The midbrain
- A. Is largely in the middle cranial fossa
- B. Is supplied by the anterior inferior cerebellar artery
- C. Lies between pons and upper spinal cord
- D. Contains the oculomotor nuclei
Correct Answer: D
Rationale: The midbrain contains the oculomotor nuclei, which control eye movement. It is located between the pons and diencephalon and is supplied by the posterior cerebral artery.
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What is a nursing intervention that is appropriate for the patient with a nursing diagnosis of anxiety related to lack of knowledge of the etiology and treatment of headache?
- A. Help the patient to examine lifestyle patterns and precipitating factors.
- B. Administer medications as ordered to relieve pain and promote relaxation.
- C. Provide a quiet
- D. dimly lit environment to reduce stimuli that increase muscle tension and anxiety.
Correct Answer: C
Rationale: Reducing stimuli in the environment helps alleviate anxiety and muscle tension
A graduate nurse is taking a test on neurological conditions. Which of the following nursing interventions is used as a gastrointestinal preventative measure for the client with intracranial pressure?
- A. Insertion of an NG tube
- B. Administration of a histamine antagonist (Pepcid)
- C. Sips of clear fluid
- D. Insertion of a rectal tube
Correct Answer: B
Rationale: Histamine antagonists help prevent stress ulcers in clients with intracranial pressure.
One indication that a paraplegic patient is beginning to accept his disability would be that he
- A. sits and looks out the window
- B. practices push-up exercises
- C. discusses his preinjury state
- D. drinks plenty of milk
Correct Answer: B
Rationale: Engaging in physical activities indicates acceptance and adaptation.
Which of the following findings may indicate a problem with the cerebellum?
- A. Unsteady gait and difficulty with fine motor skills.
- B. Clear and coordinated movements.
- C. Normal gait and balance.
- D. Symmetrical muscle strength.
Correct Answer: A
Rationale: The cerebellum controls coordination and balance. Unsteady gait and difficulty with fine motor skills suggest cerebellar dysfunction. Clear movements, normal gait, and symmetrical strength are normal findings.
In the care plan for Mr. Thompson, a 78-year-old man with Parkinson's disease, Nurse Edwards is identifying tasks that can be safely delegated to a nursing assistant (NA). Considering the responsibilities and scope of practice for a nursing assistant, which of the following tasks is most appropriate for Nurse Edwards to delegate?
- A. Checking for orthostatic changes in pulse and blood pressure.
- B. Monitoring for improvement in tremor after levodopa (L-dopa) is given.
- C. Adjusting the dosage of levodopa (L-dopa) based on the patient's response.
- D. Monitoring for abnormal involuntary jerky movements of extremities.
Correct Answer: A
Rationale: Checking for orthostatic changes is within the scope of practice for a nursing assistant and is important for monitoring the side effects of PD medications.