Final

Is the F.A.S.T. acronym only used for ischemic strokes? Select one: True False

False

Primary brain tumors usually metastasize to other organs in the body? True or False

False

True or False: Parkinson's Disease most commonly affects patients in young adulthood, and there is currently no cure for the disease.

False

An Aura is a premonition of impending seizure activity and can be visual, auditory, or gustatory? True or False

True

The patient newly diagnosed with Parkinson disease is being discharged. Which instruction for the patient's spouse is best for the nurse to provide? a. Administer medications promptly on schedule to maintain therapeutic drug levels b. Speak loudly for better understanding c. Provide large, high-calorie meals to maintain the patient's weight d. Complete activities of daily living for the patient

a. Administer medications promptly on schedule to maintain therapeutic drug levels

A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, which factor is most beneficial in determining the potential cause of the episode? a. Compliance with the prescribed medication regimen b. Recent stress level c. The type of anticonvulsant prescribed to manage the epileptic condition d. Recent weight gain and loss

a. Compliance with the prescribed medication regimen

A client being treated for a brain tumor is exhibiting signs and symptoms of cerebral edema. The nurse anticipates that the practitioner will most likely prescribe which agent a. Diuretic b. Corticosteroid c. Anticonvulsant agent d. Immunotherapy agent

a. Diuretic

What is the phase called when a seizure stops, people may have a headache, sore muscles, unusual sensations, confusion, and profound fatigue, and may sleep for hours? a. Postictal b. prodromal c. ictal d. absent

a. Postictal

After a seizure, the nurse should place the patient in which of the following positions to prevent complications a. High Fowler's to prevent aspiration b. Side-lying, to facilitate drainage of oral secretions c. Supine, to rest the muscles of the extremities d. Semi-Fowler's, to promote breathing

b. Side-lying, to facilitate drainage of oral secretion

An older client complains of a constant headache. A physical examination shows papilledema. What may the symptoms indicate in this client? a. Epilepsy b. Brain tumor c. Trigeminal neuralgia d. Hypostatic pneumonia

b. Brain tumor

A client with a recent stroke history is admitted to a rehabilitation unit and placed on high fall risk precautions. The client is impulsive, easily distracted, frequently forgets his/her cane when walking, and the location of his/her room. What stroke conditions do these signs best indicate? a. Left hemispheric stroke b. Right hemispheric stroke c. Hemorrhagic stroke d. Ischemic stroke

b. Right hemispheric stroke

The nurse is providing care for a client who is withdrawing from heavy alcohol use. The nurse and other members of the care team are present at the bedside when the client has a seizure. In preparation for documenting this clinical event, the nurse should note which of the following? a. The success or failure of the care team to physically restrain the client b. The client's activities immediately prior to the seizure c. The client's ability to explain his seizure during the postictal period d. The ability of the client to follow instructions during the seizure

b. The client's activities immediately prior to the seizure

You're caring for a patient with Parkinson's Disease that has tremors. Select the option that is INCORRECT about tremors experienced in this disease: a. A common term used to describe the tremors in the hands and fingers is called "pill-rolling". b. The tremors are most likely to occur with purposeful movements c. Tremors are one of the most common signs and symptoms in Parkinson's Disease d. Tremors in this disease can occur in the hands, fingers, arms, legs and even the lips and tongue.

b. The tremors are most likely to occur with purposeful movements

A client diagnosed with a stroke is having difficulty forming words during communication. This would be appropriately documented as a. diplopia. b. dysarthria. c. dysphagia. d. receptive aphasia.

b. dysarthria.

A client with a brain tumor is complaining of a headache upon awakening. Which nursing action would the nurse take first? a. Administer Percocet as ordered b. Administer morning dose of anticonvulsant c. Elevate the head of the bed d. Complete a head-to-toe assessment

c. Elevate the head of the bed

A client has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize? a. Focal Seizure b. Unclassified seizure c. Generalized Seizure d. Absent Seizure

c. Generalized Seizure

When the nurse observes that the client has extension and external rotation of the arms and wrists and plantar flexion of the feet, the nurse records the client's posture as a. flaccid b. normal c. decerebrate d. decorticate

c. decerebrate

A patient suffering a stroke is having a difficult time swallowing. What would the nurse document this finding as? a. Dysarthria b. Ataxia c. Arthralgia d. Dysphagia

d. Dysphagia

A patient is admitted to the hospital for management of an extrapyramidal disorder. Included in the physician's admitting orders are the medications levodopa, benztropine, and selegiline. The nurse knows that most likely, the client has a diagnosis of: a. multiple sclerosis b. seizure disorder c. Huntington disease d. Parkinson disease

d. Parkinson disease

Which of the following assessment data indicated nuchal rigidity a. Negative Brudzinski's sign b. Negative Kernig's sign c. Positive homan's sign d. Positive Kernig's sign

d. Positive Kernig's sign