Headaches
Which of the following is a nonmodifiable risk factor for migraines?
A. Caffeine intake
B. Hormonal fluctuations
C. Stress
D. Bright lights
Hormonal fluctuations
What should a nurse do if a seizure patient starts convulsing while standing?
A. Place the patient on the floor and protect head
B. Attempt to carry the patient to bed
C. Insert a soft object into their mouth
D. Hold their arms and legs to stop movement
A. Place the patient on the floor and protect head
Which symptom is most indicative of multiple sclerosis?
A. Fever and chills
B. Nuchal rigidity
C. Diplopia and paresthesia
D. Sudden chest pain
C. Diplopia and paresthesia
What is a cardinal symptom of Parkinson's disease?
A. Vertigo
B. Bradykinesia
C. Hypertension
D. Aphasia
B. Bradykinesia
Which medication helps prevent vasospasms following subarachnoid hemorrhage?
A. Calcium channel blocker
B. Heparin
C. ASA
D. Antianxiety
A. Calcium channel blocker
Which medication is considered preventative therapy for migraine headaches?
A. Sumatriptan
B. Naprosyn
C. Verapamil
D. Butalbital
C. Verapamil
A nurse is caring for a client experiencing a generalized tonic-clonic seizure. Which of the following is the priority action?
A. Administer a benzodiazepine IM
B. Insert a tongue blade to prevent biting
C. Loosen restrictive clothing and ensure safety
D. Apply restraints to prevent injury
C. Loosen restrictive clothing and ensure safety
What is the purpose of plasmapheresis in MS treatment?
A. Prevent infection
B. Remove antibodies causing inflammation
C. Promote healing of myelin sheath
D. Rehydrate the body
B. Remove antibodies causing inflammation
Which sign is a late complication of Parkinson’s disease?
A. Unilateral tremor
B. Dementia
C. Bradykinesia
D. Pill rolling
B. Dementia
What is the Glasgow Coma Scale used for in stroke assessment?
A. Measure cognitive ability
B. Evaluate vision changes
C. Assess level of consciousness
D. Check motor strength
C. Assess level of consciousness
Which medication is appropriate for abortive therapy during a migraine?
A. Topiramate
B. Verapamil
C. Magnesium
D. Sumatriptan
D. Sumatriptan
A client has a seizure lasting 7 minutes. Which medication should be administered first?
A. Phenytoin
B. Diazepam
C. Topiramate
D. Gabapentin
B. Diazepam
What’s the purpose of Interferon therapy in multiple sclerosis?
A. Decrease disease progression
B. Improve urinary function
C. Cure the disease
D. Control infection
A. Decrease disease progression
Which collaborative problem is most concerning in late-stage Parkinson’s?
A. Hypotension
B. Constipation
C. Hair loss
D. Aspiration pneumonia
D. Aspiration pneumonia
How much time must pass without oxygen does the brain begins to die?
A. Five minutes
B. Ten minutes
C. Fifteen minutes
D. Thirty minutes
B. Ten minutes
A nurse is educating a client newly diagnosed with migraines. Which client statement indicates the need for further teaching?
A. “I will keep a diary to track potential migraine triggers.”
B. “I can take sumatriptan every day to prevent migraines.”
C. “I should rest in a dark, quiet room during an attack.”
D. “I’ll avoid foods and smells that tend to bring on headaches.”
B. “I can take sumatriptan every day to prevent migraines.”
Which assessment is most appropriate post-ictally for a seizure patient?
A. Assessing gag reflex
B. Providing ice chips
C. Reorienting the patient
D. Administering caffeine
C. Reorienting the patient
Which medication can be used to manage spasticity in MS?
A. Topiramate
B. Baclofen
C. Carbamazepine
D. Acetaminophen
B. Baclofen
What chemical are Parkinson's patients deficient in?
A. Dopamine
B. Serotonin
C. Acetylcholine
D. Norepinephrine
A. Dopamine
LEFT OR RIGHT SIDED STROKE
A patient presents with the following symptoms: unable to recognize words and numbers, jumbled language when speaking, and inability to write.
What is left sided stroke?
A client taking Topiramate for migraine prevention reports weight loss and difficulty concentrating. What is the nurse’s best action?
A. Instruct the client to increase fluid intake
B. Reassure the client these are expected side effects
C. Notify the healthcare provider for possible dose adjustment
D. Recommend adding high-protein snacks to their diet
C. Notify the healthcare provider for possible dose adjustment
Which of the following is not a risk factor for seizures?
A. neoplasm
B. magnesium imbalance
C. TBI
D. Ulceration
D.
D. Ulceration
TRUE OR FALSE
MS is a terminal illness
FALSE
chronic but not terminal
What are the symptoms of Parkinson's? (Select all that apply)
A. BRADYPHRENIA
B. MASKED FACIES
C. NOSEBLEEDS
D. CONSTIPATION
E. URTICARIA
A, B, and D
TRUE OR FALSE
A TIA is usually self-resolving within 2 - 3 hours and is an early indicator that a stroke will occur in the future.
FALSE
A TIA is usually self-resolving within 30 - 60 minutes and is an early indicator that a stroke will occur in the future.