NURS 611 EXAM 2 PATHO ACTUAL EXAM TEST BANK 2023-
2024 COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
(MARYVILLE UNIVERSITY)
Where is the region responsible for the motor aspects?Broca area in the
frontal lobe. - ANSWER- Broca speech area is the only region
responsible for the motor aspects of speech.
Parkinson and Huntington diseases are associated with defects in which
area of the brain? - ANSWER- Basal ganglia
Maintenance of a constant internal environment and the implementation
of behavioral patterns are main functions of which area of the brain? -
ANSWER- Hypothalamus. Hypothalamic function falls into 2 major
areas: 1) maintenance of a constant internal environment, and 2)
implementation of behavioral patterns.
What parts of the brain mediate the expression of affect, both emotional
and behavioral states? - ANSWER- Limbic system and prefrontal cortex
Reflex activities concerned with heart rate, blood pressure, respirations,
sneezing, swallowing, and coughing are controlled by which area of the
brain? - ANSWER- Medulla oblongata. The medulla oblongata makes
up the myelencephalon and is the lowest portion of the brainstem.
Which area of the brain assumes the responsibility for conscious and
unconscious muscle synergy and for maintaining balance and posture? -
ANSWER- Cerebellum
The brain receives approximately what percentage of the cardiac output?
- ANSWER- 20% or 800 to 1000 ml of blood flow per minute
What evidence does the nurse expect to see when a patient experiences
trauma to the hypothalamus? (select all that apply) A. Uneven
expression of mood B. Unstable blood glucose levels C. Poor regulation
of body temperature D. Visual disturbances such as blurred vision E.
N/V and symptoms of gastroesophageal reflux disease - ANSWERUneven expression of mood, unstable blood glucose levels, and poor
temp regulation. The hypothalamus forms the base of the diencephalon.
Hypothalamic function controls autonomic nervous system function,
regulation of body temp, endocrine function (glucose levels), and
regulation of emotional expression.
What is the first defense of our bodies? - ANSWER- Skin and mucous
membranes
Which action is the purpose of the inflammatory process? - ANSWERTo prevent infection of the injured tissue. If the epithelial barrier is
damaged, then a highly efficient local and system response
(inflammation) is mobilized to limit the extent of damage, to protect
against infection, and to initiate the repair of damaged tissue.
What are the 4 cardinal signs of infection? - ANSWER- Edema (tumor),
warmth (calor), redness (rubor), and pain (dolar). There is a 5th sign
known as loss of function (functio laesa) but Dr. Wunderlich did not
mention this.
Which type of white blood cell is first to arrive at the site of infection? -
ANSWER- Leukocytes
Parasympathetic nervous system - ANSWER- Body system responsible
for conserving energy and body resources
Sympathetic nervous system (SNS) - ANSWER- Body system that
responds to stress by preparing the body to defend itself
how is blood flow redistributed by the sympathetic nervous system
(SNS) - ANSWER- blood flow to the muscles is increased while blood
flow to GI and integumentary is decreased
how are primary brain injuries classified - ANSWER- Focal or diffuse
(aka multifocal)
focal brain injuries - ANSWER- specific, grossly observable brain
lesions that occur in a precise location
Epidural and subdural hemorrhages
diffuse brain injuries - ANSWER- include brain injury due to hypoxia,
meningitis, encephalitis, and damage to blood vessels
The brain is confined in a limited space so increased pressure can cause
collateral dysfunction: Diabetes Insipidus (ADH not secreted thus
polyuria)
autonomic hyperreflexia - ANSWER- affected at the t5-t6 level or
above; characterized by paroxysmal HTN (up to 300 mmHg systolic), a
pounding headache, blurred vision, sweating above the level of the
lesion with flushing of the skin, nasal congestion, nausea, piloerection
caused by pilomotor spasm, and bradycardia (30-40 beats/min)
location of lesions in cases of autonomic hyperreflexia - ANSWERindividual most likely to be affected have lesions at the T5-T6 level or
above
sequence of events that lead to hyperreflexia induced bradycardia -
ANSWER- bradycardia (30-40bpm) is a sx of hyperreflexia
Stimulation of the carotid sinus -->vagus nerve -->sinoatrial (SA) node.
The intact ANS reflexively responds with an arteriolar spasm that
increases blood pressure. Baroreceptors in the cerebral vessels, the
carotid sinus, and the aorta sense the HTN and stimulate the PNS. The
heart rate decreases, but the visceral and peripheral vessels do not dilate
because efferent impulses cannot pass through the cord
Alzheimer's disease - ANSWER- leading cause of dementia and one of
the most common causes of severe cognitive dysfunction in older adults
what are the greatest risk factors for Alzheimer's disease - ANSWERage, family history
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