CHAPTER 34: THE AUTONOMIC NERVOUS SYSTEM

CHAPTER 34: THE AUTONOMIC NERVOUS SYSTEM

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse understands that dilation of the pupil to permit more light to enter the eye is stimulated by the:

a.	sympathetic nervous system.	c.	central nervous system.
b.	parasympathetic nervous system.	d.	cholinergic nervous system.

 

 

ANS:  A

 

	Feedback
A	Correct: This is a response to sympathetic stimulation.
B	Incorrect: This system causes pupil constriction.
C	Incorrect: The CNS is not part of the autonomic nervous system.
D	Incorrect: This is the same as the parasympathetic nervous system.

 

 

PTS:   1                    REF:   p. 771            OBJ:   Cognitive Level: Comprehension

 

2. A substance released into a synapse in order to carry an impulse from one nerve to another is known as a:

a.	ganglionic transmitter.	c.	catecholamine agonist.
b.	neuromuscular agonist.	d.	neurotransmitter.

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is not a term used to describe a neurotransmitter.
B	Incorrect: This is not the appropriate term.
C	Incorrect: This is not the appropriate term.
D	Correct: The question defines a neurotransmitter.

 

 

PTS:   1                    REF:   p. 770            OBJ:   Cognitive Level: Knowledge

 

3. Which of the following is a chemical agent utilized within the autonomic nervous system?

a.	histamine	c.	levonorgestrel
b.	norepinephrine	d.	methylxanthine

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is not an ANS neurotransmitter.
B	Correct: Norepinephrine and acetylcholine are the ANS neurotransmitters.
C	Incorrect: This is not an ANS neurotransmitter.
D	Incorrect: This is not an ANS neurotransmitter.

 

 

PTS:   1                    REF:   p. 770            OBJ:   Cognitive Level: Knowledge

 

4. The condition of a client the nurse is caring for rapidly deteriorates. The nurse’s physical responses to this situation is predominantly controlled by the:

a.	autonomic nervous system.	c.	sympathetic nervous system.
b.	central nervous system.	d.	parasympathetic nervous system.

 

 

ANS:  C

 

	Feedback
A	Incorrect: The ANS contains both sympathetic and parasympathetic responses; the nurse’s response is dominated by the sympathetic nervous system.
B	Incorrect: Although cognitively involved in the situation, cognition (of CNS) does not dominate the nurse’s physical response.
C	Correct: This situation would stimulate the “fight or flight” response of the sympathetic nervous system.
D	Incorrect: This system would not dominate the nurse’s response.

 

 

PTS:   1                    REF:   p. 771            OBJ:   Cognitive Level: Comprehension

 

5. The nurse is administering a drug to stimulate alpha-1 adrenergic receptors. The nurse should:

a.	monitor the client’s lung sounds.
b.	monitor the client’s blood pressure.
c.	anticipate resolution of the client’s bronchial asthma attack.
d.	palpate the client’s radial pulse prior to administration of the drug.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This drug will not impact on the client’s lung sounds.
B	Correct: This drug will cause contraction of the peripheral blood vessels, with a responding increase in blood pressure.
C	Incorrect: This drug will not effectively treat a bronchial asthma attack.
D	Incorrect: This drug would not require this nursing action.

 

 

PTS:   1                    REF:   p. 772            OBJ:   Cognitive Level: Application