Neuro Practice Quiz

A client diagnosed with Huntington's disease has developed severe depression. What would be most important for the nurse to assess for? A. Suicidal ideations B. Emotional apathy C. Loss of bowel and bladder control D. Choreiform movements

A

A client is admitted for scheduled gamma-knife radiosurgery in the treatment of a brain tumor. Which nursing measure is primary in the postsurgical care of this client? A. Assess neurological findings. B. Maintain airway via artificial ventilation. C. Assessing skull dressing for excess drainage D. Time, distance, and shielding against radiation

A

A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture? A. Position the client flat for at least 3 hours. B. Assess the level of consciousness (LOC) and the pupil response of the client. C. Provide adequate caffeine-rich drinks to the client. D. Administer antihistamines to the client.

A

A client that the nurse is caring for experiences a seizure. What would be a priority nursing action? A. Protect the client from injury. B. Suction the mouth during the convulsion. C. Insert a tongue blade between the teeth. D. Restrain the client during the seizure.

A

A client weighing 132 lb is brought to the emergency department in status epilepticus. The physician asks the nurse to prepare diazepam (Valium) 0.25 mg/kg. How many milligrams will be given to this client? A. 15 mg B. 5 mg C. 10 mg D. 25 mg

A

A client with a neurologic deficit has been admitted to the nursing unit. The nurse caring for the client is assessing the client and observes significant changes in the client's status. Which of the following action should the nurse perform immediately? A. Report the change to the physician. B. Use the Glasgow Coma Scale. C. Monitor the blood pressure. D. Use the Mini-Mental Status Examination.

A

A nurse is caring for a client with an injury to the central nervous system. When caring for a client with a spinal cord insult slowing transmission of the motor neurons, which deficits are anticipated? A. A delayed reaction in response because of the interrupted impulses from the central nervous system B. A delayed reaction in processing the information transferred from the environment C. A delayed reaction in cognitive ability to understand the relayed information D. A delayed reaction in identification of information because of slowed passages of information to brain

A

Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment? A. Verbal responsiveness B. Cranial nerve function C. Blood pressure D. Head circumference

A

When using pharmacologic aids to assist with bowel training, which aid would the nurse anticipate to be used first? A. Stool softener B. Bulk forming C. Lubricant D. Stimulant

A

A client with a brain tumor is complaining of a headache upon awakening. Which nursing action would the nurse take first? A. Administer Percocet as ordered. B. Elevate the head of the bed. C. Complete a head-to-toe assessment. D. Administer morning dose of anticonvulsant.

B

The client is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which preprocedure teaching should the nurse implement? A. Tell the client not to eat anything for eight (8) hours prior to the procedure B. Instruct the client to stay awake for 24 hours prior to the EEG C. Tell the client to take any routine antiseizure medication prior to the EEG D. Explain to the client that there will be some discomfort during the procedure

B

The client is to receive a 100-mL intravenous antibiotic over 30 minutes via an intravenous pump. At what rate should the nurse set the IV pump? ___________ A. 100 mL B. 200 mL C. 20 mL D. 10 mL

B

The client presents to the walk-in clinic with fever, nuchal rigidity, and headache. Which of the following assessment findings would be most significant in the diagnosis of this client? A. Vomiting B. Vector bites C. Seizures D. Change in level of consciousness

B

The nurse is scoring the client's level of consciousness using the Glasgow Coma Scale. Which score would indicate to the nurse that the client is in a semicomatose state? A. a score of 15 B. a score of 9 C. a score of 20 D. a score of 4

B

The client is diagnosed with ALS. Which client problem would be most appropriate for this client? A. Altered body image B. Alteration in pain C. Disuse syndrome. D. Fluid and electrolyte imbalance

C

Which is a common cognitive problem associated with Parkinson's disease? A. Depression. B. Paranoia. C. Memory deficits. D. Emotional lability

