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6.

Largest lobe of the brain involve in concentration, abstract thought, information


storage or memory and motor function

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d. Occipital

a. Frontal

b. Parietal

c. Temporal

10. Spinal cord is composed of

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b. 31 pairs of spinal nerve: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal

a. 31 pairs of spinal nerve: 7 cervical, 12 thoracic, 5 lumbar, 6 sacral, 1 coccygeal

d. 30 pairs of spinal nerve: 7 cervical, 12 thoracic, 5 lumbar, 5 coccygeal, 1 sacral

c. 30 pairs of spinal nerve: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral

2. Major neurotransmitter of the parasympathetic nervous system


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d. Epinephrine

a. Dopamine

b. Serotonin

c. Acetylcholine

5. Part of the brain which controls fine movements, balance, and postural sense

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a. Cerebrum

b. Medulla obrongaa

d. Midbrain

c. Cerebellum

1. Basic functional unit of the brain

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c. Neuron
b. Cell body

a. Dentrites

d. Glial cells

Email address

audriegabales@idc.edu.ph

9. Tract which conducts sensory impulses from muscle spindles, providing necessary
input for coordinated muscle contraction

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C. Rubrospinal tract

D. Corticobulbar tract

A. Spinothalamic tract

B. Spinocerebellar tract

Correct answer

C. Rubrospinal tract

4. Which of the following cranial nerves is not located in the brainstem


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b. Optic

d. Glossopharyngeal

c. Abducens

a. Vestibulocochlear

3. It is a thick collection of nerve fibers responsible for the transmission of information


from one side of the brain to the other

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d. Corpus callosum

c. Great longitudinal fissure

b. Falx cerebri

a. Medulla

7. Potential space between the dura and skull and between periosteum and the dura in
vertebral column where blood or abscess can accumulate

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a. Dura mater

b. Epidural

c. Subdural

d. Subarachnoid

Section

3F

8. Brain circulation is unique in several aspects except

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C. blood vessels in the brain have three rather than two layers

B. brain has collateral circulation through the circle of Willis

D. Blood vessels more prone to rupture when weakened or under pressure

A. arterial and venous vessels are not parallel

2. An elderly patient has just suffered a stroke that has left him with upper extremity
weakness. This is a symptom associated with damage to which vessel?

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A. Carotid artery

B. Anterior cerebral arteries

C. Vertebrobasilar artery

D. Middle cerebral artery

Email address

audriegabales@idc.edu.ph

7. A client begins to have Cheyne-Stokes respiration. This type of breathing pattern is


best explained as

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a. Completely irregular breathing pattern with random deep and shallow respiration

b. Prolonged inspirations with inspiratory and/or expiratory pauses

c. Rhythmic waxing and waning of both rate and depth of respiration with brief period of
interspersed apnea

d. Sustained regular, rapid respiration of increased depth

Correct answer

c. Rhythmic waxing and waning of both rate and depth of respiration with brief period of
interspersed apnea
11. Most common type of headache

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a. Cluster

b. Migraine

c. Tension

d. Occipital

9. The nurse is assessing reflexes on a client. A positive Babinski’s reflex is

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a. Extension of the elbow and contraction of the triceps tendon

b. Supination and flexion of the forearm

c. Dorsiflexion of the great toe with the fanning of the other toes

d. Flexion of the arm at the antecubital fossa and contraction of the biceps

6. An adult has a medical diagnosis of increased intracranial pressure and is being


cared for on the neurology unit. The nursing care pan includes elevating the head of the
bed and positioning the client’s head in proper alignment. The nurse recognizes that
these actions are effective because they act by

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a. Making it easier for the client to breath

b. Preventing a valsalva maneuver

c. Promoting venous drainage

d. Reducing pain

8. Which of the following reduces cerebral edema by constricting cerebral veins

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a. Dexamethasone

b. Mechanical ventilation

c. Mannitol

d. Ventriculostomy

5. After a patient experiences a brain stem infarction, the nurse should observe for
which condition?
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A. Aphasia

B. Bradypnea

C. Contralateral hemiplegia

D. Numbness and tingling to the face or arm

Section

3F

4. After a patient experiences a brain stem infarction, the nurse should observe for
which condition?

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A. Aphasia

B. Bradypnea

C. Contralateral hemiplegia

D. Numbness and tingling to the face or arm


10. A client with a closed head injury is confused, drowsy, and has unequal pupils.
Which of the following nursing diagnosis is most important at this time?

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a. Altered level of cognitive function

b. High risk for injury

c. Altered cerebral tissue perfusion

d. Sensory perceptual alteration

14. Upon assessment of the patient, you identified a drug which have not triggered the
headache.

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a. Losartan

b. Furosomide

c. Azithromycin

d. None of the above

3. Which condition places a patient at risk for an embolic stroke?


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A. Atrial fibrillation

B. Bradycardia

C. Deep vein thrombosis

D. A history of MI

1. The nurse is caring for a comatose patient who has suffered a closed head injury.
Which intervention should the nurse implement to prevent increases in ICP?

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A. Suctioning the airway every hour and as needed

B. Elevating the head of the bed 30 to 45 degrees

C. Turning the patient and changing his position every 2 hours

D. Maintaining a well-lit room

12. True of migraine headaches

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a. It has 4 phases (prodrome, aura, headache, recovery)

b. It is bilateral

c. Third phase, headache phase, is characterized by mild confusion

d. All of the above

Name (last name, First name, MI)

Gabales, Audrie Allyson H.

13. Jun-jun came in at the Out Patient Department experiencing retroorbital pain
radiating to the facial and temporal area. This is accompanied by nasal congestion and
watering of the eyes. What type of headache is he experiencing

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a. Tension

b. Cluster

c. Migraine

d. Either a or b
15. Bella, suffered a head injury due to motor vehicular accident. She lost
consciousness and was brought to the nearest hospital upon diagnostic exam, no skull
fracture was identified. You considered Bella to have

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a. Contussion

b. Subarachnoid hemorrage

c. Concussion

d. Hematoma

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