Exam 4: NUR242/ NUR 242 (Latest 2023/ 2024) Medical-Surgical Nursing Exam | Questions and Verified Answers| 100% Correct| Grade A- Galen
Exam 4: NUR242/ NUR 242 (Latest 2023/
2024) Medical-Surgical Nursing Exam |
Questions and Verified Answers| 100%
Correct| Grade A
Q: During an interview with a patient with a diagnosis of Parkinson disease (PD), which of the
following speech patterns will the healthcare provider anticipate?
A. Bubbly and spirited
B. Clear and rhythmic
C. Pressured and hurried
D. Slow, slurred, and monotone
Answer:
D. Slow, slurred, and monotone
Q: Select all the TRUE statements about the pathophysiology of multiple sclerosis:*
A. “The dendrites on the neuron are overstimulated leading to the destruction of the axon.”
B. “The myelin sheath, which is made up of Schwann cells, is damaged along the axon.”
C. “This disease affects the insulating structure found on the neuron in the central nervous
system.”
D. “The dopaminergic neurons in the part of the brain called substantia nigra have started to
die.”
Answer:
B. “The myelin sheath, which is made up of Schwann cells, is damaged along the axon.”
C. “This disease affects the insulating structure found on the neuron in the central nervous
system.”
Q: Your patient is scheduled for a lumbar puncture to help diagnose multiple sclerosis. The
patient wants clarification about what will be found in the cerebrospinal fluid during the lumbar
puncture to confirm the diagnosis of MS. You explain that __ will be present in the
fluid if MS is present.*
A. high amounts of IgM
B. oligoclonal bands
C. low amounts of WBC
D. oblong red blood cells and glucose
Answer:
B. oligoclonal bands
Q: A patient is receiving Interferon Beta for treatment of multiple sclerosis. As the nurse you
will stress the importance of?*
A. Physical exercise to improve fatigue
B. Low fat diet
C. Hand hygiene and avoiding infection
D. Reporting ideation of suicide
Answer:
C. Hand hygiene and avoiding infection
Q: Which medications below can help treat muscle spasms in a patient with multiple sclerosis?
Select all that apply:*
A. Propranolol
B. Isoniazid
C. Baclofen
D. Diazepam
E. Modafinil
Answer:
C. Baclofen
D. Diazepam
Q: The healthcare provider is reviewing the International Normalized Ratio (INR) results of a
patient with a history of embolic stroke. Which of the following indicates a therapeutic value for
this patient?
A. 1.5
B. 2.5
C. 4.0
D. 0.5
Answer:
B. 2.5
Q: The health care provider is assessing a patient who is recovering from a stroke. Which of
these problems should receive priority for this patient?
A. Impaired mobility
B. Risk for altered coping
C. Risk for aspiration
D. Impaired communication
Answer:
C. Risk for aspiration
Q: Which of these measures should be included in the plan of care to prevent complications in a
patient who is recovering from a stroke?
A. Reposition every shift
B. Assess vital signs every two hours
C. Monitor cardiac rhythm
D. Conduct a swallow evaluation
Answer:
D. Conduct a swallow evaluation
Q: A patient who has experienced a stroke is being monitored during the acute management
phase. The clinician notes that the patient’s intracranial pressure (ICP) is 30 mm Hg. Which of
the following interventions should be taken first?
A. Raise the head of the bed to 30°
B. Assess level of consciousness
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