C

Which nursing intervention is most helpful when addressing the priority nursing diagnosis of Impaired Physical Mobility related to damage of brain tissue as evidenced by visual deficits and absence of portions of the visual field? A. Place client in a room near the nursing station B. Instruct on adaptive plates with rims C. Ensure a clutter-free walkway D. Announce yourself when approaching the client

C

Which rationale explains the transmission of the West Nile virus? A. Transmission occurs only through mosquito bites and not between humans B. Transmission can occur from human to human in blood products and breast milk C. Transmission occurs through exchange of body fluids when sneezing and coughing D. Transmission occurs with direct contact from the maculopapular rash drainage

C

The client is switched to a different dose of carbidopa-levodopa. Which nursing assessment is primary during this time of medication change? A. Monitor for elevation of glucose levels. B. Assess for euphoria. C. Observe for jaundice. D. Monitor vital sign fluctuation.

D

What phase of a neurologic deficit begins when the client's condition is stabilized? A. chronic B. terminal C. acute D. recovery

D

Which problem is the highest priority for the client diagnosed with West Nile virus? A. Altered skin integrity B. Fluid volume excess C. Alteration in body temperature D. Altered tissue perfusion

D

Which type of precautions should the nurse implement for the client diagnosed with septic meningitis? A. Standard Precautions B. Contact Precautions C. Airborne Precautions D. Droplet Precautions

D

The nurse is caring for a client diagnosed with meningitis. Which collaborative intervention should be included in the plan of care? A. Administer antibiotics B. Obtain a sputum culture C. Monitor the pulse oximeter. D. Assess intake and output.

D NOT ENETIRELY SURE WASNT AN ANSWER

The nurse is admitting a client with the diagnosis of Parkinson's disease. Which assessment data support this diagnosis? A. Crackles in the upper lung fields and jugular vein distention. B. Masklike facies and a shuffling gait C. Exaggerated arm swinging and scanning speech. D. Muscle weakness in the upper extremities and ptosis.

D NOT SURE WASNT AN ANSWER

A home health nurse is assisting the wheelchair-dependent, post-cerebrovascular accident client in transition from the rehabilitative center to home. Which of the following concerns would the nurse address first when assessing the client's home? A. Steps to the front door B. Untrained companion staying with client C. Tub for bathing D. Throw rugs in the kitchen

A

Following a generalized seizure in a client, which nursing assessment is a priority for detailing the event? A. Seizure was 1 minute in duration including tonic-clonic activity. B. Seizure began at 1300 hours. C. The client cried out before the seizure began. D. Sleeping quietly after the seizure

A

The public health department nurse is preparing a lecture on prevention of West Nile virus. Which information should the nurse include? A. Change water daily in pet dishes and birdbaths B. Wear thick, dark clothing when outside to avoid bites. C. Apply insect repellent over face and arms only. D. Explain that mosquitoes are more prevalent in the morning.

A

The client has been diagnosed with a brain tumor. Which presenting signs and symptoms help to localize the tumor position? A. Widening pulse pressure and bounding pulse B. Bradykinesia and scanning speech C. Bradykinesia and scanning speech D. Diplopia and decreased visual acuity

B

The nurse is caring for clients on a medicalsurgical floor. Which clients should be assessed first? A. The 62-year-old client diagnosed with a cerebrovascular accident who has a resolving left hemiparesis B. The 58-year-old client diagnosed with Parkinson's disease who is crying and worried about her facial appearance. C. The 65-year-old client diagnosed with seizures who is complaining of a headache that is a "2" on a 1-to-10 scale D. The 24-year-old client diagnosed with a T10 spinal cord injury who cannot move his toes

B

The nurse is admitting the client for ruleout encephalitis. Which interventions should the nurse assess to support the diagnosis of encephalitis? Select all that apply. A. Assess for exposure to soil with fungal spores B. Ask the client if he or she has had a cold in the last week. C. Find out if the client has traveled to the Great Lakes region. D. Ask the client if he or she has had a cold in the last week. E. Determine if the client has recently received any immunizations

