NURS 620 EXAM 1: QUESTIONS WITH SOLUTIONS
(100% CORRECT)
Which statement about confusion is true? Right Ans - Polypharmacy is a
major contributor to confusion in older adults.
The hallmark of an absence seizure is? Right Ans - A blank stare
Which person fits the hallmark description of a patient with MS? Right Ans
- A 25 y/o female
Which drug for Alzheimer's disease should be administered beginning at the
time of diagnosis? Right Ans - Cholinesterase inhibitors
Which cranial nerve is affected in a patient with a CVA who has difficulty
chewing? Right Ans - CNV
Which statement best describes a carotid bruit? Right Ans - The higher the
pitch of the bruit, the higher the degree of stenosis.
Which patient is more likely to have a cluster headache? Right Ans - a 45
y/o male awakened at night
Inattention and a sleep-wake cycle distrurbance are the hallmark symptoms
of? Right Ans - Delirium
Sondra's peripheral vestibular disease causes dizziness and vertigo. Which
medication helps decrease edema in the labyrinth of the ear? Right Ans -
Diamox
Which type of meningitis is more benign, self-limiting, and caused primarily
by a virus? Right Ans - Aseptic meningitis
First s/s of herpes zoster Right Ans - A vesicular skin lesion on one side of
the body
, Patient is concerned about bell's palsy on the right side of her face being
permanent... Right Ans - Most patients have a complete recovery in 3-6
months
Sam is n L-dopa for Parkinson's disease, he wants to know why it is necessary
to take this? Right Ans - To replace depleted stores of dopamine
sign seen in advanced PD? Right Ans - Postural instability
Most commonly experienced symptom of migraine? Right Ans - Pulsatile
pain
Which characteristic separates peripheral vertigo from central vertigo?
Right Ans - Auditory-associated symptom with peripheral vertigo and visual-
associated symptom with central vertigo
Carotid endartectomy should only be considered for symptomatic patients
with greater than what percentage of stenosis? Right Ans - Greater than
50%
What anti platelet medication is most widely used for secondary prevention of
stroke? Right Ans - ASA
90% of all headaches are? Right Ans - Without pathological cause
What herb may cause delirium and should be avoided in an elderly patient?
Right Ans - St. John's Wort
When a patient has remitting and relapsing MS without a good response to
interferon, what medication should you try IV once per month? Right Ans -
Natalizumab
The freezing phenomenon is a cardinal feature of Right Ans - PD
A ratchet-like rhythmic contraction in the hand during passive stretching is
known as? Right Ans - Cogwheeling
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