Nurs 321 Final Exam Practice Questions and Complete Solutions
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Course
NSG 321
Institution
NSG 321
Which of the following would be appropriate to utilize in diagnosing increased ICP? Select all that apply.
a. Cranial X-ray b. CT Scan of the brain c. Neurological Assessment d. Ventriculostomy b. CT Scan of the brain c. Neurological Assessment d. Ventriculostomy
In assessing the patient with scl...
Nurs 321 Final Exam Practice Questions
and Complete Solutions
Which of the following would be appropriate to utilize in diagnosing increased ICP?
Select all that apply.
a. Cranial X-ray
b. CT Scan of the brain
c. Neurological Assessment
d. Ventriculostomy ✅b. CT Scan of the brain
c. Neurological Assessment
d. Ventriculostomy
In assessing the patient with scleroderma for pending renal crisis, which findings require
an intervention by the nurse? Select all that apply.
A. Significant weight gain
B. Blood pressure 174/100 mm Hg
C. Creatinine 1.9 mg/dL
D. Clear urine output
E. BUN 15 mg/dL ✅A. Significant weight gain
B. Blood pressure 174/100 mm Hg
C. Creatinine 1.9 mg/dL
Which is true regarding the pathophysiology of myasthenia gravis (MG)?
a. An inadequate amount of acetylcholine (Ach) is released.
b. Acetylcholine (Ach) crosses the synaptic clefts and attaches to Ach receptors (AchR).
c. T cells or T lymphocytes are produced by the thymus gland.
d. Sensitivity to normal amounts of acetylcholine is diminished. ✅d. Sensitivity to
normal amounts of acetylcholine is diminished.
Which type of surgery is usually performed for a patient with myasthenia gravis (MG)?
a. Microvascular decompression
b. Thymectomy
c. Percutaneous rhizotomy
d. Sterotactic radiosurgery ✅b. Thymectomy
Which nursing intervention is essential while caring for a patient with myasthenia gravis
(MG)?
a. Keeping the head of the bed in a lowered position
b. Providing meals when medications are at trough levels
,c. Offering soft foods and thickened liquids per the order of the speech therapist
d. Encouraging the patient to refrain from taking breaks by keeping him or her involved
in activities of daily living (ADLs) ✅c. Offering soft foods and thickened liquids per the
order of the speech therapist
A nurse is teaching about nursing actions for caring for patients with Guillain-Barré
syndrome (GBS). Which statement indicates a need for further teaching?
a. "Do not keep the patient in a single position."
b. "Do not offer any kind of diversions to the patient."
c. "Establish methods of communication, and provide a method to call the nurse."
d. "Discuss the use of analgesics or nonopioids with the healthcare provider." ✅b. "Do
not offer any kind of diversions to the patient."
Which feature of a cholinergic crisis may a patient encounter if he or she has
myasthenia gravis (MG)?
a. Pale and cool skin
b. Tachycardia
c. Excessive secretions
d. Flaccid muscles ✅c. Excessive secretions
Which is true regarding a cholinergic crisis?
a. It is caused by lack of anticholinesterase medication.
b. It is an exacerbation of myasthenic gravis weakness that provokes an acute episode
of respiratory failure.
c. It is characterized by a clinical feature such as tachycardia.
d. It is caused by an excessive intake of anticholinesterase medication. ✅d. It is
caused by an excessive intake of anticholinesterase medication.
Which is a clinical feature of a myasthenic crisis? Select all that apply.
a. Tachycardia
b. Sweating and excessive secretions
c. Pale, cool skin
d. Bradycardia
e. Flaccid muscles ✅a. Tachycardia
c. Pale, cool skin
e. Flaccid muscles
Sweating, excessive secretions, & bradycardia are symptoms of cholinergic crisis
Which diagnostic test is useful in distinguishing a myasthenic crisis from a cholinergic
crisis?
, a. Repetitive nerve stimulation (RNS)
b. Tensilon test
c. Chest computed tomography (CT) scan
d. Serological test ✅b. Tensilon test
The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). What risks
require additional actions by the nurse?
a. Seizures
b. Paralysis
c. Pneumonia
d. Muscle spasm ✅c. Pneumonia
Which are clinical manifestations of amyotrophic lateral sclerosis (ALS)? Select all that
apply.
a. Double or blurred vision
b. Difficulty swallowing
c. Fasciculation
d. Tremor
e. Memory loss ✅b. Difficulty swallowing
c. Fasciculation
After assessing a patient with amyotrophic lateral sclerosis, the nurse finds that the oral
communication of the patient is impaired. Which should the nurse document in the
patient's medical record?
a. Dysarthria
b. Motor neuron death
c. Muscle weakness
d. Respiratory muscle weakness ✅a. Dysarthria
The nurse is assessing a patient who reports severe, unrelenting pain in and around the
eye. The pain occurs around the same time for several weeks, more often at night.
Which kind of headache is the patient most likely experiencing?
a. Cluster headaches
b. Migraine headaches
c. Episodic tension headaches
d. Chronic tension headaches ✅a. Cluster headaches
Which assessment should the nurse be most concerned about for the patient with
increased intracranial pressure (ICP) following a brain tumor resection?
a. Quarter-sized dried blood on skull dressing
b. Vomiting
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