confusion

in older adults.

Which of the following indicates a diagnosis of

dementia?

A. Onset after an infection

B. Abrupt onset over a week

C. Difficulty with long-term memory

D. Hard time finding words - ANSWER -D.

Hard time finding words

Which of the following aspects of the patient

history is a hallmark of delirium?

A. Patient has chronic kidney disease.

B. Patient has had aphasia for a year.

C. Patient has diabetes mellitus.

D. Patient has been getting lost driving home. -

ANSWER -A. Patient has chronic kidney

disease.

Which of the following may trigger migraines?

A. Taking an ibuprofen for muscle pain

B. A cup of coffee with regular sweetener

C. A glass of merlot wine

D. Drinking a cup of green tea - ANSWER -

C. A glass of merlot wine

Sondra's peripheral vestibular disease causes

dizziness and vertigo. Which of the following

medications will help to decrease edema in the

labyrinth of the ear?

A. Meclizine

B. Diphenhydramine

C. Diamox

D. Promethazine - ANSWER -C. Diamox

The hallmark of an absence seizure is:

A. No activity at all

B. A blank stare

C. Urine is usually voided involuntarily

D. The attack usually lasts several minutes -

ANSWER -B. A blank stare

Which of the following persons fits the classic

description of a patient with multiple sclerosis

(MS)?

A. A teenage male

B. A 65-year-old male

C. A 25-year-old female

D. A 60-year-old female - ANSWER -C. A

25-year-old female

Which of the following is a specific test to MS?

A. Magnetic resonance imaging (MRI)

B. Computed tomography (CT) scan

C. A lumbar puncture

D. There is no specific test - ANSWER -D.

There is no specific test

Over the course of 3 years, a patient has had two

MS flares. The patient's primary complaints

during the episodes are bilateral tingling and pain

in their legs, depression, and numbness in their

right hand with complete recovery in between

occurrences. Which MS classification fits their

disease process?

A. Clinically isolated syndrome

B. Relapsing-remitting

C. Primary progressive

D. Secondary progressive - ANSWER -B.

Relapsing-remitting

A patient with MS is complaining of new-onset

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Which statement about confusion is true? A. Confusion is a disease process. B. Confusion is always temporary. C. Age is a reliable predictor of confusion. D. Polypharmacy is a major contributor to confusion in older adults. - ANSWER - D. Polypharmacy is a major contributor to confusion in older adults. Which of the following indicates a diagnosis of dementia? A. Onset after an infection B. Abrupt onset over a week C. Difficulty with long-term memory D. Hard time finding words - ANSWER - D. Hard time finding words Which of the following aspects of the patient history is a hallmark of delirium? A. Patient has chronic kidney disease. B. Patient has had aphasia for a year. C. Patient has diabetes mellitus. D. Patient has been getting lost driving home. - ANSWER - A. Patient has chronic kidney disease. Which of the following may trigger migraines? A. Taking an ibuprofen for muscle pain B. A cup of coffee with regular sweetener C. A glass of merlot wine D. Drinking a cup of green tea - ANSWER - C. A glass of merlot wine Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear? A. Meclizine B. Diphenhydramine C. Diamox D. Promethazine - ANSWER - C. Diamox The hallmark of an absence seizure is: A. No activity at all B. A blank stare C. Urine is usually voided involuntarily D. The attack usually lasts several minutes - ANSWER - B. A blank stare Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? A. A teenage male B. A 65-year-old male C. A 25-year-old female D. A 60-year-old female - ANSWER - C. A 25 - year-old female Which of the following is a specific test to MS? A. Magnetic resonance imaging (MRI) B. Computed tomography (CT) scan C. A lumbar puncture D. There is no specific test - ANSWER - D. There is no specific test Over the course of 3 years, a patient has had two MS flares. The patient's primary complaints during the episodes are bilateral tingling and pain in their legs, depression, and numbness in their right hand with complete recovery in between occurrences. Which MS classification fits their disease process? A. Clinically isolated syndrome B. Relapsing-remitting C. Primary progressive D. Secondary progressive - ANSWER - B. Relapsing-remitting A patient with MS is complaining of new-onset

