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NURS 623 EXAM 4 MARYVILLE UNIVERSITY | QUESTIONS AND CORRECT ANSWERS | GRADED A+ | PROFESSOR VERIFIED | LATEST VERSION (JUST RELEASED)$25.99
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NURS 623 EXAM 4 MARYVILLE UNIVERSITY
| QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | PROFESSOR VERIFIED |
LATEST VERSION (JUST RELEASED)
Janet is a 30-year-old who has recently been diagnosed with a herniated
disc at the level of L5-S1. She is currently in the emergency room with
suspicion of cauda equina compression. Which of the following is a sign or
symptom of cauda equina compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks ------CORRECT ANSWER-----
----------d. Paresthesia of the perineum and buttocks
Which of the following statements is true concerning the management of
the client with a herniated disc?
a. Muscle relaxants and narcotics can be used to control moderate pain but
should be discontinued after 3 weeks of use.
b. An epidural injection is helpful in reducing leg pain that has persisted for
at least 3 weeks after the herniation occurred.
c. Intolerable pain for more than a 3-month period is an indication for
surgical intervention.
d. All of the above ------CORRECT ANSWER---------------c. Intolerable pain
for more than a 3-month period is an indication for surgical intervention.
John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and
then being unable to extend it completely. John tells the clinician that he
heard a pop when the injury occurred and has been experiencing localized
pain. The clinician suspects a meniscal tear. Which test would be most
appropriate to assess for the presence of a meniscal tear?
a. Valgus stress test
,b. McMurray circumduction test
c. Lachman test
d. Varus stress test ------CORRECT ANSWER---------------b. McMurray
circumduction test
Normal estrogen function is important for preventing osteoporosis in both
men and women. Estrogen works to prevent osteoporosis in which of the
following ways?
a. By decreasing the erosive activity of osteoclasts
b. By promoting osteoclastogenesis
c. By inhibiting osteoclast apoptosis
d. All of the above ------CORRECT ANSWER---------------a. By decreasing
the erosive activity of osteoclasts
Which patient is more likely to have a cluster headache?
a. A female in her reproductive years
b. A 40-year-old African American male
c. A 55-year-old female who drinks 10 cups of coffee daily
d. A 45-year-old male awakened at night ------CORRECT ANSWER----------
-----D
Inattention and a sleep-wake cycle disturbance are the hallmark symptoms
of?
a. Dementia
b. Alzheimer's disease
c. Parkinson's disease
d. Delirium ------CORRECT ANSWER---------------D
Which type of meningitis is more benign, self-limiting, and caused primarily
by a virus?
a. Purulent meningitis
b. Chronic meningitis
,c. Aseptic meningitis
d. Herpes meningitis ------CORRECT ANSWER---------------c
What is usually the first sign or symptom that a patient would present with
that would make you suspect herpes zoster?
a. A stabbing pain on one small area of the body
b. A vesicular skin lesion on one side of the body
c. A pain that is worse upon awakening
d. A lesion on the exterior ear canal ------CORRECT ANSWER---------------B
Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is
distorted, and she is concerned about permanent paralysis and pain. What
do you tell her?
a. "Most patients have complete recovery in 3 to 6 months."
b. "Unfortunately, you'll probably have a small amount of residual damage."
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." ------CORRECT ANSWER---------------A
Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He
asks why this is necessary. You tell him:
a. "L-dopa is neuroprotective."
b. "The primary goal of therapy is to replace depleted stores of dopamine."
c. "This is the only drug that can provide symptomatic benefit."
d. "This is the initial monotherapy drug." ------CORRECT ANSWER-----------
----B
Which of the following is the most commonly experienced symptom of
migraine?
a. Light sensitivity
b. Pulsatile pain
c. Sound sensitivity
, d. Experiencing an aura ------CORRECT ANSWER---------------B
Which of the following characteristics differentiates peripheral vertigo from
central vertigo?
a. The duration of central vertigo is shorter than that of peripheral vertigo.
b. There is an auditory-associated symptom with peripheral vertigo and a
visual-associated symptom with central vertigo.
c. Central vertigo is positional, and peripheral vertigo is not.
d. The onset of central vertigo is more sudden than that of peripheral
vertigo. ------CORRECT ANSWER---------------B
What antiplatelet agent is most widely used for secondary prevention of
stroke?
a. Aspirin
b. Ticlopidine
c. Clopidogrel
d. Aspirin and clopidogrel ------CORRECT ANSWER---------------D
Which herbal preparation may cause delirium and should be avoided in an
elderly patient?
a. Sam-e
b. Saint John's Wort
c. Melatonin
d. Saw Palmetto ------CORRECT ANSWER---------------B
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.
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