Nokea
A VII nerve injury at the exit from the stylomastoid foramen would explain all except:
- A. Loss of sensation over the vallecula
- B. Loss of taste over the anterior third of the tongue
- C. Increased responsiveness to loud noises
- D. Inability to open the ipsilateral eye
Correct Answer: D
Rationale: The correct answer is D because the facial nerve (VII) does not control eye opening; this is controlled by the oculomotor nerve (III). The other options (a, b, c, e) are consistent with a VII nerve injury.
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Chief organ systems affected in acute graft-versus-host reaction are:
- A. Skin
- B. Renal system
- C. Gut
- D. CNS
Correct Answer: A
Rationale: The skin is one of the primary organ systems affected in acute graft-versus-host disease. The renal system, gut, and CNS can also be affected, but the skin is the most commonly involved.
Regarding puberty:
- A. The beginning of puberty is closely related to bony changes rather than to age
- B. The first sign of puberty in a boy is the development of axillary hair
- C. Constitutional precocious puberty is commoner in girls than boys
- D. Delayed puberty is defined as lack of pubertal changes in a boy after 14 years of age
Correct Answer: C
Rationale: Constitutional precocious puberty is more common in girls than boys, often due to earlier activation of the hypothalamic-pituitary-gonadal axis.
Absent jugular venous pulsations are described in patients with
- A. Atrial paralysis
- B. Budd Chiari syndrome
- C. Endomyocardial fibrosis with giant right atrium
- D. Fontan procedure
Correct Answer: D
Rationale: Absent jugular venous pulsations are described in patients with the Fontan procedure due to the absence of a right atrial pump.
A client with type 2 diabetes mellitus (DM) is admitted to the hospital for uncontrolled DM. Insulin therapy is initiated with an initial dose of Humulin N insulin at 0800. At 1600, the client complains of diaphoresis, rapid heartbeat, and feeling shaky. What should the nurse do first?
- A. Determine the client's current glucose level
- B. Administer 10 units of fast-acting insulin.
- C. Offer the client a snack with high protein.
- D. Increase the IV infusion rate of normal saline.
Correct Answer: A
Rationale: The symptoms suggest hypoglycemia. Checking the glucose level confirms the diagnosis and guides appropriate treatment.
Regarding sumatriptan:
- A. It has a good oral bioavailability
- B. Its onset of action is within 15 minutes of subcutaneous administration
- C. Is a 5-HT agonist
- D. Acts on adrenergic and muscarinic receptors
Correct Answer: B
Rationale: Its onset of action is within 15 minutes of subcutaneous administration