23.6.0: Review Questions

Review Questions

1 .

The nurse is caring for an older adult patient who is concerned about losing their memory. What statement by the nurse best describes what the patient can expect as they age?

1. “There are no changes that occur within the brain that are associated with aging.”
2. “You can expect to see an improvement in your memory as you get older.”
3. “You gain extra brain tissue with age, but this can cause your memory to decrease.”
4. “Neurological messages may be sent more slowly as you age, resulting in decreased reaction times.”

2 .

The student nurse is reviewing the function of the cranial nerves. What nerve does the student nurse recognize as being responsible for movements of the tongue?

1. hypoglossal nerve
2. olfactory nerve
3. spinal accessory nerve
4. trochlear nerve

3 .

The nurse is caring for a patient who is feeling anxious before a medical procedure. What clinical manifestation would the nurse expect that would be consistent with activation of the patient’s sympathetic nervous system?

1. decreased heart rate
2. pupil dilation
3. tightening of airway muscles
4. increased digestion

4 .

What type of connective tissue found within the musculoskeletal system is responsible for limiting movement of joints?

1. cartilage
2. tendons
3. bones
4. ligaments

5 .

What is a major function of the neuromuscular system?

1. digestion
2. lymph production
3. breathing regulation
4. cardiovascular control

6 .

The nurse is caring for a patient undergoing diagnostic testing for multiple sclerosis (MS). The patient asks the nurse what the creatine kinase (CK) test is checking for. What response by the nurse is correct?

1. “This test shows us how quickly your blood clots.”
2. “Creatine kinase is a reflection of how much inflammation there is in your body.”
3. “This test indicates whether there is muscle damage occurring somewhere in the body.”
4. “Creatine kinase will determine whether or not you have an infection of some kind.”

7 .

The nurse is caring for a patient who presents with a history of cold hands and feet, weak grips, and difficulty walking. Upon assessing the patient, the nurse notices that the patient has curled toes on both feet. What neuromuscular condition does the nurse suspect the patient may have based on these findings?

1. multiple sclerosis
2. Charcot-Marie-Tooth disease
3. muscular dystrophy
4. myasthenia gravis

8 .

The nurse is caring for a patient with Duchenne muscular dystrophy (DMD). What finding is most consistent with this specific type of muscular dystrophy?

1. The patient is female.
2. The patient was diagnosed at age 5.
3. The patient has enlarged calf muscles.
4. The patient has an outward curvature of the spine.

9 .

The nurse is caring for a patient newly diagnosed with the primary-progressive form of multiple sclerosis. The patient asks the nurse what they should expect with this type of disease. What statement by the nurse is correct?

1. “You should expect to have good days and bad days.”
2. “It is likely that your symptoms will be completely gone for weeks at a time.”
3. “Expect to have symptoms that get worse over time with frequent symptom attacks.”
4. “Your symptoms will likely get worse over time without any extra attacks or periods of remission.

10 .

What mechanism best describes why patients with neuromuscular disorders experience vision problems?

1. Eye muscles become weak.
2. Progressive eye muscle atrophy is occurring.
3. High cervical spinal injury damages eyesight.
4. Demyelination of nerve cells of the eyes occurs.

11 .

The nurse is caring for a patient with a neuromuscular disorder. What intervention does the nurse know is the highest priority?

1. maintaining a patent airway
2. removing clutter from the floor
3. administering prophylactic heparin
4. providing emotional support

12 .

The nurse is caring for a patient who is bedridden with a neuromuscular disorder. What intervention is most appropriate for preventing complications associated with immobility?

1. turning the patient every four hours
2. removing clutter from the floor
3. performing active range of motion exercises
4. implementing a fluid restriction

13 .

What breakfast would be most appropriate for a patient with muscle weakness from a neuromuscular disorder?

1. bagel and cream cheese
2. oatmeal and yogurt
3. English muffin, eggs, and cereal
4. orange juice and a granola bar

14 .

What member of the interdisciplinary care team is most likely to assist a patient who has a neuromuscular disorder with washing their face and brushing their teeth?

1. dietician
2. physical therapist
3. speech therapist
4. occupational therapist

15 .

The nursing student is preparing to leave the room of a patient who has a neuromuscular disorder. What action by the nursing student would require the nurse to intervene?

1. The student nurse places the patient’s robe and slippers on the bedside table for easy access.
2. The student nurse leaves the bed alarm off because the patient agreed to call before getting up.
3. The student nurse locks the bed and makes sure it is in the lowest position.
4. The student nurse double-checks that the patient is wearing a fall-risk band.