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3rd Year Nursing MS LEC MIDTERM QUIZES

The document provides information about various parts of the brain and nervous system: - The frontal lobe is the largest lobe of the brain and is involved in concentration, abstract thought, information storage/memory, and motor function. - The corpus callosum is a thick collection of nerve fibers that transmits information between the two sides of the brain. - Elevating the head of the bed and proper head positioning for a patient with increased intracranial pressure is effective because it promotes venous drainage. - Mechanical ventilation can help reduce cerebral edema by constricting cerebral veins.
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0% found this document useful (0 votes)
501 views18 pages

3rd Year Nursing MS LEC MIDTERM QUIZES

The document provides information about various parts of the brain and nervous system: - The frontal lobe is the largest lobe of the brain and is involved in concentration, abstract thought, information storage/memory, and motor function. - The corpus callosum is a thick collection of nerve fibers that transmits information between the two sides of the brain. - Elevating the head of the bed and proper head positioning for a patient with increased intracranial pressure is effective because it promotes venous drainage. - Mechanical ventilation can help reduce cerebral edema by constricting cerebral veins.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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6.

Largest lobe of the brain involve in concentration, abstract thought, information


storage or memory and motor function

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d. Occipital

a. Frontal

b. Parietal

c. Temporal

10. Spinal cord is composed of

1/1

b. 31 pairs of spinal nerve: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal

a. 31 pairs of spinal nerve: 7 cervical, 12 thoracic, 5 lumbar, 6 sacral, 1 coccygeal

d. 30 pairs of spinal nerve: 7 cervical, 12 thoracic, 5 lumbar, 5 coccygeal, 1 sacral

c. 30 pairs of spinal nerve: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral

2. Major neurotransmitter of the parasympathetic nervous system


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d. Epinephrine

a. Dopamine

b. Serotonin

c. Acetylcholine

5. Part of the brain which controls fine movements, balance, and postural sense

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a. Cerebrum

b. Medulla obrongaa

d. Midbrain

c. Cerebellum

1. Basic functional unit of the brain

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c. Neuron
b. Cell body

a. Dentrites

d. Glial cells

Email address

[email protected]

9. Tract which conducts sensory impulses from muscle spindles, providing necessary
input for coordinated muscle contraction

0/1

C. Rubrospinal tract

D. Corticobulbar tract

A. Spinothalamic tract

B. Spinocerebellar tract

Correct answer

C. Rubrospinal tract

4. Which of the following cranial nerves is not located in the brainstem


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b. Optic

d. Glossopharyngeal

c. Abducens

a. Vestibulocochlear

3. It is a thick collection of nerve fibers responsible for the transmission of information


from one side of the brain to the other

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d. Corpus callosum

c. Great longitudinal fissure

b. Falx cerebri

a. Medulla

7. Potential space between the dura and skull and between periosteum and the dura in
vertebral column where blood or abscess can accumulate

1/1
a. Dura mater

b. Epidural

c. Subdural

d. Subarachnoid

Section

3F

8. Brain circulation is unique in several aspects except

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C. blood vessels in the brain have three rather than two layers

B. brain has collateral circulation through the circle of Willis

D. Blood vessels more prone to rupture when weakened or under pressure

A. arterial and venous vessels are not parallel

2. An elderly patient has just suffered a stroke that has left him with upper extremity
weakness. This is a symptom associated with damage to which vessel?

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A. Carotid artery

B. Anterior cerebral arteries

C. Vertebrobasilar artery

D. Middle cerebral artery

Email address

[email protected]

7. A client begins to have Cheyne-Stokes respiration. This type of breathing pattern is


best explained as

0/1

a. Completely irregular breathing pattern with random deep and shallow respiration

b. Prolonged inspirations with inspiratory and/or expiratory pauses

c. Rhythmic waxing and waning of both rate and depth of respiration with brief period of
interspersed apnea

d. Sustained regular, rapid respiration of increased depth

Correct answer

c. Rhythmic waxing and waning of both rate and depth of respiration with brief period of
interspersed apnea
11. Most common type of headache

