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NURS 623 MARYVILLE EXAM 4 QUESTIONS WITH ACCURATE SOLUTIONS, Exams of Nursing

NURS 623 MARYVILLE EXAM 4 QUESTIONS WITH ACCURATE SOLUTIONS

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2024/2025

Available from 07/13/2025

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NURS 623 MARYVILLE EXAM 4 QUESTIONS WITH
ACCURATE SOLUTIONS
1) Define delirium -- Answer โœ”โœ” Underlying acute cause, abrupt onset, hours to days,
reversible, hallucinations, incoherent speech, confusion
2) Define Dementia -- Answer โœ”โœ” Various causes, gradual change with mental status,
months to years, progressive to irreversible (speech, memory, mood, judgment)
3) An older adult with delirium would present with what type of behaviors? -- Answer
โœ”โœ” Agitation and restlessness
4) What is important to note when a patient has traumatic injury -- Answer โœ”โœ” If
taking Blood Thinners
5) At the onset of alzheimers, what category of medications should be initiated? --
Answer โœ”โœ” Cholinesterase inhibitors
6) what factors contribute to a patient being high risk for falls? -- Answer โœ”โœ” History
of falls
medications
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NURS 623 MARYVILLE EXAM 4 QUESTIONS WITH

ACCURATE SOLUTIONS

  1. Define delirium -- Answer โœ”โœ” Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion
  2. Define Dementia -- Answer โœ”โœ” Various causes, gradual change with mental status, months to years, progressive to irreversible (speech, memory, mood, judgment)
  3. An older adult with delirium would present with what type of behaviors? -- Answer โœ”โœ” Agitation and restlessness
  4. What is important to note when a patient has traumatic injury -- Answer โœ”โœ” If taking Blood Thinners
  5. At the onset of alzheimers, what category of medications should be initiated? -- Answer โœ”โœ” Cholinesterase inhibitors
  6. what factors contribute to a patient being high risk for falls? -- Answer โœ”โœ” History of falls medications

vision impairment heart rate/rhythm abnormalities footwear issues home environment gait/mobility issues poor reflexes

  1. What is the primary reason people have long term effects after a Stroke -- Answer โœ”โœ” living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long term effects
  2. S/S of an Absense Seizure -- Answer โœ”โœ” Blank stare (upward rotation of eye)
  3. Red Flags of back/neck pain -- Answer โœ”โœ” Incontinence Fever Cancers Unexplained wt loss Long term steroids Trauma IV drug abuse Intense local pain No comfy Position
  4. Diagnosing of Alzheimer's -- Answer โœ”โœ” Impaired ability to learn new info along with a disturbance in language, function, or perception
  5. S/S of Alzheimer's -- Answer โœ”โœ” *C/O memory problems
  • โ†‘ cognitive difficulty
  • โ†‘ slow response to cognitive challenge *Word-finding difficulty

*swelling *crepitus

  1. Clinical manifestations of Non-Articular disorders? -- Answer โœ”โœ” *Tend to be painful on active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or deformity by itself.
  2. What diagnostic assessment is most useful in a patient who presents with lumbar radiculopathy? -- Answer โœ”โœ” The straight leg raise (assesses L5-S1). pain would indicate most common disc herniation
  3. What cranial nerve is affected in Bell's Palsy? -- Answer โœ”โœ” CN VII
  4. S/S of Bell's Palsy -- Answer โœ”โœ” * Acute onset one-sided Facial paralysis with normal ocular movement and sensation
  • Affects CN VII (facial)-VII(vestibulocochlear)
  • Loss of taste (dysgeusia)
  • Postauricular pain
  • Sound sensitivity (hyperacusis)
  • Heavy feeling in face
  1. How is Bell's Palsy diagnosed? -- Answer โœ”โœ” Clinical history and exam
  2. What is a serious risk in patients with Bell's Palsey? -- Answer โœ”โœ” Loss of the ability to blink and close the eyelid subjects the cornea to drying and ulceration
  3. Patient teaching for Bell's Palsey -- Answer โœ”โœ” *reassure it is self-limiting with 3- 6 month recovery

