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NSG6420 Week 9 Quiz

NSG6420 Week 9 Quiz Week 9 Return to deck 1. The three cardinal features of Parkinson’s disease are:  Essential tremor, postural rigidity, and infarcts of the basal ganglion
Bradykinesia, rigidity, and tremor
Shuffling gait, constipation, positional freezing.
Dementia, incontinence, and infarcts of the basal ganglion 2. Mr. Marshall was administered the Mini-Mental State Exam (MMSE). Which of the following statements pertaining to this tool is a true statement? Adverse drug effects
Urinary tract infection
Depression
Acute cerebrovascular event 3. Mr. Marshall was administered the Mini-Mental State Exam (MMSE). Which of the following statements pertaining to this tool is a true statement? Mr. Marshall’s baseline score of 18 on the MMSE demonstrates severe impairment.
      The test takes 45 minutes to administer and will detect subtle memory losses, particularly in well-educated patients
      Because Mr. Marshall has symptoms of change of mental status you are not screening; you are doing the MMSE for diagnosis.
      In interpreting MMSE test scores, allowance does not have to be made for education and ethnicity 4. When assessing a patient who complains of a tremor, the nurse practitioner must differentiate essential tremor from the tremor of Parkinson’s disease. Which of the following findings are consistent with essential tremor?  The handwriting is not affected by the tremor
The tremor occurs with purposeful movements
The tremor occurs at rest
The tremor gets worse with alcohol ingestion 5. An older adult client with a history of a seizure disorder comes into the clinic for a routine check-up. Although seizure free, the client continues on long-term phenytoin treatment. The nurse practitioner would assess for which of the following long-term effects?  Lid lag and nystagmus
Gingival hyperplasia and nystagmus
Nystagmus and microcytic anemia
Gingival hyperplasia and iron deficiency anemia 6. An elderly patient is maintained on phenytoin therapy for a history of a seizure disorder. In addition to periodic serum drug concentrations, which of the following are needed for annual evaluation?  Complete blood count, liver function tests, and renal function tests
      Complete blood count, liver function tests, and platelet count
  Because of megaloblastic anemia?
  Renal function and calculated creatinine clearance
  Serum albumin, liver function tests, and renal function tests 7. An elderly patient has had a CVA in the anterior cerebral circulatory system (frontal lobe). What symptoms are most likely expressed?  Neglect of body and difficulty organizing space
Wernicke’s aphasia (difficulty understanding speech)
Disorders of behavior and cognition
Bilateral motor and sensory problem 8. The most common neurological cause of seizures in an older adult is Alzheimer’s disease
Multiple sclerosis
Stroke
Peripheral neuropathy 9. Mr. Andrews experienced a brief onset of right-sided weakness, slurred speech, and confusion yesterday. The symptoms have resolved. What should the nurse practitioner do?  Assure the patient that he will not experience the symptoms again
Identify modifiable cardiovascular risk factors
Do a thorough medication review and a CT scan
Order a stat EEG and administer O2 by mask 10. An older male patient is experiencing acute onset of right-sided weakness, slurred speech, and confusion. What should the nurse practitioner do promptly?  Administer an aspirin by mouth
Evaluate for stroke and arrange transport to the hospital right away
Do a thorough medication review and stat blood sugar
Order an EKG and administer O2 by cannula immediately 11. When assessing an elderly client who reports a tremor, which assessment findings would be most reliable in identifying Parkinson’s disease?        Any presence of tremor
      Symptoms of slowed movement, unstable angina, and tremor
      Resting tremor, slow unsteady gait, and cogwheel resistance
      Cogwheel rigidity, bradykinesia, and amnesia 12. A middle-aged patient has been diagnosed with Parkinson’s disease. What influences the nurse practitioner’s decision to begin pharmacological treatment for this patient?  Intentional tremors
Gait instability requiring use of a cane
Symptoms interfering with functional ability
Medications initiated at first sign of unilateral involvement 13. The Mini-Cog is a short screening tool used to assess cognition. Which of the following statements pertaining to the test is a true statement?  The patient will be asked to repeat five words immediately following the directions by the practitioner.
The patient is asked to draw the hour and minute hands on a picture of an analog clock.
A score of 0-2 is a positive screen for dementia.
The patient is asked to recall five images from picture cards following the drawing of the clock hands. 14. A female patient presents to the clinic with complaints of a severe, throbbing, unilateral headache. She complains of seeing flashes of light prior to the headache. She complains of sound and light sensitivity as well as nausea. The clinician should recognize these as symptoms of:  Epilepsy with aura
Cluster headache
Migraine headache
Normal pressure hydrocephalus 15. Which of the following is a common trigger of migraine headache?  Missed meals
Menses
Alcohol
All of the above 16. A 65-year-old woman is accompanied by her daughter for a physical examination. She has mild heart failure and takes digitalis and an ACE inhibitor. As you examine the patient, you note flat affect, hand tremor, and slowed movements. The tremor is worsened at rest. There are no neurologic deficits. Hand grip, sensation of face and extremities, and lower extremity muscle strength are within normal limits and bilaterally equal. DTRs are equal bilaterally. CN II to XII are intact. The mental status exam is normal. These are key signs of:  Chiari malformation
Normal pressure hydrocephalus
Parkinson’s disease
Drug toxicity 17. A 65-year-old male complains of a headache that feels “like a knife is cutting into his head.” He also reports feeling right-sided scalp and facial pain and “seeing double” at times. He has a history of hypertension and hyperlipidemia. His medications include beta blocker, statin drug, and an ACE inhibitor. On physical examination, you note palpable tenderness over the right side of the forehead. There are no neurological deficits. Vision is 20/20 with lenses. No weakness of extremities. CN II to XII are intact. The history corresponds to which of the following disorders?  Drug toxicity
Giant cell arteritis
Cluster headache
Migraine headache 18. Which type of seizure is involved following a head injury or febile event?  Epileptic
Isolated
Atonic
Clonic-tonic 19. M. L. is a 40-year-old female that has been recently diagnosed with Multiple Sclerosis (MS). As you provide primary care for your patient you inform her that:  MS presents with a classis triad of symptoms, which are blurred vision, vertigo, and tinnitus
MS has a predictable course and can easily be managed
MS has a predictable course and can easily be managed
Often MS has a varying pattern of exacerbation and remissions 20. Ms. Smith, 37-year-old, comes to the clinic today complaining of dull, throbbing bilateral headaches almost every evening. You suspect she is experiencing:  cluster headaches
migraine headaches
tension headaches
benign intracranial
hypertension 21. The FNP is seeing Mr. Smith a 78-year-old gentleman accompanied by his wife to the health clinic. His wife reports that he has been falling down, tripping and stumbling. The FNP suspects a problem in:  Peripheral nervous system
Brainstem
Cerebrum
Cerebellum 22. Educating your patient about headache management should include information about all but:  Headache diary
Rebound headaches
Trigger identification
Common laboratory testing for diagnosis

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