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"electric tingling" in both their arms. Which medication specifically treats these acute exacerbations? A. Lemtrada B. Aubagio C. Zanaflex D. Depo-Medrol - ANSWER - D. Depo- Medrol Which of the following is a risk factor for developing Alzheimer's disease? A. Having a master's or doctoral degree B. Patient is a physician C. Patient has Down's syndrome D. History of neurological disease - ANSWER - C. Patient has Down's syndrome Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? A. Cholinesterase inhibitors B. Anxiolytics C. Antidepressants D. Atypical antipsychotics - ANSWER - A. Cholinesterase inhibitors The health-care provider is treating a patient who was hit in the head with a frying pan. Which of the following should the provider suspect? A. Intraparenchymal hemorrhage B. Subdural hematoma C. Epidural hematoma D. Subarachnoid hematoma - ANSWER - B. Subdural hematoma Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery? A. Epidural hematoma B. Subdural hematoma C. Subarachnoid hematoma D. Intraparenchymal hemorrhage - ANSWER - A. Epidural hematoma Which of the following must be completed prior to administering TPA (tissue plasminogen activator)? A. Full-body MRI B. Head x-ray C. Head CT D. Head MRI - ANSWER - C. Head CT Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing? A. CN V B. CN VII C. CN IX D. CN X - ANSWER - A. CN V Which of the following has been linked to a delay in treatment for stroke? A. Patient has stroke symptoms at work. B. Patient experiences stroke during the day. C. Patient lives with a family member. D. Patient calls their primary-care provider (PCP) instead of 911 at sign of stroke. - ANSWER - D. Patient calls their primary- care provider (PCP) instead of 911 at sign of stroke. When a patient has a carotid bruit, which of the following should the PCP gather from the patient history? A. History of hemophilia B. History of peripheral vascular occlusive disease C. History of seizure disorder D. History of sickle cell disease - ANSWER - B. History of peripheral vascular

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C. "Don't worry, I'll take care of everything." D. "You may have a few more episodes over the course of your lifetime but no permanent damage." - ANSWER - A. "Most patients have complete recovery in 3 to 6 months." A patient is presenting with chorea (dance-like movements). Which of the following diseases might the patient have? A. Dementia B. Parkinson's disease C. Wilson's disease D. Huntington's disease - ANSWER - D. Huntington's disease Which of the following signs would a health-care provider expect to see in a patient with Parkinson-plus disorder? A. Resting tremor B. Bradykinesia C. Rigidity D. Postural instability - ANSWER - D. Postural instability Which of the following is a sign or symptom of a migraine? A. Light sensitivity B. Nonpulsatile pain C. Nasal stuffiness D. Bandlike pain - ANSWER - A. Light sensitivity Carotid endarterectomy should be considered only for symptomatic patients with greater than what percentage of stenosis? A. Greater than 25% B. Greater than 50% C. Greater than 75% D. Only for 100% occlusion - ANSWER - B. Greater than 50% Which of the following activities is part of the functional activities questionnaire? A. Asking the patient to unravel a Rubik's cube B. Determining if the patient can drive on the highway C. Asking the patient about a news event from the current week D. Seeing if the patient can keep his or her home clean - ANSWER - C. Asking the patient about a news event from the current week About 90% of all headaches are: A. Tension B. Migraine C. Cluster D. Without pathological cause - ANSWER - D. Without pathological cause Which statement is true regarding driving and patients with a seizure disorder? A. Once diagnosed with a seizure disorder, patients must never drive again. B. After being seizure free for 6 months, patients may drive. C. Each state has different laws governing driving for individuals with a seizure disorder. D. These persons may drive but never alone. - ANSWER - C. Each state has different laws governing driving for individuals with a seizure disorder. Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given IV once a month? A. Glatiramer acetate B. Natalizumab C. Fingolimod D. Glucocorticoids - ANSWER - B.

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Natalizumab The "freezing phenomenon" is a cardinal feature of: A. Parkinson's disease B. Alzheimer's disease C. A cerebrovascular accident (CVA) D. Bell's palsy - ANSWER - A. Parkinson's disease A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as: A. Spinothalamic dysfunction B. Ratcheting C. Cogwheeling D. Hand tremors - ANSWER - C. Cogwheeling Which condition is characterized by the impaired ability to learn new information along with a cognitive disturbance in either language, function, or perception? A. Guillain-Barré syndrome B. Parkinson's disease C. Alzheimer's disease D. Delirium - ANSWER - C. Alzheimer's disease A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: A. SLUMS B. MoCA C. FAST D. MMSE - ANSWER - D. MMSE IV thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset? A. 1 hour B. 3 hours C. 6 hours D. 12 hours - ANSWER - B. 3 hours When administered at the beginning of an attack, oxygen therapy may help this kind of headache? A. Tension B. Migraine C. Cluster D. Stress - ANSWER - C. Cluster

Neurological Problems Quiz: Test Questions and Answers, Exams of Nursing

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