NURSING

Question 49

Which of the following individuals is likely to have the best prognosis for recovery from his or her insult to the peripheral nervous system? An adult

Answers:

A. who had nerves transected during surgery to remove a tumor from the mandible.

B. who developed rhabdomyolysis and ischemic injury after a tourniquet application.

C. who suffered a bone-depth laceration to the shoulder during a knife attack.

D. who had his forearm partially crushed by gears during an industrial accident.

Question 50

A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities that become more striking as it develops. What might you expect to find in the mother’s pregnancy history?

Answers:

A. Active herpes simplex infection

B. Chronic alcohol use

C. Chronic cocaine use

D. Folic acid deficiency

Question 51

A teenager, exposed to West Nile virus a few weeks ago while camping with friends, is admitted with headache, fever, and nuchal rigidity. The teenager is also displaying some lethargy and disorientation. The nurse knows which of the following medical diagnoses listed below may be associated with these clinical manifestations?

Answers:

A. Spinal infection

B. Encephalitis

C. Lyme disease

D. Rocky Mountain spotted fever

Question 52

The homecare nurse is making a home visit to a 51-year-old female client with a long-standing diagnosis of multiple sclerosis. The nurse knows that the muscle wasting and weakness associated with the disease process are ultimately manifested as a failure of what normal process in muscle tissue?

Answers:

A. The contraction of fascicles within myofibrils

B. The contraction of the epimysium

C. The surrounding of fascicles by perimysium

D. Thick myosin and thin actin filaments sliding over each other

Question 53

A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has

Answers:

A. a mild viral infection.

B. a severe fungal infection.

C. a mild parasitic infection.

D. a severe bacterial infection.

Question 54

The nurse knows that which of the following treatment plans listed below is most likely to be prescribed after a computed tomography (CT) scan of the head reveals a new-onset aneurysmal subarachnoid hemorrhage?

Answers:

A. Monitoring in the ICU for signs and symptoms of cerebral insult

B. Stat administration of tissue plasminogen activator (tPA)

C. Administration of a diuretic such as mannitol to reduce cerebral edema and ICP

D. Craniotomy and clipping of the affected vessel

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