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a. Cluster

b. Migraine

c. Tension

d. Occipital

9. The nurse is assessing reflexes on a client. A positive Babinski’s reflex is

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a. Extension of the elbow and contraction of the triceps tendon

b. Supination and flexion of the forearm

c. Dorsiflexion of the great toe with the fanning of the other toes

d. Flexion of the arm at the antecubital fossa and contraction of the biceps

6. An adult has a medical diagnosis of increased intracranial pressure and is being


cared for on the neurology unit. The nursing care pan includes elevating the head of the
bed and positioning the client’s head in proper alignment. The nurse recognizes that
these actions are effective because they act by

1/1

a. Making it easier for the client to breath

b. Preventing a valsalva maneuver

c. Promoting venous drainage

d. Reducing pain

8. Which of the following reduces cerebral edema by constricting cerebral veins

1/1

a. Dexamethasone

b. Mechanical ventilation

c. Mannitol

d. Ventriculostomy

5. After a patient experiences a brain stem infarction, the nurse should observe for
which condition?
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A. Aphasia

B. Bradypnea

C. Contralateral hemiplegia

D. Numbness and tingling to the face or arm

Section

3F

4. After a patient experiences a brain stem infarction, the nurse should observe for
which condition?

1/1

A. Aphasia

B. Bradypnea

C. Contralateral hemiplegia

D. Numbness and tingling to the face or arm


10. A client with a closed head injury is confused, drowsy, and has unequal pupils.
Which of the following nursing diagnosis is most important at this time?

1/1

a. Altered level of cognitive function

b. High risk for injury

c. Altered cerebral tissue perfusion

d. Sensory perceptual alteration

14. Upon assessment of the patient, you identified a drug which have not triggered the
headache.

1/1

a. Losartan

b. Furosomide

c. Azithromycin

d. None of the above

3. Which condition places a patient at risk for an embolic stroke?


1/1

A. Atrial fibrillation

B. Bradycardia

C. Deep vein thrombosis

D. A history of MI

1. The nurse is caring for a comatose patient who has suffered a closed head injury.
Which intervention should the nurse implement to prevent increases in ICP?

1/1

A. Suctioning the airway every hour and as needed

B. Elevating the head of the bed 30 to 45 degrees

C. Turning the patient and changing his position every 2 hours

D. Maintaining a well-lit room

12. True of migraine headaches

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a. It has 4 phases (prodrome, aura, headache, recovery)

b. It is bilateral

c. Third phase, headache phase, is characterized by mild confusion

d. All of the above

Name (last name, First name, MI)

Gabales, Audrie Allyson H.

13. Jun-jun came in at the Out Patient Department experiencing retroorbital pain
radiating to the facial and temporal area. This is accompanied by nasal congestion and
watering of the eyes. What type of headache is he experiencing

1/1

a. Tension

b. Cluster

c. Migraine

d. Either a or b
15. Bella, suffered a head injury due to motor vehicular accident. She lost
consciousness and was brought to the nearest hospital upon diagnostic exam, no skull
fracture was identified. You considered Bella to have

1/1

a. Contussion

b. Subarachnoid hemorrage

c. Concussion

d. Hematoma
9. Which of the following cranial nerve which has mixed sensory and motor function
c. Trigeminal

1. A client is admitted with a head injury. To monitor hypothalamic function, the nurse
should measure what parameters? a. Temperature and urinary output

1. The nurse is caring for a comatose patient who has suffered a closed head injury.
Which intervention should the nurse implement to prevent increases in ICP?
B. Elevating the head of the bed 30 to 45 degrees

2. A client presents with symptoms of increased intracranial pressure, papilledema, and


headache. No history of trauma is found. Vital signs are: BP 110/60, HR 80, T 36.8 C, RR
24. Based on this assessment, the nurse suspects the client has A. brain tumor

6. Choose the correct pathway of CSf in the brain d. Left ventricle->interventricular


foramen->third ventricle->aqueduct of sylvius->fourth ventrile->subarachnoid space

3. A client with a closed head injury is confused, drowsy, and has unequal pupils. Which
of the following nursing diagnosis is most important at the time? c. Altered cerebral
perfusion

10. A client with a closed head injury is confused, drowsy, and has unequal pupils.
Which of the following nursing diagnosis is most important at this time? c. Altered
cerebral tissue perfusion

