ATI Neuro Practice Questions

A home health nurse is reinforcing coping strategies with the family caregiver of a client who has alzheimer's disease. Which of the following information should the nurse include in the teaching? a. actions to reduce stress b. identification of a social support system c. referral to available community resources d. instruction on client medication administration e. expected physiological changes of the disease

a. actions to reduce stress b. identification of a social support system c. referral to available community resources e. expected physiological changes of the disease

A nurse is modifying the diet of a client who has Parkinson's disease and is prescribed selegiline, an MAOI. Which of the following foods should the nurse eliminate? a. fresh fish b. cheddar cheese c. cherries d. chicken

b. cheddar cheese

A nurse is teaching a client who has left hemiparesis how to use a cane. Which of the following instructions should the nurse include? a. remove the rubber when using the cane b. hold the cane on the right side to provide support for the weaker leg c. place the cane approximately 61cm (24 in) in front of her feet before advancing d. advance the right leg and the cane together to support the weaker leg

b. hold the cane on the right side to provide support for the weaker leg

A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25mg PO TID. Which of the following therapeutic outcomes should the nurse expect to see? a. delay in disease progression b. improved bladder function c. relief of depression d. decreased tremors

d. decreased tremors

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? a. impaired sense of humor b. loss of depth perception c. poor judgment d. intellectual impairment

d. intellectual impairment

A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include in the teaching? a. hx of smoking b. obesity c. hx of HTN d. race

d. race

A nurse is teaching a client who has multiple sclerosis and a new prescription for dantrolene. Which of the following statements by the client indicates an understanding of the teaching? a. "I need to apply sunscreen when i go outside" b. "i can take OTC antihistamine for allergies when I'm taking this drug" c. "I should take this medication when spasms are bad" d. "my muscle strength should improve a lot in 2 to 3 days"

a. "I need to apply sunscreen when i go outside"

A nurse is caring for an older adult client who had a cerebrovascular accident and has left-sided weakness. The client's partner tells the nurse she is worried about the next steps of treatment for her partner. Which of the following responses should the nurse make? a. "we have begun plans to send your partner to a rehabilitation facility as soon as he is stable" b. "your partner is too critical to consider what tomorrow will bring. Let's just concentrate" c. "don't worry. Most clients like your partner start making progress after a few days of rest" d. "you will have to speak to the provider for that information. I can arrange that for you"

a. "we have begun plans to send your partner to a rehabilitation facility as soon as he is stable"

A nurse is helping an older client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take? a. check that the client lifts the walker and then places it down in front of her b. walk in front of the client to guide her in moving the walker c. have the client move one leg forward with the walker d. make sure that the upper bar of the walker is level with the client's waist

a. check that the client lifts the walker and then places it down in front of her

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident 3 weeks ago. Which of the following goals should the nurse include in the client rehabilitation program? a. establish the ability to communicate effectively b. compensate for loss of depth perception c. learn to control impulsive control d. improve left-side motor function

a. establish the ability to communicate effectively

A nurse in an acute care facility is assessing a client who had hip surgery and has alzheimer's disease. The nurse asks the client how therapy went that morning. Which of the following statements by the client should the nurse document as confabulation? a. "this morning, this morning, this morning" b. "it was good. the queen of england visited me there" c. "i just dont remember what I did this morning" d. "snip, snap. Take a nap"

b. "it was good. the queen of england visited me there"

A nurse is assessing a client who has ataxia. Which of the following actions should the nurse take to evaluate the client's ability to safely ambulate? a. observe for the presence of kernig's sign b. perform a romberg's test c. check the function of cranial nerve V d. inspect for the presence of clubbing

b. perform a romberg's test

A nurse is caring for a client who has dementia due to alzheimer's disease and was admitted to a long-term care facility following the death of her partner of 40 years. The client states "I want to go home; my husband is waiting for me to cook dinner." Which of the following responses by the nurse is appropriate? a. "this is where you live now" b. "this is a safer place for you to live" c. "tell me what you like to cook for dinner" d. "your family said there is no one to care for you at home"

c. "tell me what you like to cook for dinner"

A nurse is teaching the family of an older adult client who has a new diagnosis of dementia. Which of the following statements should the nurse include in the teaching? a. "dementia is characterized by a sudden onset of confusion" b. "an altered level of consciousness is associated with dementia" c. "the signs of dementia are progressive and irreversible" d. "dementia can be triggered by a high fever or dehydration"

c. "the signs of dementia are progressive and irreversible"

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 foot drop? 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. apply a protective boot to the right ankle

A nurse who is off duty finds a woman who has collapsed and has right-sided weakness and slurred speech. Which of the following actions should the nurse take? a. obtain the telephone number of the client's provider b. find a location for the client to sit c. call emergency services d. drive the client to the nearest emergency department

c. call emergency services

A nurse shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following action should the nurse take? a. provide the client with water to test the gag reflex b. perform carotid massage c. notify emergency management services d. drive the client to the nearest

c. notify emergency management services

A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? a. remind the client to tell the nurse when he has to urinate b. use adult diapers to prevent frequent clothing changes c. take the client to the bathroom every 2 hr d. request a prescription for an indwelling urinary catheter

c. take the client to the bathroom every 2 hr

A nurse is making a home visit to a client who has alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain? a. the partner has placed locks at the top of the doors leading to the outside b. the partner has hired a house cleaner c. the partner has lost 20 lb in the past 2 months d. the partner redirects the client when the client is frustrated

c. the partner has lost 20 lb in the past 2 months

A home health nurse is planning care for a client who has alzheimer's disease. The client's partner is her primary caregiver and reports not having enough time to complete errands. Which of the following referrals should the nurse plan to make? a. hospice care b. restorative care c. mental health state d. respite care

d. respite care