Which of the following is a sign of possible upper motor neuron damage?
- A. Muscle spasticity and hyperreflexia.
- B. Muscle flaccidity and diminished reflexes.
- C. Normal muscle tone and reflexes.
- D. Absence of neurological symptoms.
Correct Answer: A
Rationale: Upper motor neuron damage is characterized by muscle spasticity and hyperreflexia. Flaccidity, diminished reflexes, and normal tone are not associated with upper motor neuron damage.
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The following conditions are required for rhodopsin regeneration:
- A. NADPH
- B. darkness
- C. splitting of all trans-retinal from the opsin
- D. all above
Correct Answer: D
Rationale: Rhodopsin regeneration requires NADPH, darkness, and the separation of all-trans-retinal from opsin. These steps are essential for the visual cycle.
After receiving a change-of-shift report at 7:00 am, which of these patients will you assess first?
- A. A 23-year-old with a migraine headache who is complaining of severe nausea associated with retching
- B. A 45-year-old who is scheduled for a craniotomy in 30 minutes and needs preoperative teaching
- C. A 59-year-old with Parkinson's disease who will need a swallowing assessment before breakfast
- D. A 63-year-old with multiple sclerosis who has an oral temperature of 101.8°F and flank pain
Correct Answer: B
Rationale: Preoperative teaching is time-sensitive and critical for surgical preparation.
The nurse is participating in the preparation of a seminar on the neurologic system for a community health fair. Which part of the system is the nurse referring when the statement 'rest and digest' is included?
- A. Left hemisphere of the cerebral cortex
- B. Right hemisphere of the cerebral cortex
- C. Sympathetic division of the autonomic nervous system
- D. Parasympathetic division of the autonomic nervous system
Correct Answer: D
Rationale: The parasympathetic division of the autonomic nervous system is responsible for 'rest and digest' functions, such as digestion and relaxation. The sympathetic division mediates the 'fight-or-flight' response, while the cerebral hemispheres are involved in higher cognitive functions. Understanding the autonomic nervous system is key to explaining physiological responses.
In the acute phase following a cerebrovascular accident, patients have a tendency to develop pressure lesions for all of the following reasons EXCEPT
- A. high degree of muscle spasticity
- B. accompanying sensory loss
- C. interference with altered autonomic reflexes
- D. diminished muscle use
Correct Answer: A
Rationale: Spasticity does not typically contribute to pressure ulcers.
What is the strongest known risk factor for MS?
- A. cigarette smoking
- B. genetics
- C. obesity
- D. living in northern climates
Correct Answer: B
Rationale: Genetics is the strongest known risk factor for multiple sclerosis (MS). While environmental factors like vitamin D deficiency and smoking can influence risk, having a family history of MS significantly increases an individual's likelihood of developing the condition.