NUR 1275 Neuro Prep U Questions

The nurse is caring for a client with aphasia. Which action will the nurse take when communicating with the client? Select all that apply. A. Pause between phrases B. Use gestures when talking C. Face the client when talking D. Talk over the television volume E. Speak in a normal tone of voice

A. Pause between phrases B. Use gestures when talking C. Face the client when talking E. Speak in a normal tone of voice

The nurse has developed an evidence-based plan of care for a patient requiring rehabilitation after a total hip replacement. Ultimately, who should approve the plan of care? A. The patient B. The physical therapist C. The nurse D. The physician

A. The patient

A patient with a fractured left fibula is being taught how to use crutches. Which statement by the patient indicates that the teaching was effective? A. "I need to position the crutches even with my heels when standing." B. "I need to allow my arms and hands to support my body weight." C. "I need to learn to use one type of gait for getting around." D. "I should make sure my underarms are supported by the tops of the crutches."

B. "I need to allow my arms and hands to support my body weight."

After a stroke, a client is admitted to the facility. The client has left-sided weakness and an absent gag reflex. He's incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his hemoglobin is 10 g. Which nursing intervention is a priority for this client? A. Checking stools for occult blood B. Elevating the head of the bed to 30 degrees C. Performing range-of-motion (ROM) exercises on the left side D. Keeping skin clean and dry

B. Elevating the head of the bed to 30 degrees

After having a stroke, a patient has cognitive deficits. What are the cognitive deficits the nurse recognizes the patient has as a result of the stroke? Select all that apply. A. Expressive aphasia B. Short- and long-term memory loss C. Poor abstract reasoning D. Paresthesias E. Decreased attention span

B. Short- and long-term memory loss C. Poor abstract reasoning E. Decreased attention span

The nurse is evaluating the progression of a client in the home setting. Which activity of the hemiplegic client best indicates that the client is assuming independence? A. The client ambulates with the assistance of one. B. The client grasps the affected arm at the wrist and raises it. C. The client uses a mechanical lift to climb steps. D. The client arranges a community service to deliver meals.

B. The client grasps the affected arm at the wrist and raises it.

A 64-year-old client reports symptoms consistent with a transient ischemic attack (TIA) to the health care provider in the emergency department. Which is the origin of the client's symptoms? A. diabetes insipidus B. impaired cerebral circulation C. cardiac disease D. hypertension

B. impaired cerebral circulation

When should the nurse plan the rehabilitation of a patient who is having an ischemic stroke? A. The day before the patient is discharged B. After the patient has passed the acute phase of the stroke C. The day the patient has the stroke D. After the nurse has received the discharge orders

C. The day the patient has the stroke

Which of the following is the first-line therapy for myasthenia gravis (MG)? A. Pyridostigmine bromide (Mestinon) B. Lioresal (Baclofen) C. Azathioprine (Imuran) D. Deltasone (Prednisone)

A. Pyridostigmine bromide (Mestinon)

A client is experiencing muscle weakness and an ataxic gait. The client has a diagnosis of multiple sclerosis (MS). Based on these symptoms, the nurse formulates "Impaired physical mobility" as one of the nursing diagnoses applicable to the client. What nursing intervention should be most appropriate to address the nursing diagnosis? A. Change body position every 2 hours. B. Use a footboard and trochanter rolls. C. Help the client perform range-of-motion (ROM) exercises every 8 hours. D. Use pressure-relieving devices when the client is in bed or in a wheelchair.

C. Help the client perform range-of-motion (ROM) exercises every 8 hours.

A client with Guillain-Barré syndrome has experienced a sharp decline in vital capacity. What is the nurse's most appropriate action? A. Administer bronchodilators as ordered. B. Remind the client of the importance of deep breathing and coughing exercises. C. Prepare to assist with intubation. D. Administer supplementary oxygen by nasal cannula.

C. Prepare to assist with intubation.

The nurse is providing information about strokes to a community group. Which of the following would the nurse identify as the primary initial symptoms of an ischemic stroke? A. Foot drop and external hip rotation B. Vomiting and seizures C. Weakness on one side of the body and difficulty with speech D. Severe headache and early change in level of consciousness

C. Weakness on one side of the body and difficulty with speech

Which well-recognized sign of meningitis is exhibited when the client's neck is flexed and flexion of the knees and hips is produced? A. Nuchal rigidity B. Photophobia C. Positive Kerning sign D. Positive Brudzinski sign

D. Positive Brudzinski sign

A family member comes to the clinic to talk to the nurse about a client who has had a stroke on the right side of the brain. The family member is concerned because of the deficits the client is exhibiting. The nurse knows that when a client experiences a stroke on the right side of the brain, common deficits include what? Select all that apply. A. Hyperaware of deficits B. Tendency to distractibility C. Left-sided hemiplegia D. Neglect of objects and people on the left side E. Impairment of long-term memory

B. Tendency to distractibility C. Left-sided hemiplegia D. Neglect of objects and people on the left side

A client who has experienced an ischemic stroke has been admitted to the medical unit. The client's family is adamant that the client remain on bed rest to hasten recovery and to conserve energy. What principle of care should inform the nurse's response to the family? A. To prevent contractures and muscle atrophy, bed rest should not exceed 4 weeks. B. The client should mobilize as soon as physically able. C. The client should remain on bed rest until the client expresses a desire to mobilize. D. Lack of mobility will greatly increase the client's risk of stroke recurrence.

