Each cerebral hemisphere is divided into ________ lobes, ________ of which have the same name as the bone over them.
- A. four, three
- B. three, two
- C. five, two
- D. five, four
Correct Answer: A
Rationale: Each cerebral hemisphere is divided into four lobes: the frontal, parietal, temporal, and occipital lobes. Three of these lobes (frontal, parietal, and temporal) share their names with the bones of the skull that overlie them. The occipital lobe is named after the occipital bone. Therefore, four, three is the correct answer as it accurately describes the division and naming of the cerebral lobes.
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The athlete comes to the clinic with bursitis. What does the nurse know happens to the tissue to cause pain when bursitis occurs?
- A. Tearing of a ligament
- B. Stretching of muscle and fascia sheath
- C. Inflammation of synovial membrane sac at friction sites
- D. Incomplete separation of articular surfaces of joint caused by ligament injury
Correct Answer: C
Rationale: Bursitis involves inflammation of the bursae, which are small fluid-filled sacs that cushion joints.
What does a positive Babinski sign in an adult suggest?
- A. Possible upper motor neuron dysfunction.
- B. Normal plantar reflex.
- C. Absence of neurological abnormalities.
- D. Normal function of lower motor neurons.
Correct Answer: A
Rationale: A positive Babinski sign in an adult indicates possible upper motor neuron dysfunction, such as a stroke or spinal cord injury. A normal plantar reflex involves toe flexion, not extension.
Which of the following activity-related strategies would a nurse teach a client who is going home?
- A. Avoid fatigue and take frequent rest periods if needed
- B. Take deep breaths every 4 hours while awake
- C. Make your daily routine rigid so that you can remember what to do
- D. Avoid exposure to the outdoors
Correct Answer: A
Rationale: Rest periods help prevent exacerbation of symptoms.
As the community health nurse, you meet with Mrs. Rollo 1 week after discharge. She complains to you of increasing joint pain and stiffness despite adherence to the discharge plan for medication therapy and heat treatments. Which of the following aspects would you initially want to evaluate?
- A. Diet
- B. Balance between exercise and rest
- C. Use of fad diet or appliances
- D. Feelings of self-worth and self-concept
Correct Answer: B
Rationale: Imbalance between exercise and rest can exacerbate joint pain and stiffness.
Which finding should the nursing assistant report immediately for a patient with a fractured fibula receiving skeletal traction?
- A. The patient wants to change position in bed.
- B. There is redness around the pin sites.
- C. The patient asks for a glass of water.
- D. The patient mentions feeling hungry.
Correct Answer: B
Rationale: Redness around pin sites could indicate infection or poor circulation.