
MDC IIII Exam 1
Quiz by Heather Silvani
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What is the mechanism of action of the medication Ergotamine?
Which of the following is a contraindication for using the medication Ergotamine?
Which of the following are part of seizure precautions:
Tremor, Bradykinesia, muscle rigidity, mask-like face are clinical manifestations of:
Clients with migraines should avoid:
The highest priority during the post-operative period is:
A client with a T6 fracture develops a sudden Headache. What condition do you suspect?
True or False: Reinforcement of post-operative instructions can be delegated to the UAP.
The Glasgow Coma Scale evaluates:
Priority nursing concerns during the intraoperative period include:
True or False: The client with a stroke requires a consult from a speech-language pathologist:
True or False: Clear drainage from the nose and ears of a head injury client should be tested for white blood cells.
Interventions for a client with increased ICP:
Match the definition to the correct term:
True or False: MG is an autoimmune disorder that causes ascending paralysis.
Bell's Palsy can sometimes be confused with:
True or False: A client with conscious sedation must have a breathing tube in place:
True or False: Tissue Plasminogen Activator (TPa) can be administered to a client with a hemorrhagic stroke:
Clients with Alzheimer's Disease can present with:
Loss of ability to recognize objects is known as?
True or False: A patient with a K level of 5.9 is good to go for anesthesia:
What is the best way to prevent autonomic dysreflexia?
Patient education for Bell's Palsy includes all of the following, EXCEPT:
True or False: Early ambulation post-surgery is an intervention to avoid venous stasis
True or False: A lumbar puncture is therapeutic for ICP patients:
Factors of Cushing's Triad include all of the following, EXCEPT:
The role of the circulating nurse:
A surgical scrub should be between:
A nurse is providing education to a client about the prevention of migraines, what statement requires further teaching:
The nurse can provide the following interventions to a client with migraines except?
A client has had a migraine for the past 5 hours with nausea, vomiting, and photophobia. What type of migraine is this?
All of the following factors can trigger a relapse of multiple sclerosis, except:
Female client is complaining of numbness and tingling in the extremities and double vision. What question to ask?
True or False: Multiple sclerosis tends to affect women more and occurs around the ages of 50-60 years of age.
A patient is prescribed Phenytoin for treatment of seizures. Which statement requires further education?
A nurse is providing education regarding the medication Phenytoin. The nurse should include all the following EXCEPT:
The nurse is preparing a client for a lumbar puncture to rule out meningitis. All interventions should be given except:
All of the following are signs and symptoms commonly associated with Meningitis EXCEPT:
What would a nurse look for when assessing a patient that is in the early stage of Alzheimer’s Disease?
Clients with migraines should avoid:
A patient on the Med-Surg floor is scheduled for a CT scan. What is an important question to ask?
Important patient teaching for a PCA pump?
Which of the following is within the scope of practice for a CNA?
A patient with a major seizure is sleeping for long periods, what period of the seizure is this?
A nurse is out in the field and finds a patient with clear fluid draining from the nose. It is important to prevent the patient from:
A patient arrives in the ER with complaints of a head injury, it is important NOT to do a:
A patient with elevated ICP should have their bed:
Patient with increased ICP, how should we position to promote drainage?
True or False: A patient is given IVIG for MG, what is the reason for this? reduces the production of acetylcholine antibodies
A patient with a concerning body position:
A patient presents with Guillain-Barré Syndrome (GBS), we need to be most concerned with:
A patient presents to the ER and is unable to wrinkle their forehead. This is most likely:
After getting an informed consent signature from the patient, she states she still does not understand the procedure. What is the priority?
True or False: A patient with malignant hyperthermia will be Tachy, diaphoretic, and rising body temp:
A patient develops malignant hyperthermia. What medication is the provider most likely going to order:
Which nurse is responsible for verifying consent form is signed?
What is the appropriate intervention for wound evisceration?
Which phase of surgery do you count sponges?
A patient presents after having a stroke and will need TPA, what determines if this is possible?
After a patient has TPA, which vital sign is the most important to control for 24 hours?
Parkinson's patient on levodopa-carbidopa may have:
Baclofen is a:
A patient with MG is at the highest risk for:
A patient is going to surgery and their labs came back: HGB 3. What do you do?
A patient that has bacterial meningitis, the first simple measure to decrease ICP:
True or False: Alzheimer’s dx moderate: Wondering behavior, anger, Visual and special deficits
A patient has migraines and is prescribed a beta-blocker. Important patient teaching:
In the postictal phase, does motor function to return to baseline?
A patient with a seizure would be described as loss of consciousness, incontinence, and breathing cessation followed by postictal state the last 10 minutes
A patient presents with progressive proximal muscle weakness, diplopia:
A patient presents with loss of sensation in their bilateral lower extremities, what condition do they likely have?
A patient presents to the ER with a stroke but CAT shows hemorrhagic stroke. What is next?
What is the easiest lab to do before a stroke alert?
What is the normal ICP?
A patient presents with an ICP of 22. What is the priority?
When getting a health history of a patient with Gillian Barrie, what is an important factor?
True or False: A patient with epilepsy can stop Dilantin after 2 weeks of no seizure activity.
A patient has an ischemic stroke, can they have TPA if BP is 220/140?
Is verapamil a medication used to treat and manage migraines?
Guillain-Barré Syndrome (GBS) signs and symptoms include:
Safe feeding practices after a stroke:
How do we monitor ICP?
What are the S/S of Increased ICP:
Clinical manifestations of Malignant Hyperthermia:
Nursing Interventions for Malignant Hyperthermia:
Myasthenia Gravis is confirmed by a patient’s response to cholinergic drugs. Edrophonium chloride (Enlon, Tensilon):
Surgical wound complications:
What are the signs and symptoms of a Pulmonary Embolism (PE):

Causes of strokes:
Presentation of strokes: