Nokea
Regarding the cranial nerves
- A. The trigeminal nerve is purely sensory
- B. The abducens nerve traverses the foramen lacerum
- C. The trochlear nerve supplies the superior oblique muscle only
- D. The hypoglossal nerve exits the skull through the foramen magnum
Correct Answer: C
Rationale: The trochlear nerve (IV) innervates only the superior oblique muscle, which depresses and abducts the eye. It is the only cranial nerve that exits dorsally from the brainstem.
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Which of the following conditions is the result of a ruptured cerebral blood vessel and the release of blood into the brain tissue?
- A. Ischemic stroke
- B. Transient ischemic attack
- C. Cerebral aneurysm
- D. Hemorrhagic stroke
Correct Answer: D
Rationale: A hemorrhagic stroke involves bleeding into the brain tissue.
A nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which of the following would be included in the plan of care?
- A. No precautions are required as long as antibiotics have been started
- B. Maintain enteric precautions
- C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics
- D. Maintain neutropenic precautions
Correct Answer: C
Rationale: Respiratory isolation precautions are necessary for at least 24 hours after starting antibiotics to prevent the spread of bacterial meningitis, which is transmitted through respiratory droplets. This precaution protects healthcare workers and other patients from exposure to the infectious agent.
In a patient with a stable vertebral fracture, what should the nurse teach the patient to do?
- A. Remain on bed rest until the pain is gone.
- B. Logroll to keep the spine straight when turning.
- C. How to use bone cement to correct the problem.
- D. Take as much analgesic as needed to relieve the pain.
Correct Answer: B
Rationale: Logrolling minimizes further injury to the spine.
Which of the following would indicate side effects of the gold therapy?
- A. Symptoms of gastric irritation
- B. Generalized edema
- C. Elevated blood pressure
- D. Symptoms of visual disturbance
Correct Answer: A
Rationale: Gastric irritation is a common side effect of gold therapy.
A patient with gout is treated with drug therapy to prevent future attacks. The nurse teaches the patient that what is most important for the patient to do?
- A. Avoid all foods high in purine, such as organ meats.
- B. Have periodic determination of serum uric acid levels.
- C. Increase the dosage of medication with the onset of an acute attack.
- D. Perform active range of motion (ROM) of all joints that have been affected by gout.
Correct Answer: B
Rationale: Monitoring uric acid levels ensures treatment efficacy.