B, D, E,

A client is receiving baclofen for management of symptoms associated with multiple sclerosis. The nurse evaluates the effectiveness of this medication by assessing which of the following? A. sleep pattern B. mood and affect C. muscle spasm D. appetite

C

In which of the following disease processes is the nurse most likely to care for a client in the chronic phase of a neurologic disease? A. Pneumonia B. Transient ischemic attack (TIA) C. Alzheimer's disease D. Malignant brain tumor

C

The nurse preparing to care for a patient after a suspected stroke would question which order? A. Sedative B. Antipyretic C. Antihypertensive D. Osmotic diuretic

C

The client with ALS is admitted to the medical unit with shortness of breath, dyspnea, and respiratory complications. Which intervention should the nurse implement first? A. Assess the client's lung sounds B. Elevate the head of the bed 30 degrees C. Administer oxygen via nasal cannula D. Obtain a pulse oximeter reading.

C WASNT AN ANSWER JUST WHAT I GUESSED

An older client complains of a constant headache. A physical examination shows papilledema. What may the symptoms indicate in this client? A. hypostatic pneumonia B. epilepsy C. trigeminal neuralgia D. brain tumor

D

The nurse is caring for a client newly diagnosed with multiple sclerosis. The client indicates that there is so much to understand at one time. The client indicates understanding that there is a disruption in the covering of axons but does not remember what the covering is called. Which nursing action is correct? A. Tell the client that the disease process requires more research. B. Tell the client that there is so much to learn; you can meet to discuss it again. C. Tell the client not to worry about the fine details. D. Tell the client that the covering is called myelin and that can be discussed at the next meeting.

D

The nurse is caring for an 82-year-old client who needs bladder training. The nurse knows that bladder training is difficult for older adult clients with neurologic deficit because of what? A. Urinary incontinence B. Urinary retention C. Decreased energy expenditure D. Relaxation of the internal bladder sphincter

D

The nurse is instructing a community class when a student asks, "How does someone get super strength in an emergency?" The nurse is correct to instruct on the action of which system? A. Musculoskeletal system B. Endocrine system C. Parasympathetic nervous system D. Sympathetic nervous system

D

The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries? A. Blood pressure control B. Smoking cessation C. Maintaining a healthy weight D. Violence prevention

D

Which of the following assessment findings would indicate an increasing intracranial pressure (ICP) in a client with head trauma? Select all that apply. A. generalized pain B. stiff neck C. GCS of 15 D. elevated systolic blood pressure E. wide pulse pressure F. brisk pupil response

D, E,

Following a motorcycle accident, a client is brought to the emergency department with multiple fractures. Which assessment finding would be most significant in determining the client has also suffered a closed head injury with rising intracranial pressure? A. Lethargy B. Periorbital edema C. Nausea D. Blood pressure 100/60 mm Hg

A

The client diagnosed with a brain tumor has a diminished gag response and weakness on the left side of the body. Which intervention should the nurse implement? A. Teach the client to direct food and fluid toward the right side. B. Place the client on a mechanically ground diet. C. Make the client NPO until seen by the health-care provider D. Position the client in low Fowler's position for all meals

A

The client diagnosed with a brain tumor was admitted to the intensive care unit with decorticate posturing. Which indicates that the client's condition is becoming worse? A. The client has become flaccid and does not respond to stimuli. B. The client has assumed adduction of the upper extremities C. The client has purposeful movement with painful stimuli D. The client is aimlessly thrashing in the bed.

