F2 Final ATI Questions: Neuro

A nurse enters a client's room and finds him on the floor in the clonic phase of a tonic-clonic seizure. Which of the following actions should the nurse take? A. Insert a padded tongue blade into the client's mouth. B. Place a pillow under the client's head. C. Gently restrain the client's extremities. D. Apply a face mask for oxygen administration.

B. Place a pillow under the client's head.

A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying? A. Kernig's sign B. Nuchal rigidity C. Brudzinski's sign D. Bradykinesia

C. Brudzinski's sign

A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next? A. Complete a vascular assessment. B. Administer an antipyretic. C. Decrease environmental stimuli. D. Assess the cranial nerves.

D. Assess the cranial nerves.

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority? A. Prepare the child for a lumbar puncture. B. Administer an intravenous antibiotic. C. Obtain blood cultures. D. Place the child in isolation.

D. Place the child in isolation.

A nurse suspects that a client admitted fro treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion? A. Photophobia B. Nuchal rigidity C. Positive Kernig's sign D. Restlessness

D. Restlessness

A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching? A. "Insert a padded tongue blade into the client's mouth." B. "Restrain the client." C. "Place the client on his back." D. "Move objects away from the client."

D. "Move objects away from the client."

A nurses caring for a child who has a suspected diagnosis of bacterial meningitis.Which of the following actions is the nurses priority? A. Administer antibiotics when available. B. reduced environmental stimuli. C. Document intake and output. D. Maintain seizure precautions.

A. Administer antibiotics when available.

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.) A. Assess the client's airway patency. B. Place a tongue depressor in the client's mouth. C. Remove objects from the clients bed. D. Place the client in a side-lying position. E. Restrain the client.

A. Assess the client's airway patency. C. Remove objects from the clients bed. D. Place the client in a side-lying position.

A nurse is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take? A. Check the patency of the client's airway. B. Determine the poison that was ingested. C. Identify the amount of poison that was ingested. D. Position the client side-lying.

A. Check the patency of the client's airway.

A nurse is caring for a client who is experiencing a seizure which of the following action should the nurse take? (Select all that apply) A. Loosen restrictive clothing. B. Insert a bike stick into the client's mouth. C. Place the client into a supine position. D. Place a pillow under the client's head. E. Apply restraints.

A. Loosen restrictive clothing. D. Place a pillow under the client's head.

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the clients plan of care? A. Obtain IV access. B. Keep the lights on when the client is sleeping. C. Place the client's bed in the highest position. D. Keep a padded tongue blade available at the client's bedside.

A. Obtain IV access.

A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following interventions should the nurse include? (Select all that apply) A. Provide a suction setup at the bedside. B. Elevate the side rails near the head when the client is in bed. C. Place the bed in the lowest position. D. Keep an oxygen setup at the bedside. E. Furnish restraints at the bedside.

A. Provide a suction setup at the bedside. B. Elevate the side rails near the head when the client is in bed. C. Place the bed in the lowest position. D. Keep an oxygen setup at the bedside.

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect? A. Severe headache B. Bradycardia C. Blurred vision D. Oriented to person, place, and year

A. Severe headache

A nurse is in a clients room when the client begins having a tonic- clonic seizure. Which of the following actions should the nurse take first? A. Turn the client's head to the side. B. Check the client's motor strength. C. Loosing the clothing around the client's waste. D. Document the time the seizure began.

A. Turn the client's head to the side.

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 the client on his side. C. Hold the client's arms and legs from moving. D. Place the client back in bed.

B. Place the client on his side