MARYVILLE NURS 623 EXAM 4/65
QUESTIONS AND ANSWERS (A+)
What is important to note when a patient has traumatic
injury - =If taking Blood Thinners
-Define delirium - =Underlying acute cause, abrupt
onset, hours to days, reversible, hallucinations,
incoherent speech, confusion
-Define Dementia - =Various causes, gradual change
with mental status, months to years, progressive to
irreversible (speech, memory, mood, judgment)
-An older adult with delirium would present with what
type of behaviors? - =Agitation and restlessness
-At the onset of Alzheimer’s, what category of
medications should be initiated? - =Cholinesterase
inhibitors
-what factors contribute to a patient being high risk for
falls? - =History of falls
medications
vision impairment
heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
-What is the primary reason people have long term
effects after a Stroke - =living at home and calling PCP

instead of 911 leads to prolonged stroke symptoms and
long-term effects
-S/S of an Absence Seizure - =Blank stare (upward
rotation of eye)
-Red Flags of back/neck pain - =Incontinence
Fever
Cancers
Unexplained wt. loss
Long term steroids
Trauma
IV drug abuse
Intense local pain
No comfy Position
-Diagnosing of Alzheimer's - =Impaired ability to learn
new info along with a disturbance in language, function,
or perception
-S/S of Alzheimer's - =*C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
*Word-finding difficulty
* ↑ difficulty with simple tasks
-cardinal features of Parkinson's (TRAP)? - =*T-remor at
rest (or pill rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances

-What disease is "freezing phenomenon" a characteristic
of? - =Parkinson's
-A 62 y/o patient calls and c/o of a headache what
statement would cause the most concern? - =It's the
worst headache I've ever had
-the headache from a subdural hematoma is of venous
origin, typically resulting from ahead injury that is usually
mild and easily forgotten by the patient. - =Temporal
arteritis
-s/s of temporal (giant cell) arteritis - =* unilateral HA
(temporal artery, orbital)
* Jaw claudication (pain with chewing)
* Temporary blindness
(Medical Urgency) Polymyalgia rheumatica (pain/stiff
muscles shoulders and hips)
-What age group is at higher risk for temporal arteritis -
=>50
-Clinical manifestations of Articular disorders? -
=*characterized by deep or diffuse pain, pain or limited
ROM on active and passive movement
*Swelling
*Crepitus
-Clinical manifestations of non-Articular disorders? -
=*Tend to be painful on active but not passive (assisted)
ROM.
*Seldom demonstrate swelling, crepitus, instability, or
deformity by itself.

NURS623 Clinical Analysis Practice Exam With Answers (65 Solved Questions)

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