A

The client diagnosed with septic meningitis is admitted to the medical floor at noon. Which health-care provider's order would have the highest priority? A. Administer an intravenous antibiotic B. Weigh the client in hospital attire C. Provide a quiet, calm, and dark room D. Obtain the client's lunch tray

A

The client is in the terminal stage of ALS. Which intervention should the nurse implement? A. Perform passive ROM every two (2) hours B. Encourage a low-protein, soft-mechanical diet. C. Maintain a negative nitrogen balance D. Turn the client and have him cough and deep breathe every shift

A

The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first? A. Note the first thing the client does in the seizure B. Provide the client with privacy during the seizure C. Determine if the client is incontinent of urine or stool D. Assess the size of the client's pupils

A

The nurse is caring for a client hospitalized with a severe exacerbation of myasthenia gravis. When administering medications to this client, what is a priority nursing action? A. Administer medications at exact intervals ordered. B. Document medication given and dose. C. Assess client's reaction to new medication schedule. D. Give client plenty of fluids with medications.

A

The nurse is caring for a client with Guillain-Barré syndrome (GBS). The client also has an ascending paralysis. Knowing the potential complications of the disorder, what should the nurse keep always ready at the bedside? A. Intubation tray and suction apparatus B. Blood pressure apparatus C. Nebulizer and thermometer D. Incentive spirometer

A

The nurse is caring for a client with Guillain-Barré syndrome. Which assessment finding would indicate the need for oral suctioning? A. Increased pulse rate, adventitious breath sounds B. Increased pulse rate, respirations of 16 breaths/minute C. Decreased pulse rate, respirations of 20 breaths/minute D. Decreased pulse rate, abdominal breathing

A

The nurse is caring for a client with an inoperable brain tumor. What is a major threat to this client? A. Increased intracranial pressure B. Hypovolemia C. Decreased intracranial pressure D. Hypervolemia

A

The nurse is caring for a client with paraplegia in the acute care setting. The client's last bowel movement was 4 days ago. Which nursing action is best to assist the client in accomplishing the goal of an enema? A. Instill the mini enema slowly (1 to 2 oz at a time) followed by a waiting period. B. Tape the client's buttocks together so to retain the enema. C. Prop the client over a toilet to allow gravity to assist in the defecation process. D. Insert the enema tubing high into the bowel to increase fecal mass elimination.

A

The nurse is caring for a client with tetraplegia following a motor vehicle accident. A family member of the client states, "I know there is grief associated with the loss of independence, but how do I help my loved one to move past that?" The nurse is most helpful to say which of the following? A. "Grief is a normal process. Let's discuss offering support throughout the process." B. "There is nothing you can do. It must come from the client." C. "Ask your loved one what you can do and decorate the room to elevate mood." D. "Provide comfort foods, which expresses your love and support."

A

The nurse is caring for a comatose client. The nurse knows she should assess the client's motor response. Which method may the nurse use to assess the motor response? A. Observing the client's response to painful stimulus B. Observing the reaction of pupils to light C. Using the Romberg test D. Assessing the client's sensitivity to temperature, touch, and pain

A

The nurse is caring for a post-lumbar puncture client experiencing an intense headache. The physician is notified and arriving to assess the client. If the physician chooses aggressive treatment, which nursing action is anticipated? A. Drawing venous blood to perform a blood patch B. Offering caffeinated drinks C. Applying ice to the back of the neck D. Hanging an intravenous solution

A

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. Drooping eyelids B. Sensitivity to bright light C. Shortness of breath D. Muscle spasms

A

The nurse is conducting a support group for clients diagnosed with Parkinson's disease and their significant others. Which information regarding psychosocial needs should be included in the discussion? A. The client may have rapid mood swings and become easily upset B. Pill-rolling tremors will become worse when the medication is wearing off. C. The client should discuss feelings about being placed on a ventilator D. The client may automatically start to repeat what another person says.

A

The nurse is developing a plan of care for a client diagnosed with West Nile virus. Which intervention should the nurse include in this plan? A. Monitor the client's respirations frequently B. Treat hypothermia by using ice packs under the client's arms. C. Refer to a dermatologist for treatment of maculopapular rash. D. Teach the client to report any swollen lymph glands.

