Nokea
Which nerve supplies the vertex of the scalp
- A. Greater occipital
- B. Third occipital
- C. Auriculotemporal
- D. Supraorbital
Correct Answer: A
Rationale: The greater occipital nerve, a branch of the dorsal ramus of C2, supplies sensation to the vertex of the scalp. It is important in diagnosing occipital neuralgia.
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A patient with PD is taking carbidopa/levodopa 25/100 mg three times a day, and reports that he tends to slow down 2 hours before his next carbidopa/levodopa dose. This patient is most likely experiencing:
- A. Delayed onset response
- B. Dyskinesia
- C. Freezing
- D. Wearing off
Correct Answer: D
Rationale: Wearing off refers to the recurrence of PD symptoms before the next dose of medication, indicating the need for dose adjustment or adjunct therapy.
The nurse determines what about the caregiver?
- A. The caregiver is also developing signs of AD.
- B. The caregiver is manifesting symptoms of caregiver role strain.
- C. The caregiver needs a period of respite from care of the patient.
- D. The caregiver should ask other family members to participate in the patient's care.
Correct Answer: B
Rationale: Symptoms like inability to concentrate indicate caregiver role strain
The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action(s) to the LPN/LVN? (Chooseone that doesn't apply.)
- A. Check the patient's skin for pressure from device.
- B. Assess the patient's neurologic status for changes.
- C. Observe the halo insertion sites for signs of infection.
- D. Clean the halo insertion sites with hydrogen peroxide.
Correct Answer: B
Rationale: Skin checks, observing for infection, and cleaning insertion sites are tasks that can be performed by an LPN/LVN under supervision.
The presence of dysphagia suggests damage to cranial nerves:
- A. V-VII
- B. IX-X
- C. VII-XI
- D. III-VI
Correct Answer: B
Rationale: Cranial nerves IX (glossopharyngeal) and X (vagus) are the correct answers because they are involved in the motor and sensory functions of the pharynx and larynx, which are essential for swallowing. Damage to these nerves disrupts the coordinated movements required for swallowing, leading to dysphagia.
The afferent path of the sneeze reflex is mediated via the
- A. Ophthalmic nerve V1
- B. Maxillary nerve V2
- C. Mandibular nerve V3
- D. Vagus nerve
Correct Answer: B
Rationale: The sneeze reflex is triggered by irritation of the nasal mucosa, which is innervated by the maxillary nerve (V2). The reflex involves the trigeminal nerve and medullary centers.