10. Spinal tract in charge of autonomic functions (sweating, pupil dilation, and
circulation) and involuntary muscle control B. Vestibulospinal

8. Which of the following reduces cerebral edema by constricting cerebral veins


b. Mechanical ventilation
4. The home health nurse observes an aide who is transferring a client with hemiplegia
from a sitting position in the bed to the wheelchair. Which action by the aide requires
correction? a. Grasping the client’s arm to pull the client to a standing position

8. Protective layer of the brain described as the innermost, thin, transparent layer that
hugs the brain closely and extends into every fold of the brain’s surface. b. Piamater

6. Largest lobe of the brain involve in concentration, abstract thought, information


storage or memory and motor function a. Frontal

4. Which of the following cranial nerves is not located in the brainstem b. Optic

1. Ping a student nurse noticed his patient to have shuffling gait and fine tremors. Upon
further reading, he considered the patient to be having parkinson’s disease. What
neurotransmitter is involved in this condition? a. Dopamine

15. Bella, suffered a head injury due to motor vehicular accident. She lost
consciousness and was brought to the nearest hospital upon diagnostic exam, no skull
fracture was identified. You considered Bella to have c. Concussion

2. Major neurotransmitter of the parasympathetic nervous system c. Acetylcholine

7. Amount of cardiac output that goes to the cerebral circulation b. 15

9. Tract which conducts sensory impulses from muscle spindles, providing necessary
input for coordinated muscle contraction B. Spinocerebellar tract
3. It is a thick collection of nerve fibers responsible for the transmission of information
from one side of the brain to the other d. Corpus callosum

5. This lobe contains the auditory receptive areas and plays a role in memory of sound
and understanding of language and music. b. Temporal

8. Brain circulation is unique in several aspects except C. blood vessels in the brain have
three rather than two layers

2. This neurotransmitter can be inhibitory and excitatory, incharge of REM sleep and
decreased in alzheimer’s dementia c. Acetylcholine

6. An adult has a medical diagnosis of increased intracranial pressure and is being


cared for on the neurology unit. The nursing care pan includes elevating the head of the
bed and positioning the client’s head in proper alignment. The nurse recognizes that
these actions are effective because they act by c. Promoting venous drainage

4. After a patient experiences a brain stem infarction, the nurse should observe for
which condition? B. Bradypnea

4. Responsible for transmission of information from one side of the brain to the other
c. Corpus callosum

3. You are assessing Sharon, a 75 years old female and recalled on you lecture that
brain of individuals in this age group approximately weighs B. 1200g

5. A36 year old female rports double vision, visual loss, weakness, numbnes of the
hands, fatigue, tremors, and incontinence. On assessment, the nurse notes nystagmus,
scanning speech, ataxia and muscular wekaness. Based on the findings, the nurse
suspects the client has d. Multiple sclerosis
2. The nurse is teaching a patient and his family about dietary practices related to
Parkinson’s disease. A priority for the nurse to address is risk of: • D. dysphagia and
constipation.

1. nurse is teaching the patient with multiple sclerosis. When teaching the patient how
to reduce fatigue, the nurse should tell the patient to: • B. rest in an air-conditioned room.

10. Upon lumbar puncture, the patient’s CSF findings are as followis: cloudy, pressure of
250 mmH2O, mostly polymonuclear cells with decreased glucose and increased
proteinn.what is your primary cause in this type of iinfection? b. Bacterial

8. A nurse is caring for a client with GBS. Which of the following strategies is the most
important in the plan of care? b. Frequent measurement of vital capacity

7. Which nursing diagnosis is the highest iority when caring for a client with myasthenia
gravis d. Ineffective airway clearance

3. In a patient with meningitis, irritation to which CN could cause photophobia? C. V

9. The following are drug therapy for multiple sclerosis except

c. Eperisone

a. Corticosteoids

d. None of the above

b. Glatiramer acetate
4. A nurse is teaching the family of a client with Parkinson’s Disease. Which of the
following statements by the family reflects a need for more education? a. We can but lots
of soups for dad

6. A nurse id assessing a client who is unable to extend the legs without pain, has a
temperature of 103 degrees farenheit and on flexion of the neck also flexes the hip and
knee. Based on this assessment, the nurse suspects the client has a. Meningitis

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