A

The nurse is employed in a neurologist's office, performing a history and assessment on a client experiencing hearing difficulty. The nurse is most correct to gather equipment to assess the function of which cranial nerve? A. CN VIII B. CN XI C. CN VI D. CN II

A

The nurse is instructing the client on how to perform Credé's maneuver. In which situation is this maneuver helpful? A. When a client is attempting to empty the bladder B. When a client is experiencing orthostatic hypotension upon arising C. When a client is experiencing a vagal response during a bowel movement D. When a client is experiencing numbness of the lower extremities

A

The nurse is instructing the paralyzed client on a method to stimulate the relaxation of the urinary sphincter aiding in urinary elimination. Which instruction would be correct? A. Lightly massage or tap the skin above the pubic area. B. Pour water over the genitals. C. Bear down increasing abdominal pressure. D. Press directly over the urinary bladder.

A

The nurse is providing care to a client with neurologic problems and notices that the client is experiencing a penile erection. Which nursing reaction is correct? A. Perform duties professionally and explain that spontaneous erections are unpredictable. B. Inquire what the client is thinking about. C. Ask the client if he would like a few minutes alone. D. Excuse oneself and return later.

A

The nurse is talking with a newly paralyzed client and his wife. The wife is trying to raise the client's spirits and begins talking about the possibility of them having a baby. When the wife is alone, which instruction in essential? A. There is a reduced ability for your husband to be able to father children. B. We will provide you and the client with a counselor so that you can explore all options. C. Do not overwhelm the client with such a big decision. D. Continue to talk about a baby as it seems to give him hope.

A

The nurse is working in an outpatient studies unit administering neurologic tests. The client is surprised that paste is used to secure an electroencephalogram and asks how it will be removed from the hair. The nurse is most correct to state which? A. The paste is removed with standard shampoo. B. The paste is removed with a special soap. C. The paste is removed by flushing with warm water. D. The paste is removed with acetone.

A

The nurse researcher is working with clients diagnosed with Parkinson's disease. Which is an example of an experimental therapy? A. Fetal tissue transplantation. B. Physical therapy for muscle strengthening C. Dopamine receptor agonist medication D. Stereotactic pallidotomy/thalamotomy

A

The unlicensed assistive personnel (UAP) is attempting to put an oral airway in the mouth of a client having a tonic-clonic seizure. Which action should the primary nurse take? A. Tell the UAP to stop trying to insert anything in the mouth. B. Help the UAP to insert the oral airway in the mouth. C. Notify the charge nurse of the situation immediately D. Take no action because the UAP is handling the situation

A

Which diagnostic test is used to confirm the diagnosis of Amyotropic Lateral Sclerosis (ALS)? A. Muscle biopsy B. Pulmonary function test. C. Serum creatine kinase (CK). D. Electromyogram (EMG).

A

Which neurons transmit impulses from the CNS? A. motor B. sensory C. dendrites D. neurilemma

A

Which nursing technique best allows the client with slight expressive aphasia to communicate his feelings about using adaptive equipment in public? A. Sit beside client and patiently assist in interpreting communication. B. Use a communication board to express thoughts. C. Allow the client time to process the words to express and return later for the conversation. D. Enlist a close family member to interpret words.

A

Which statement by the female client indicates that the client understands factors that may precipitate seizure activity? A. "I am going to take a class in stress management." B. "I should wear dark glasses when I am out in the sun." C. "My menstrual cycle will not affect my seizure disorder." D. "It is all right for me to drink coffee for breakfast."

A

Which topic is most important for the nurse to include in the teaching plan for a client newly diagnosed with Parkinson's disease? A. Maintaining a safe environment B. Involvement with diversion activities C. Enhancement of the immune system D. Establishing balanced nutrition

A

The client is being discharged following a transsphenoidal hypophysectomy. Which discharge instructions should the nurse teach the client? Select all that apply. A. Use caution when performing oral care B. Notify the HCP if developing a cold or fever C. Stay on a full liquid diet until seen by the HCP. D. Sleep with the head of the bed elevated E. Keep a humidifier in the room

A, B, D, E,

The nurse is assessing a client's ability to detect sensation in the upper extremity. Which nursing actions would be appropriate? Select all that apply. A. Touch the client with the pads of the finger. B. A gentle pinch using the fingers. C. A light prick using a needle. D. Drag the alcohol pad over the skin. E. Place a warm cotton ball on the arm.

