Nokea
The motor nuclei of the facial nerve are situated in the
- A. Floor of the third ventricle
- B. Cerebellum
- C. Midbrain
- D. Pons
Correct Answer: D
Rationale: The motor nuclei of the facial nerve are located in the pons. These nuclei control the muscles of facial expression.
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What is a normal response when assessing the pupillary light reflex?
- A. Pupils constrict in response to light and then dilate when light is removed.
- B. Pupils remain dilated regardless of light exposure.
- C. Pupils remain constricted regardless of light exposure.
- D. Pupils respond unevenly to light.
Correct Answer: A
Rationale: The normal pupillary light reflex involves constriction in response to light and dilation when light is removed. Uneven or absent responses are abnormal.
One criterion identified by the American College of Rheumatology for a diagnosis of fibromyalgia is
- A. Fiber atrophy found on muscle biopsy
- B. Elimination of all other causes of musculoskeletal pain
- C. The presence of the manifestations of chronic fatigue syndrome
- D. The elicitation of pain on palpation of at least 11 of 18 identified tender points
Correct Answer: D
Rationale: Tender points are diagnostic for fibromyalgia.
The patient who has right homonymous hemianopia and right hemiparesthesia would indicate his awareness of his safety self-promotion by
- A. keeping frequently used objects on his left side
- B. asking his visitors to approach him from his affected side
- C. frequently checking the position of the affected extremities in space
- D. adhering to one-handed activities
Correct Answer: A
Rationale: Placing objects on the unaffected side ensures visibility.
You are preparing a nursing care plan for the patient with SCI including the nursing diagnoses Impaired Physical Mobility and Self-Care Deficit. The patient tells you, 'I don't know why we're doing all this. My life's over.' What additional nursing diagnosis takes priority based on this statement?
- A. Risk for Injury related to altered mobility
- B. Imbalanced Nutrition, Less Than Body Requirements
- C. Impaired Adjustment to Spinal Cord Injury
- D. Poor Body Image related to immobilization
Correct Answer: C
Rationale: This statement reflects a need for psychological support and adjustment to the injury.
A patient with OA asks the nurse whether he could try glucosamine and chondroitin for control of his symptoms. The best response by the nurse includes what information?
- A. Some patients find these supplements helpful for relieving arthritis pain and improving mobility.
- B. Although these substances may not help, there is no evidence that they can cause any untoward effects.
- C. These supplements are a fad that has not been shown to reduce pain or increase joint mobility in patients with OA.
- D. Only dosages of these supplements available by prescription are high enough to provide any benefit in treatment of OA.
Correct Answer: A
Rationale: Glucosamine and chondroitin may offer symptomatic relief.