Nokea
What is a normal finding when assessing the sensory function of a patient?
- A. The patient should be able to identify light touch, pain, and temperature accurately.
- B. The patient should have a decreased sense of touch.
- C. The patient should report numbness or tingling.
- D. The patient should have difficulty identifying sensations.
Correct Answer: A
Rationale: Normal sensory function includes the ability to accurately identify light touch, pain, and temperature. Decreased sensation, numbness, or difficulty identifying sensations are abnormal findings.
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Any of the following cranial nerves has the parasympathetic nucleus EXCEPT:
- A. vagal
- B. oculomotor
- C. glossopharyngeal
- D. olfactory
Correct Answer: D
Rationale: Olfactory nerve is the correct answer because it is a sensory nerve responsible for the sense of smell and does not have a parasympathetic nucleus. In contrast, the vagus, oculomotor, and glossopharyngeal nerves all have parasympathetic components that regulate functions such as heart rate, pupil constriction, and salivation.
KL is a 34-year-old male admitted to the hospital (large trauma center) after suffering a traumatic brain injury (TBI) secondary to a serious motor vehicle accident. He was in excellent health prior to the accident. HT: 6'2" WT: 190 pounds (86 kg) What is likely the best way to feed KL while he is in the hospital?
- A. nasogastric tube
- B. nasoenteric tube
- C. parenteral nutrients
- D. baby food orally
Correct Answer: B
Rationale: A nasoenteric tube is often the preferred method for feeding patients with traumatic brain injury (TBI) who cannot safely swallow. It allows for enteral nutrition delivery directly into the small intestine, reducing the risk of aspiration compared to a nasogastric tube.
A nursing student is teaching a patient and family about epilepsy prior to the patient's discharge. For which statement should you intervene?
- A. You should avoid consumption of all forms of alcohol.
- B. Wear your medical alert bracelet at all times.
- C. Protect your loved one's airway during a seizure.
- D. It's OK to take over-the-counter medications.
Correct Answer: D
Rationale: Over-the-counter medications can interact with antiepileptic drugs, so this advice is incorrect and requires intervention.
You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene?
- A. The student instructs the patient to sit up straight, resulting in the patient's puzzled expression.
- B. The student moves the patient's tray to the right side of her over-bed tray.
- C. The student assists the patient with passive range-of-motion (ROM) exercises.
- D. The student combs the left side of the patient's hair when the patient combs only the right side.
Correct Answer: A
Rationale: Right hemisphere strokes can impair spatial perception; instructions may need to be simplified or demonstrated.
Which other extraarticular manifestation of RA is most likely to be seen in the patient with rheumatoid nodules?
- A. Lyme disease
- B. Felty syndrome
- C. Sjögren's
- D. Spondyloarthropathies
Correct Answer: B
Rationale: Felty syndrome involves splenomegaly and neutropenia.