B. The client should mobilize as soon as physically able.

The nurse is completing an assessment on a client with myasthenia gravis. Which of the following historical recounting provides the most significant evidence regarding when the disorder began? A. Sensitivity to bright light B. Shortness of breath C. Muscle spasms D. Drooping eyelids

D. Drooping eyelids

The nurse in collaboration with the rehabilitation team is working with a patient on performing therapeutic exercises. Which of the following would the nurse expect to encourage to increase the patient's muscle power? A. Isometric exercises B. Active exercises C. Passive exercises D. Resistive exercises

D. Resistive exercises

A client is hospitalized with Guillain-Barré syndrome. Which nursing assessment finding is most significant? A. Warm, dry skin B. Soft, nondistended abdomen C. Urine output of 40 ml/hour D. Uneven, labored respirations

D. Uneven, labored respirations

When communicating with a client who has sensory (receptive) aphasia, the nurse should: A. use short, simple sentences. B. give the client a writing pad. C. allow time for the client to respond. D. speak loudly and articulate clearly.

A. use short, simple sentences.

A community health nurse is giving an educational presentation about stroke and heart disease at the local senior citizens' center. What nonmodifiable risk factor for stroke should the nurse cite? A. Advanced age B. Female gender C. Asian race D. Smoking

A. Advanced age

The nurse is preparing the client for an acetylcholinesterase inhibitor test to rule out myasthenia gravis. Which is the priority nursing action? A. Ensure atropine is readily available. B. Document the results. C. Assess facial weakness 5 minutes after injection. D. Administer edrophonium chloride per orders.

A. Ensure atropine is readily available.

During a client's recovery from stroke, the nurse should be aware of predictors of stroke outcome in order to help clients and families set realistic goals. What are the predictors of stroke outcome? Select all that apply. A. National Institutes of Health Stroke Scale (NIHSS) score B. Gender C. Race D. Age E. LOC at time of admission

A. National Institutes of Health Stroke Scale (NIHSS) score D. Age E. LOC at time of admission

Which well-recognized sign of meningitis is exhibited when the client's neck is flexed and flexion of the knees and hips is produced? A. Positive Brudzinski sign B. Positive Kerning sign C. Nuchal rigidity D. Photophobia

A. Positive Brudzinski sign

A client with respiratory complications of multiple sclerosis (MS) is admitted to the medical-surgical unit. Which equipment is most important for the nurse to keep at the client's bedside? A. Suction machine with catheters B. Sphygmomanometer C. Nasal cannula and oxygen D. Padded tongue blade

A. Suction machine with catheters

A client diagnosed with myasthenia gravis has been hospitalized to receive therapeutic plasma exchange (TPE) for a myasthenic exacerbation. The nurse should anticipate what therapeutic response? A. Symptom improvement that lasts a few weeks after TPE ceases B. Permanent improvement after 60 to 90 treatments C. Permanent improvement after 4 to 6 months of treatment D. Gradual improvement over several months

A. Symptom improvement that lasts a few weeks after TPE ceases

A client diagnosed with a hemorrhagic stroke has been admitted to the neurologic ICU. The nurse knows that teaching for the client and family needs to begin as soon as the client is settled on the unit and will continue until the client is discharged. What will family education need to include? A. Risk factors for ischemic stroke B. How to correctly modify the home environment C. How to differentiate between hemorrhagic and ischemic stroke D. Techniques for adjusting the client's medication dosages at home

B. How to correctly modify the home environment

The nurse practitioner advises a patient who is at high risk for a stroke to be vigilant in his medication regimen, to maintain a healthy weight, and to adopt a reasonable exercise program. This advice is based on research data that shows the most important risk factor for stroke is: A. Obesity B. Hypertension C. Dyslipidemia D. Smoking

B. Hypertension

What nursing intervention is appropriate for a client with receptive aphasia? A. Encourage the client to repeat sounds of the alphabet. B. Speak slowly and clearly. C. Explore the client's ability to write. D. Frequently reorient the client to time, place, and situation.

B. Speak slowly and clearly.

A client diagnosed with a stroke is having difficulty forming words during communication. This would be appropriately documented as A. dysphagia. B. diplopia. C. dysarthria. D. receptive aphasia.

C. dysarthria.

A client is suspected to have bacterial meningitis. What is the priority nursing intervention? A. Prepare the client for a CT scan. B. Encourage oral fluid intake. C. Assess the CSF fluid laboratory test results. D. Administer prescribed antibiotics.

D. Administer prescribed antibiotics.

The nurse is caring for a client whose recent health history includes an altered LOC. What should be the nurse's first action when assessing this client? A. Assessing the client's ability to follow complex commands B. Assessing the client's response to pain C. Assessing the client's judgment D. Assessing the client's verbal response

D. Assessing the client's verbal response

Which nursing diagnosis takes the highest priority for a client with parkinsonian crisis? A. Impaired urinary elimination B. Risk for injury C. Imbalanced nutrition: Less than body requirements D. Ineffective airway clearance

D. Ineffective airway clearance

The diagnosis of multiple sclerosis is based on which test? A. Neuropsychological testing B. Evoked potential studies C. Magnetic resonance imaging D. CSF electrophoresis

C. Magnetic resonance imaging