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NCM 116 Midterm Exam Questions and Answers

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NCM 116 Midterm Exam Questions and Answers

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  • August 19, 2024
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NCM 116 Midterm Exam




In making a diagnosis of myasthenia gravis Edrophonium HCI (Tensilon) is used. The nurse knows that
this drug will cause a temporary increase in



A. Blood Pressure

B. Symptoms

C. Muscle strength

D. Conciousness - Answer -C. Muscle strength



The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an
elevated temperature (102.20 F), heart rate of 120/minute, rise in blood pressure (158/94), and was
incontinent off urine and stool. What is your best first action at this time?



A. Administer an acetaminophen suppository

B. Notify the physician immediately

C. Reschedule patient's physical therapy

D. Recheck vital signs in 1 hour - Answer -B. Notify the physician immediately



Which of the following is not an autoimmune disease?



A. Insulin-dependent diabetes mellitus

, B. Graves disease

C. Alzheimer's disease

D. Myasthenia gravis - Answer -C. Alzheimer's disease



A client with myasthenia gravis has been receiving Neostigmine (Prostigmin). This drug acts by:

A. Stimulating the cerebral cortex

B. Blocking the action of cholinesterase

C. Accelerating transmission along neural swaths

D. Replacing deficient neurotransmitters - Answer -B. Blocking the action by cholinesterase



The most significant initial nursing observations that need to be made about a client with myasthenia
include:



A. Ability to smile an to close her eyelids

B. Degree of anxiety about her diagnosis

C. Respiratory exchange and ability to swallow

D. Ability to chew and speak distinctly - Answer -C. Respiratory exchange and ability to swallow



A client with myasthenia gravis asks the nurse why the disease has occured. The nurse bases the reply
on the knowledge that there is:



A. A reduced amount of neurotransmitter acetylcholine

B. A genetic in the production acetylcholine

C. A decreased number of functioning acetylcholine receptor sites

D. An inhibition of the enzyme ACHE leaving the end plates folded - Answer -C. A decreased number of
functioning acetylcholine receptor sites



Myasthenia gravis is due to___ receptors being blocked and destroyed by antibodies



A. Epinephrine

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