*prevent corneal ulceration/ use artificial tears

  1. *unilateral and tends to have a throbbing or pulsatile (head) *precipitated by aura *nausea *vomiting *photophobia *phonophobia -- Answer โœ”โœ” S/S of Migraine H/A
  2. A patient reports seeing flashes 20 minutes before having a severe H/A what type of H/A is it? -- Answer โœ”โœ” Classic migraine
  3. *unilateral orbital, supraorbital, and/or temporal (headache) *causes lacrimation, rhinorrhea, and nasal congestion) -- Answer โœ”โœ” S/S of cluster H/A
  4. bilateral, non-pulsating, tightening (head) pain that is not aggravated by routine physical activity. It is usually not accompanied by nausea and vomiting or photophobia. -- Answer โœ”โœ” S/S of tension headache
  5. If a patient c/o sudden 'thunder clap' H/A worst in their life what is a diff dx that should be considered? -- Answer โœ”โœ” Aneurism (subarachnoid hemorrhage)
  6. potential complications of steroid use in a patient with impaired integrity of bone structure? -- Answer โœ”โœ” Increased risk of fracture
  7. what maneuver should be used to assess CERVICAL nerve-root compression. -- Answer โœ”โœ” Spurling
  1. What medications cause a patient to be at risk for developing osteoporosis? -- Answer โœ”โœ” โ€ข Glucocorticoids
  • Excessive thyroxine
  • Long-term phenytoin
  1. What populations are at risk for developing osteoporosis? -- Answer โœ”โœ” โ€ข Age (65+)
  • medications
  • Family history
  • Menopause
  • Genetics
  1. In a patient who is elderly and falls (does not remember the fall), but there is no clear cause of falls, what should your workup center around? -- Answer โœ”โœ” syncope associated with Cardiac and neurologic causes
  2. If a patient is alert and oriented and refuses to give consent for a procedure, how do you move forward as a provider? -- Answer โœ”โœ” Respec their wishes, Discuss risks of NOT having procedure, abort procedure, document refusal
  3. In elderly patients, what factors can contribute to loss of appetite and malnourishment? -- Answer โœ”โœ” *Diminished taste/smell/vision *dry mouth *poor dentition *chronic illness *meds *pain *depression *loneliness
  1. How would you assess for a suspected meniscal tear with a physical exam? -- Answer โœ”โœ” McMurray circumduction test.
  2. Which test assesses the integrity of the anterior cruciate ligament? -- Answer โœ”โœ” Lachman
  3. Which test assesses for De Quervain's Tenosynovitis? -- Answer โœ”โœ” Finkelstein's
  4. Pt education for Carpal Tunnel Syndrome -- Answer โœ”โœ” * prevent flexion and extension movements of the wrist.
  • Thumb Spika 24/7 x 3 weeks *ergonomic Modifications
  1. Patients who would like to incorporate non-traditional therapies for treatment of pain-how do you respond? -- Answer โœ”โœ” Educate on efficacy of other treatments but ultimately allow them and support them on their own decision as long as the cessation of pharmacological intervention is not detrimental
  2. In terms of physical activity in a patient with Osteoporosis, what would encourage -- Answer โœ”โœ” *Muscle strengthening activities (Weight Bearing) *Heat followed by ice *Physical therapy
  3. In terms of physical activity in a patient with Osteoporosis, what would Discourage -
  • Answer โœ”โœ” strenuous activity
  1. Patient education for Osteoporosis -- Answer โœ”โœ” * Home environment Safety
  • Adequate nutrition (Vit D, calcium, Protein)
  1. involves vestibular system, most common causes are benign positional vertigo, vestibular neuritis, Meniere disease, Imbalance mild to moderate, able to walk, Latency usually 20 minutes -- Answer โœ”โœ” Peripheral Vertigo
  2. result from lesions affecting the brainstem and cerebellum, imbalance severe cant walk, Latency usually 5 minutes -- Answer โœ”โœ” Central vertigo
  3. What is used to treat edema in the labyrinth with Peripheral Vestibular Disease? -- Answer โœ”โœ” Diamox
  4. What antibiotic would not require adjusting in the elderly? -- Answer โœ”โœ” Tobramycin
  5. What is considered a normal age-related lab change -- Answer โœ”โœ” Increased ESR