A, B, D, E,

Which intervention should the nurse implement when caring for the client diagnosed with encephalitis? Select all that apply A. Encourage the client to increase fluids B. Keep the client in the supine position. C. Assess for deep vein thrombosis (DVT). D. Turn the client every two (2) hours E. Assess for any alterations in elimination.

A, C, D, E,

The nurse is assessing the client's pupils following a sports injury. Which of the following assessment findings indicates a neurologic concern? Select all that apply. A. pinpoint pupils B. pupil reacts to light C. absence of pupillary response D. pupil reaction quick E. unequal pupils

A, C, E

Which of the following occupations are anticipated to improve the functioning of a client with a neurologic deficit? Select all that apply. A. Speech therapist B. Electroencephalogram technician C. Electrocardiography technician D. Occupational therapist E. Physical therapist F. Neurologist

A, D, E, F,

A 30-year-old was diagnosed with amyotrophic lateral sclerosis (ALS). Which statement by the client would indicate a need for more teaching from the nurse? A. "I will have progressive muscle weakness." B. "My children are at greater risk to develop this disease." C. "I need to remain active for as long as possible." D. "I will lose strength in my arms."

B

A client falls to the floor in a generalized seizure with tonic-clonic movements. Which is the first action taken by the nurse? A. Manually restrain the extremities. B. Turn client to side-lying position. C. Insert an airway or bite block. D. Monitor vital signs

B

A client is brought to the emergency department in a confused state, with slurred speech, characteristics of a headache, and right facial droop. The vital signs reveal a blood pressure of 170/88 mm Hg, pulse of 92 beats/minute, and respirations at 24 breaths/minute. On which bodily system does the nurse focus the nursing assessment? A. Endocrine system B. Neurovascular system C. Cardiovascular system D. Respiratory system

B

After shunt procedure, the nurse would monitor the patient's neurologic status by using which test? A. National Institutes of Health B. Stroke Scale Glasgow Coma Scale C. Electroencephalogram D. Monro-Kellie doctrine

B

An emergency department nurse is admitting a client brought in by the paramedics after falling from a tree stand. The client has fractured vertebrae at T3 and T4. The nurse knows the client is in the acute phase of neurologic deficit. What should the nurse know about the medical management of this client? A. Goal is to plan a rehabilitation program in several domains according to the client's abilities and limitations. B. Goal is to stabilize the client and prevent further neurologic damage. C. Goal is to admit the client to a hospital for treatment of complications. D. Goal is to keep the client stable and prevent or treat complications, such as pneumonia, and further neurologic impairment.

B

The brain stem holds the medulla oblongata. What is the function of the medulla oblongata? A. Controls parasympathetic nerve impulses in the pons B. Transmits motor impulses from the brain to the spinal cord C. Transmits sensory impulses from the brain to the spinal cord D. Controls striated muscle activity in blood vessel walls

B

The charge nurse is making assignments. Which client should be assigned to the new graduate nurse? A. The client diagnosed with a cerebrovascular accident whose vitals signs are P 60, R 14, and BP 198/68. B. The client diagnosed with aseptic meningitis who is complaining of a headache and the light bothering his eyes. C. The client diagnosed with a brain tumor who has a new complaint of seeing spots before the eyes. D. The client diagnosed with Parkinson's disease who fell during the night and is complaining of difficulty walking.

