Nokea
Which of the following represents a sensory input that is not part of both the somatic and autonomic systems?
- A. vision
- B. taste
- C. baroreception
- D. proprioception
Correct Answer: C
Rationale: Baroreception is the correct answer because it is a sensory input related to monitoring blood pressure, which is part of the autonomic nervous system. Vision, taste, and proprioception are sensory inputs that are part of both the somatic and autonomic systems. Vision and taste involve sensory information processed by both systems, while proprioception provides information about body position and movement, which is essential for both systems to coordinate responses.
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The patient has had RA for some time but has not had success with previous medications. Although there is an increased risk for tuberculosis, which monoclonal antibody is used with methotrexate to best treat symptoms?
- A. Parenteral gold
- B. Certolizumab (Cimzia)
- C. Tocilizumab (Actemra)
- D. Hydroxychloroquine (Paquenil)
Correct Answer: C
Rationale: Tocilizumab targets IL-6 receptors.
In the care plan for Mr. Thompson, a 78-year-old man with Parkinson's disease, Nurse Edwards is identifying tasks that can be safely delegated to a nursing assistant (NA). Considering the responsibilities and scope of practice for a nursing assistant, which of the following tasks is most appropriate for Nurse Edwards to delegate?
- A. Checking for orthostatic changes in pulse and blood pressure.
- B. Monitoring for improvement in tremor after levodopa (L-dopa) is given.
- C. Adjusting the dosage of levodopa (L-dopa) based on the patient's response.
- D. Monitoring for abnormal involuntary jerky movements of extremities.
Correct Answer: A
Rationale: Checking for orthostatic changes is within the scope of practice for a nursing assistant and is important for monitoring the side effects of PD medications.
Which type of bone cell is responsible for the formation of bone?
- A. Osteocyte
- B. Osteoclast
- C. Osteoblast
- D. Sarcomere
Correct Answer: C
Rationale: Osteoblasts form new bone tissue.
Which of the following findings may indicate a problem with the cerebellum?
- A. Unsteady gait and difficulty with fine motor skills.
- B. Clear and coordinated movements.
- C. Normal gait and balance.
- D. Symmetrical muscle strength.
Correct Answer: A
Rationale: The cerebellum controls coordination and balance. Unsteady gait and difficulty with fine motor skills suggest cerebellar dysfunction. Clear movements, normal gait, and symmetrical strength are normal findings.
A patient exhibits muscle weakness and loss of coordination. The nurse should:
- A. Perform a comprehensive neurologic assessment to identify the underlying cause.
- B. Measure the patient's blood pressure.
- C. Inspect the patient's skin for rashes.
- D. Check the patient's blood glucose levels.
Correct Answer: A
Rationale: Muscle weakness and loss of coordination require a comprehensive neurologic assessment to identify the cause. Blood pressure, skin rashes, and blood glucose levels are secondary considerations.