Chapter 29 PrepU Questions
Nicotinic receptors are found in which area? A. GI tract B. Bladder C. Autonomic basal ganglia D. Sweat glands
C
The functions of the autonomic nervous system (ANS) can be broadly described as: A. activities designed to maintain a constant internal environment, to respond to stress or emergencies, and to repair body tissues. B. the ability to produce an action potential and to convey electrical impulses. C. the ability to regulate and produce acetylcholine. D. relaying motor impulses from the cortex to the thalamus.
A
The nursing instructor is explaining the role of the parasympathetic nervous system in influencing body functions. Which change in a patient's body functions would be directly related to the stimulation of the parasympathetic nervous system? A. Decreased heart rate B. Pupil dilation C. Increased heart rate D. Poor motility of the gastrointestinal tract
A
Nicotinic receptors would be found in which location? A. Adrenal medulla B. Sweat glands C. Bladder D. Gastrointestinal tract
A.
A client is experiencing sympathetic stimulation in response to a stressful event. Which substance will most affect the client's sodium and water retention? A. Glucose B. Aldosterone C. Thyroid hormone D. Cortisol
B
A patient is admitted to the emergency room after a car accident. Based on the experience of the emergency room nurse, what system will affect a response to the emergency? A. Central nervous system B. Autonomic nervous system C. Endocrine system D. Cardiovascular system
B
Norepinephrine is made by nerve cells using which substance? A. Choline B. Tyrosine C. Decarboxylase D. Glycogen
B
A client has had a stroke and computed tomography reveals infarcts in multiple brain regions. An infarct in which region is most likely to affect the function of the client's autonomic nervous system? A. Parietal cortex B. Ventricular system C. Hypothalamus D. Amygdala
C
A nurse is caring for a patient who is having a sympathetic response. A sympathetic response involves: A. a decrease in sweating, decrease in respirations, and pupil constriction. B. a decrease in heart rate, decrease in blood flow to skeletal muscles, and increase in inflammatory reactions. C. an increase in blood pressure, bronchi dilation, and decreased bowel sounds D. increased motility, secretions in the GI tract, and constriction of bronchi and pupils
C
A patient has received the evening meal and is recovering from surgery. What nervous system is stimulated?
Parasympathetic Nervous System
The nurse is caring for a client with asthma who has been experiencing shortness of breath and who has been administered a medication to cause bronchodilation. What aspect of autonomic nervous function has the nurse most likely influenced? A. Synthesis of acetylcholinesterase B. Stimulation of beta-adrenergic receptors C. Reuptake of acetylcholine D. Inhibition of alpha-adrenergic receptors
B
A patient is experiencing a heart rate of 42 beats per minute. Which system contributes to bradycardia? A. Parasympathetic nervous system B. Peripheral vascular system C. Autonomic nervous system D. Pulmonary system
A
Most of the free norepinephrine molecules are taken up by the nerve terminal that releases them in which process? A. Osmosis B. Reuptake C. Perfusion D. Diffusion
B
Sympathetic stimulation of the heart causes A. a decreased rate and force of myocardial contraction. B. an increased rate and force of myocardial contraction. C. aterm-20n excitatory response that stimulates the brain to generalized decreased activity. D. decreased blood flow and impaired digestion.
B
The anatomy and physiology instructor is discussing adrenergic receptors with the nursing class. What adrenergic receptor would the instructor tell the students is found in the heart and can stimulate increased myocardial activity and increase heart rate? A. Alpha1 B. Beta1 C. Beta2 D. Alpha2
B
The nurse is assessing a client who has urinary hesitation and occasional overflow incontinence. What adrenergic receptors may be overstimulated in this client? A. Alpha-2 B. Alpha-1 C. Beta-1 D. Beta-2
B
When there is stimulation of the SNS, blood is diverted away from the GI tract. What indicates this diversion? A. Increased blood pressure B. Decreased bowel sounds C. Decreased immune reactions D. Increased blood glucose levels
B
Nicotinic receptors are found in which area? A. GI tract B. Sweat glands C. Autonomic basal ganglia D. Bladder
C
The body uses tyrosine in the diet to make what substance? A. Serotonin B. Estrogen C. Norepinephrine D. Glutamate
C
The nurse is assessing a client. What assessment finding is the clearest indicator of autonomic function? A. The client can discern hot sensation from cold B. The client's hearing is intact C. The client's respiratory rate is 22 breaths per minute D. The client's muscle strength is equal bilaterally
C
A client admitted to a cardiac unit asks why a rest period is required each afternoon. The nurse's response should be based on what information regarding the PNS? A. "The nurses will be able to get some rest from the clients and other health care providers." B. "It is a time for all health care providers to complete documentation and review test results." C. "Families and visitors are encouraged to get lunch and rest during this time." D. "Clients are encouraged to rest and relax during this time, free of families and visitors."
D
A client with asthma is prescribed albuterol to dilate the bronchioles. The nurse understands that this drug is likely acting on which receptors? A. Beta-1 B. Alpha-1 C. Alpha-2 D. Beta-2
D
During ambulation after surgery, the skeletal muscle produces contraction. What receptor is located in motor nerves and skeletal muscle? A. Acetylcholine B. Muscarinic C. Beta adrenergic D. Nicotinic
D
The nurse is caring for a client with asthma who has been administered albuterol in order to promote bronchodilation and relieve shortness of breath. When giving this medication, the nurse has affected the client's autonomic nervous system by: A. stimulating beta2-receptors. B. decreasing the reuptake of acetylcholine. C. converting a larger proportion of dopamine to norepinephrine. D. antagonizing alpha2-receptors.
A
The nurse is caring for a client who is known to have deficient levels of dopamine because of a dietary lack of tyrosine. The nurse should expect to assess for evidence of: A. hyperfunction of the sympathetic nervous system. B. overstimulation of nicotinic receptors. C. decreased adrenergic response. D. increased adrenergic response.
C
The nurse is conducting an assessment of a newly admitted client. What assessment finding should suggest to the nurse that the client's muscarinic cholinergic receptors are being stimulated? A. The client describes a frontal lobe headache. B. The client's blood pressure is 119/72 mmHg. C. The client's attention span is unusually short. D. The client has "pinpoint" pupils.
D
What is the resulting physiologic effect when the parasympathetic nervous system is stimulated? A. Increased GI motility B. Increased heart rate C. Decreased GI secretions D. Pupil dilation
A