Practice Questions For Final

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings? A. Poor impulse control B. Unable to discriminate words and letters C. Deficits in the right visual field D. Motor retardation

A

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history? A. Gallstones B. Hypolipidemia C. COPD D. Diabetes mellitus

A

A nurse is performing a neurological assessment for a client has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve III? A. Instruct the client to look up and down without moving his head B. Observe the client's ability to smile and frown. C. Have the client stand with eyes his closed and touch his nose. D. Ask the client to shrug his shoulders against passive resistance.

A

A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate? A. "Incorporate nonverbal cues in the conversation." B. "Ask multiple choice questions as part of the conversation." C. "Use a higher-pitched tone of voice when speaking." D. "Use simple, child-like statements when speaking."

A

A nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.) A. Headache B. Neck pain and stiffness C. Slurred Speech D. Pupillary changes E. Disorientation

ACDE

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex

ADE

A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take? A. Insert a tongue blade in the client's mouth B. Place client on his side C. Hold the client's arms and legs from moving D. Place client back in bed

B

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect? A. Transient ischemic attack (TIA) B. Hemorrhagic stroke C. Thrombotic stroke D. Embolic stroke

B

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? A. Initiate a low-residue diet B. Pantoprazole 80 mg IV bolus twice daily C. Ambulate twice daily. D. Pancrelipase 500 units/kg PO three times daily with meals

B

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make? A. You should decrease your caloric intake when abdominal pain is present." B. "You should increase your daily intake of protein" C. "You should increase fat intake when experiencing loose stools." D. "You should limit alcohol intake to 2-3 drinks per week."

B

A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following? A. Battery B. Assault C. Malpractice D. Abuse

C

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take? A. Provide a nonskid mat to alleviate plate movement. B. Encourage the client to use his right hand when feeding himself C. Remind the client to look for food on the left side of the tray D. Encourage the use of the wide grip utensils

C

A nurse is admitting a young adult client who has suspected bacterial meningitis. The nurse should closely monitor the client for increased intracranial pressure (ICP) as indicated by which of the following findings? A. Nuchal rigidity B. Pupils reactive to light C. Widened pulse pressure D. Elevated temperature

C

A nurse is caring for a client who has right-sided paralysis from a stroke. Which of the following interventions should the nurse implement to prevent footdrop? A. Place sandbags to maintain right plantar flexion. B. Position soft pillows against the bottom of the feet. C. Apply a protective boot to the right ankle D. Splint the right lower extremity to maintain proper alignment

C

A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include? A. Encourage brief exercise before meals to promote appetite B. Place food in the affected side of the mouth C. Encourage client to take small bites D. Place client with the head reclined back to facilitate swallowing

C

A nurse is monitoring a client who had a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? A. Hypotension B. Tachycardia C. Irritability D. Tinnitus

C

A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching? A. Avoid eating at fast food restaurants B. Avoid serving raw foods C. Practice effective hand hygiene D. Wear barrier protection during vaginal intercourse

C

A nurse is teaching the partner of a client who had a stroke about dysphagia. Which of the following statements by the client's partner should indicate to the nurse that the teaching was effective? A. "My partner should cough while swallowing food." B. "My partner should place their food on the weaker side of their mouth when eating." C. "My partner should tilt their head forward when swallowing." D. "My partner should sit at a 30° angle while eating their meals."

C

A nurse is administering an IM injection to a client who has hepatitis C. Before placing the syringe and needle in a puncture-resistant container, which of the following actions should the nurse take? A. Recap the needle. B. B. Place the cap on the bedside table and slide the needle into the cap. C. Wrap the needle with gauze. D. Dispose of the needle uncapped.

D

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement? A. Droplet B. Contact C. Airborne D. Standard

D

A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings? A. Impaired sense of humor B. Loss of depth perception C. Poor judgement D. Intellectual impairment

D

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)? A. Tachycardia B. Amnesia C. Hypotension D. Restlessness

D

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention? A. Auscultate the client's lungs. B. Assist the client to a side-lying position C. Provide Oral Hygiene D. Withhold oral fluids and food.

D

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan? A. Administer antibiotics B. Provide a diet high in fat C. Restrict fluids D. Encourage short periods of ambulation

D

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid? A. Noodles B. Vegetable soup C. Baked fish D. Cheddar cheese

D

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data? A. The client can follow simple motor commands B. The client is unable to make vocal sound. C. The client is unconscious. D. The client opens his eyes when spoken to.

D

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include? A. History of smoking B. Obesity C. History of hypertension D. Genetics

D

A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C? A. A client who eats raw shellfish B. A client who has multiple tattoos C. A client who works in a child care center D. A client who has recently traveled to a underdeveloped country

B

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect? A. Gradual onset of several hours B. Manifestations preceded by a severe headache C. Maintain consciousness D. History of neurologic

B

A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect? A. Difficulty reading B. Inability to recognize his family members C. Right hemiparesis D. Aphasia

B