Which of the following is a traumatic brain injury:
- A. cerebrovascular accident (CVA)
- B. Alzheimer's disease
- C. aphasia
- D. cerebral edema
Correct Answer: D
Rationale: Cerebral edema, or swelling of the brain, is a traumatic brain injury resulting from physical trauma. Cerebrovascular accidents, Alzheimer's disease, aphasia, and Parkinson's disease are not traumatic injuries. Therefore, D is the correct answer.
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Nurse Davis is about to perform an initial assessment on Mrs. Allen, a 64-year-old woman admitted with advanced Parkinson's Disease. Nurse Davis is aware that certain characteristics are indicative of this stage of the disease. Which of the following does Nurse Davis recognize as a characteristic of a patient with advanced Parkinson's disease?
- A. Disturbed vision.
- B. Mask-like facial expression.
- C. Muscle atrophy.
- D. Forgetfulness.
Correct Answer: B
Rationale: A mask-like facial expression is a common feature of advanced Parkinson's disease due to reduced facial muscle movement.
Which of the following statements about nerve growth factor is not true
- A. it is made up of 3 polypeptide subunits
- B. it is found in high concentration in the submaxillary salivary gland
- C. it is picked up by nerves from the organs they innervate
- D. it is present in brain.
Correct Answer: B
Rationale: Nerve growth factor (NGF) is not found in high concentration in the submaxillary salivary gland. It is primarily involved in the growth, maintenance, and survival of neurons. NGF is a dimeric protein, not trimeric, and is present in the brain and other tissues. It is taken up by nerve endings and transported retrogradely to the cell body.
The foremost observation to make when providing care to a patient in status epilepticus is
- A. hydration
- B. patency of airway
- C. temperature elevation
- D. response to environmental stimuli
Correct Answer: B
Rationale: Maintaining airway patency is critical in status epilepticus to ensure adequate oxygenation.
A 22-year-old female patient recovering from a craniotomy begins crying and asking for her mother who is sleeping in the visitors' lounge. The patient's Glasgow Coma Scale (GCS) of 15 and pupils are equal and reactive. What nursing action would be most appropriate at this time?
- A. Ask the mother to come and stay with the patient.
- B. Administer an as-needed sedative to calm the patient.
- C. Notify the neurosurgeon that the patient is upset and crying.
- D. Reassure the patient, and sit with her until she falls back asleep.
Correct Answer: A
Rationale: The patient is stable with a GCS of 15 and normal pupillary response, indicating no immediate neurological concern. Emotional distress after surgery is common, and having a family member present can provide comfort. Sedation or notifying the surgeon is unnecessary unless there are signs of neurological deterioration.
Any of the following syndromes is the involuntary movement EXCEPT:
- A. chorea
- B. tic
- C. tremor
- D. paresis
Correct Answer: D
Rationale: Paresis is the correct answer because it refers to weakness or partial paralysis, which is not an involuntary movement. In contrast, chorea, tics, and tremor are all types of hyperkinetic movements that occur without voluntary control and are associated with various neurological disorders.