B

The client admitted to the hospital to rule out encephalitis is being prepared for a lumbar puncture. Which instructions should the nurse teach the client regarding care postprocedure? A. Discuss that lying supine with the head flat will prevent all hematomas B. Tell the client to increase fluid intake to 300 mL for the next 48 hours. C. Instruct that all invasive procedures require a written permission. D. Explain that this allows analysis of a sample of the cerebrospinal fluid

B

The client diagnosed with ALS is prescribed an antiglutamate, riluzole (Rilutek). Which instruction should the nurse discuss with the client? A. Take the medication with food B. Report any febrile illness C. Do not eat green, leafy vegetables D. Use SPF 30 when going out in the sun.

B

The client diagnosed with Parkinson's disease is being discharged. Which statement made by the significant other indicates an understanding of the discharge instructions? A. "It is fine if we don't follow a strict medication schedule on weekends." B. "I will schedule appointments late in the morning after his morning bath." C. "All of my spouse's emotions will slow down now just like his body movements." D. "My spouse may experience hallucinations until the medication starts working."

B

The client is waiting in a triage area to learn the medical status of his family following a motor vehicle accident. The client is pacing, taking deep breaths, and wringing the hands. Considering the effects in the body systems, what effects does the nurse anticipate in the liver? A. The liver will maintain a basal rate of functioning. B. The liver will convert glycogen to glucose for immediate use. C. The liver will produce a toxic by product in relation to stress. D. The liver will cease function and shunt blood to the heart and lungs.

B

The critical care nurse is giving end-of-shift report on a client she is caring for. The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate? A. somnolence B. comatose C. stupor D. normal

B

The home health nurse is caring for a client with Parkinson's disease. The nurse understands that the purpose of adding selegiline with carbidopa-levodopa to the medication regime should result in which purpose? A. Prevents side effects from carbidopa-levodopa B. Slows the progression of the disease C. Relieves symptoms of dyskinesia D. Replaces dopamine

B

The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response? A. "MRIs are loud but there will not be any invasive procedure done." B. "You're scared. Tell me about what is scaring you." C. "I can call the MRI tech to come and talk to you about the scan." D. "This is the least thing to be scared about— there will be worse."

B

The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medicalsurgical unit. Which task should not be assigned to the UAP? A. Assist the 54-year-old client diagnosed with Parkinson's disease with toilet-training activities. B. Feed the 69-year-old client diagnosed with Parkinson's disease who is having difficulty swallowing C. Obtain vital signs on a 72-year-old client diagnosed with pneumonia secondary to Parkinson's disease D. Turn and position the 89-year-old client diagnosed with a pressure ulcer secondary to Parkinsons disease

B

The nurse asks the male client with epilepsy if he has auras with his seizures. The client says, "I don't know what you mean. What are auras?" Which statement by the nurse would be the best response? A. "Auras occur when you are physically and psychologically exhausted." B. "Some people have a warning that the seizure is about to start." C. "You're concerned that you do not have auras before your seizures?" D. "Auras usually cause you to be sleepy after you have a seizure."

B

The nurse has written a care plan for a clientdiagnosed with a brain tumor. Which is an important goal regarding self-care deficit? A. The client will verbalize feeling of loss by the end of the shift. B. The client will be able to perform three (3) ADLs with assistance. C. The client will execute an advance directive D. The client will maintain body weight within two (2) pounds

B

The nurse is assessing the client diagnosed with meningococcal meningitis. Which assessment data would warrant notifying the HCP? A. Not remembering the day of the week B. Purpuric lesions on the face C. Complaints of light hurting the eyes. D. Dull, aching, frontal headache

B

The nurse is assessing the throat of a client with throat pain. In asking the client to stick out the tongue, the nurse is also assessing which cranial nerve? A. CN XI B. CN XII C. CN V D. CN I

B

The nurse is caring for a client in the neurologic intensive care unit. The nurse is noting from the assessment findings that the client is lacking a connection because motor impulses are interrupted from the brain to the spinal cord. It also appears that the client lacks sensory impulses from the peripheral sensory neurons to the brain. Which area has the deficit? A. pons B. medulla oblingata C. midbrain D. subarachnoid space

