Nokea
Which finding may suggest a problem with the patient's proprioception?
- A. Difficulty standing with eyes closed or swaying when standing still.
- B. Steady gait and normal balance.
- C. Clear, intact sensation in all extremities.
- D. Normal muscle strength and coordination.
Correct Answer: A
Rationale: Proprioception issues are indicated by difficulty standing with eyes closed or swaying. Steady gait, intact sensation, and normal strength are normal findings.
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Meningeal sign is the following:
- A. Babinsky
- B. Kernig
- C. Lasseg
- D. Romberg
Correct Answer: B
Rationale: Kernig's sign is the correct answer because it is a clinical sign of meningeal irritation, often seen in meningitis. It is elicited by attempting to extend the knee while the hip is flexed, which causes pain and resistance due to inflammation of the meninges.
You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to the LPN/LVN?
- A. Complete admission assessment.
- B. Set up oxygen and suction equipment.
- C. Place a padded tongue blade at bedside.
- D. Pad the side rails before patient arrives.
Correct Answer: D
Rationale: Padding the side rails is a safety measure that can be done by an LPN/LVN without requiring complex assessment skills.
What measures can help control the client's body temperature related to brain infection?
- A. Administering prescribed antipyretics.
- B. Reducing body hydration.
- C. Applying ice packs.
- D. Keeping the room temperature warm.
Correct Answer: A
Rationale: Antipyretics directly address fever, reducing cerebral irritation.
Vasodilators produced by the endothelium include:
- A. endothelium-derived relaxing factor (EDRF)
- B. nitric oxide (NO)
- C. prostacyclin (PGL2)
- D. all above
Correct Answer: D
Rationale: The endothelium produces vasodilators such as EDRF (which includes NO) and prostacyclin (PGL2). These substances help regulate vascular tone and blood flow.
The cutaneous innervation of the ear
- A. Is the lesser auricular nerve
- B. Involves the dermatome of C3
- C. Includes the zygomaticotemporal branch of the trigeminal nerve
- D. Includes the vagus
Correct Answer: D
Rationale: The vagus nerve (X) provides sensory innervation to the external auditory meatus and part of the ear. This is important in diagnosing referred pain from the ear.