Nokea
All of the following are branches of the ophthalmic division of the trigeminal nerve EXCEPT:
- A. Lacrimal nerve
- B. Infraorbital nerve
- C. Supraorbital nerve
- D. Infratrochlear nerve
Correct Answer: B
Rationale: The infraorbital nerve is a branch of the maxillary division (V2) of the trigeminal nerve, not the ophthalmic division (V1). It supplies sensation to the lower eyelid, cheek, and upper lip.
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Proper body alignment of the hemiplegic patient with the use of a footboard, trochanter rolls, and pillows will minimize the development of
- A. plantar extension
- B. shoulder abduction
- C. internal hip rotation
- D. external hip rotation
Correct Answer: A
Rationale: Footboards prevent plantar extension deformities.
You are providing care for a patient with an acute hemorrhagic stroke. The patient's husband has been reading a lot about strokes and asks why his wife did not receive alteplase. What is your best response?
- A. Your wife was not admitted within the time frame that alteplase is usually given.
- B. This drug is used primarily for patients who experience an acute heart attack.
- C. Alteplase dissolves clots and may cause more bleeding into your wife's brain.
- D. Your wife had gallbladder surgery just 6 months ago and this prevents the use of alteplase.
Correct Answer: C
Rationale: Alteplase increases the risk of bleeding, making it contraindicated in hemorrhagic stroke.
You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to the LPN/LVN?
- A. Complete admission assessment.
- B. Set up oxygen and suction equipment.
- C. Place a padded tongue blade at bedside.
- D. Pad the side rails before patient arrives.
Correct Answer: D
Rationale: Padding the side rails is a safety measure that can be done by an LPN/LVN without requiring complex assessment skills.
A person who experiences an aura as part of his/her seizure pattern should be instructed to
- A. lie down in a safe place
- B. take additional anticonvulsant medication
- C. call an ambulance
- D. exercise vigorously
Correct Answer: A
Rationale: Lying down in a safe place can prevent injury during a seizure.
In the initial nursing assessment of Mr. Singer it is important to remember that malignant rheumatoid arthritis
- A. is limited to the synovial joints
- B. may also involve the heart, lungs, and other body systems
- C. is primarily an episodic disease
- D. affects primarily the proximal joints
Correct Answer: B
Rationale: Malignant rheumatoid arthritis can affect multiple organ systems beyond the joints.