FINAL EXAM CMN 577 STUDY GUIDE- QUESTIONS WITH 100% CORRECT ANSWERS

1. A 56-year-old patient comes in for a routine well visit. He has a history of a previous stroke and Type 2 Diabetes. Which of the following orders would be appropriate for a patient with a previous stroke? A. Initiate statin therapy B. EEG C. Warfarin therapy with an INR goal of 2-3 D. MRI A. Patients with a history of an ASCVD should be started on statin therapy regardless of current LDL. The question did not mention any other symptoms that would warrant additional diagnostics. Warfarin therapy is only indicated if AFIB would be the primary indication for anticoagulation after a stroke. 2. A 36-year-old female is being seen in your clinic for left sided facial weakness. In your review of systems, the patient reports that "certain sounds really bother me and my taste buds seem off". She also reports temporal pain which has subsided. Your physical exam reveals no other neurological deficits. Which of the following interventions would be most appropriate? A. Call 911 to activate emergency stroke protocols B. Refer the patient to neurology C. Order an MRI D. Prescribe a course of oral corticosteroids D. Bell's Palsy commonly causes alterations in taste and hyperacusis. This contrasts with stroke. Corticosteroids increase the chances of recovery complete by 12-15% at nine to twelve months and are routinely prescribed. The complaint of pain also suggests a possible viral infection such as herpes simplex or varicella which has been implicated, in some cases, as a trigger for facial palsy. 3. A 9-year-old female patient presents to your clinic with complaints of a headache. The patients mother states the headache started two days ago and she has been giving her children's Tylenol. The child states the pain is bilateral and worsens when running or standing. The nurse practitioner should: A. Treat her for migraine prevention and start topiramate B. Order a CT of her head C. Educate the parent that children need at least 9 hours of sleep D. Refer to a psychologist for cognitive behavioral therapy B. Table 25-8 lists red flags for pediatric headaches. Headaches that worsen with postural changes may indicate additional intracranial pathology and should be further