Chapter 17 D2L

Which of the following MOST accurately describes a simple partial seizure? A) A seizure that begins in one extremity B) A seizure that causes the patient to stare blankly C) A seizure that is not preceded by an aura D) A generalized seizure without incontinence

A) A seizure that begins in one extremity

The most basic functions of the body, such as breathing, blood pressure, and swallowing, are controlled by the: A) brain stem. B) cerebrum. C) cerebellum. D) cerebral cortex.

A) brain stem

When you are obtaining medical history from the family of a suspected stroke patient, it is MOST important to determine: A) when the patient last appeared normal. B) if there is a family history of a stroke. C) if the patient has been hospitalized before. D) the patient's overall medication compliance.

A) when the patient last appeared normal.

The MOST significant risk factor for a hemorrhagic stroke is: A) severe stress. B) hypertension. C) heavy exertion. D) diabetes mellitus.

B) hypertension.

Your patient opens his eyes, moans, and pulls away from you when you pinch his trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of: A) 6. B) 7. C) 8. D) 9.

C) 8.

Febrile seizures: A) often result in permanent brain damage. B) are also referred to as absence seizures. C) are usually benign but should be evaluated. D) occur when a child's fever rises slowly.

C) are usually benign but should be evaluated.

When assessing for arm drift of a patient with a suspected stroke, you should: A) observe movement of the arms for approximately 2 minutes. B) expect to see one arm slowly drift down to the patient's side. C) ask the patient to close his or her eyes during the assessment. D) ask the patient to hold his or her arms up with the palms down.

C) ask the patient to close his or her eyes during the assessment.

Interruption of cerebral blood flow may result from all of the following, EXCEPT: A) a thrombus. B) an embolism. C) cerebral vasodilation. D) an acute arterial rupture.

C) cerebral vasodilation.

The mental status of a patient who has experienced a generalized seizure: A) progressively worsens over a period of a few hours. B) is easily differentiated from that of acute hypoglycemia. C) is likely to improve over a period of 5 to 30 minutes. D) typically does not improve, even after several minutes.

C) is likely to improve over a period of 5 to 30 minutes.

Which of the following is NOT an assessment parameter included in the Cincinnati Prehospital Stroke Scale? A) speech B) arm drift C) memory D) facial droop

C) memory

You arrive at a local grocery store approximately 5 minutes after a 21-year-old female stopped seizing. She is confused and disoriented; she keeps asking you what happened and tells you that she is thirsty. Her brother, who witnessed the seizure, tells you that she takes valproate (Depakote) for her seizures, but has not taken it in a few days. He also tells you that she has diabetes. In addition to administering oxygen, you should: A) administer one tube of oral glucose and prepare for immediate transport. B) place her in the recovery position and transport her with lights and siren. C) monitor her airway and breathing status and assess her blood glucose level. D) give her small cups of water to drink and observe for further seizure activity.

C) monitor her airway and breathing status and assess her blood glucose level.

The left cerebral hemisphere controls: A) the right side of the face. B) heart rate and pupil reaction. C) the right side of the body. D) breathing and blood pressure.

C) the right side of the body.

Which of the following conditions would MOST likely affect the entire brain? A) Blocked cerebral artery in the frontal lobe B) Reduced blood supply to the left hemisphere C) Ruptured cerebral artery in the occipital lobe D) Respiratory failure or cardiopulmonary arrest

D) Respiratory failure or cardiopulmonary arrest

The three major parts of the brain are the: A) cerebellum, medulla, and occiput. B) brain stem, midbrain, and spinal cord. C) midbrain, cerebellum, and spinal cord. D) cerebrum, cerebellum, and brain stem.

D) cerebrum, cerebellum, and brain stem.

During the primary assessment of a semiconscious 70-year-old female, you should: A) insert a nasopharyngeal airway and assist ventilations. B) immediately determine the patient's blood glucose level. C) ask family members if the patient has a history of stroke. D) ensure a patent airway and support ventilation as needed.

D) ensure a patent airway and support ventilation as needed.