ATI Neuro Questions

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect? -Pruritus -Hypertension -Bradykinesia -Xerostomia

-Bradykinesia

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client? -Piperacillin/tazobactam -Levothyroxine -Levodopa/carbidopa -Carbamazepine

-Levodopa/carbidopa

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? -History of smoking -Obesity -History of hypertension -Race

-Race

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? -Poor impulse control -Unable to discriminate words and letters -Deficits in the right visual field -Motor retardation

-Poor impulse control

A nurse suspects a client who has myasthenia gravis is experiencing a myasthenic crisis. Which of the following interventions should the nurse take? -Prepare the client for mechanical ventilation -Administer an anticholinesterase medication. -Instruct the client to perform the pursed lip breathing. -Prepare to administer a vasoconstrictor.

-Prepare the client for mechanical ventilation

A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching? -Provide client supervision. -Limit client physical activity. -Speak loudly to the client. -Leave the television on continuously.

-Provide client supervision.

A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor? -Confusion -Weakness -Increased intracranial pressure -Increased urinary output

-Weakness

A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? -"Do not take antihistamines with this medication." -"Take the medication on an empty stomach." -"Stop taking the medication immediately for a headache." -"Expect to develop diarrhea initially."

-"Do not take antihistamines with this medication."

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? -"I need to apply a sunscreen when I go outside." -"I can take an over-the-counter antihistamine for allergies when I'm taking this drug." -"I should take this medication when my spasms are bad." -"My muscle strength should improve a lot in 2 to 3 days."

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

A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate? -"Engage in a vigorous exercise program." -"Implement a schedule to include periods of rest." -"Wear an eye patch on the right eye at all times." -"Plan to relax in a hot tub spa each day."

-"Implement a schedule to include periods of rest."

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? -"Incorporate nonverbal cues in the conversation." -"Ask multiple choice questions as part of the conversation." -"Use a higher-pitched tone of voice when speaking." -"Use simple, child-like statements when speaking."

-"Incorporate nonverbal cues in the conversation."

A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility? -A reddened area over the sacrum -Stiffness in the lower extremities -Difficulty moving the upper extremities -Difficulty hearing some types of sounds

-A reddened area over the sacrum

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? -Place sandbags to maintain right plantar flexion. -Position soft pillows against the bottom of the feet. -Apply a protective boot to the right ankle. -Splint the right lower extremity to maintain proper alignment.

-Apply a protective boot to the right ankle.

A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which of the following actions should the nurse take prior to administering the client medication? -Have the client empty his bladder. -Put up the side rails on the client's bed. -Ask the client to take a few sips of water. -Place the client in low Fowler's position.

-Ask the client to take a few sips of water.

A nurse is teaching a client who taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following adverse effects? -Excess salivation -Difficulty voiding -Diarrhea -Slow pulse

-Difficulty voiding

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? -Encourage brief exercise before meals to promote appetite. -Place food in the affected side of the mouth. -Encourage the client to take small bites. -Place the client with the head reclined back to facilitate swallowing.

-Encourage the client to take small bites.

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program? -Establish the ability to communicate effectively. -Compensate for loss of depth perception. -Learn to control impulsive behavior. -Improve left side motor function.

-Establish the ability to communicate effectively.

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? -Difficulty reading -Inability to recognize his family members -Right hemiparesis -Aphasia

-Inability to recognize his family members

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? -Impaired sense of humor -Loss of depth perception -Poor judgment -Intellectual impairment

-Intellectual impairment

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? -Gradual onset of several hours -Manifestations preceded by a severe headache -Maintains consciousness -History of neurologic deficits lasting less than 1 hr

-Manifestations preceded by a severe headache