B

The nurse is caring for a client with neurologic deficits who is interested in implementing a bowel training program. Which of the following does the nurse identify as the first step? A. Obtaining a laxative B. Recording bowel movements C. Eating a select diet D. Providing privacy

B

The nurse is caring for a client with trigeminal neuralgia (tic douloureux). The care plan for this client reflects the client's problem eating due to jaw pain. To assist the client in meeting the adequate nutritional needs, what should the nurse suggest? A.Increase the intake of calcium and proteins. B. Take small meals of nutrient and calorie-dense food. C. Include additional servings of fruits and raw vegetables. D. Include fish, liver, and chicKen in diet.

B

The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? A. Providing stool softeners or laxatives as ordered B. Clustering many nursing activities C. The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? D. Elevating the head of the bed 30 degrees

B

The nurse is caring for a stuporous client in the intensive care unit. Which assessment finding is documented to reflect an improvement in the client's level of consciousness? A. semicomatose B. somnolent C. stuporous D. conscious

B

The nurse is caring for clients on a neurologic floor. Which client goal is most appropriate for the acute phase of a neurologic injury? A. The client's skin will remain clean, dry, and intact. B. The client's vital signs will stabilize returning to baseline. C. The client will use the adaptive devices to assist with feeding. D. The client will return to optimal level of functioning.

B

The nurse is caring for several clients on a medical unit. Which client should the nurse assess first? A. The client with ALS who is refusing to turn every two (2) hours. B. The client with pneumonia who has a pulse oximeter reading of 90%. C. The client who is complaining about not receiving any pain medication. D. The client with abdominal pain who is complaining of nausea

B

The nurse is caring for the client with encephalitis. Which intervention should the nurse implement first if the client is experiencing a complication? A. Examine pupil reactions to light B. Assess level of consciousness. C. Observe for seizure activity. D. Monitor vital signs every shift

B

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 nurse is planning care of a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of highest priority? A. Provide instruction on blood-thinning medication. B. Include client in planning of care and setting of goals. C. Praise client when using adaptive equipment. D. Assess client for ability to ambulate independently.

B

The occupational health nurse is concerned about preventing occupation-related acquired seizures. Which intervention should the nurse implement? A. Provide healthy foods in the cafeteria B. Ensure that helmets are worn in appropriate areas C. Encourage employees to wear safety glasses. D. Implement daily exercise programs for the staff.

B

The significant other of a client diagnosed with a brain tumor asks the nurse for help identifying resources. Which would be the most appropriate referral for the nurse to make? A. chaplain B. social worker C. occupational therapist D. health-care provider

B

The spouse of a client with terminal brain cancer asks the nurse about hospice. Which statement by the nurse best describes hospice care? A. "Hospice care uses a team approach and provides complete care." B. "Clients and families are the focus of hospice care." C. "The physician coordinates all the care delivered." D. "All hospice clients die at home."

B

The wife of the client diagnosed with septic meningitis asks the nurse, "I am so scared. What is meningitis?" Which statement would be the most appropriate response by the nurse? A. "It is an inflammation of the brain parenchyma caused by a mosquito bite." B. "It is a bacterial infection of the tissues that cover the brain and spinal cord." C. "There is bleeding into his brain causing irritation of the meninges." D. "A virus has infected the brain and meninges, causing inflammation."

B

When completing a neurologic examination on a client, which question is most essential to evaluate the accuracy of the data? A. Do you have any history of forgetfulness? B. When, if any, was your last narcotic use? C. Have you been diagnosed with any mental health issues? D. Have you experienced any unusual sensations?

B

Which collaborative intervention should the nurse implement when caring for the client with West Nile virus? A. Maintain accurate intake and output at the end of each shift B. Administer intravenous fluids while assessing for overload C. Assess the client's symptoms to determine if there is improvement D. Complete neurovascular examinations every eight (8) hours

B

Which diagnostic procedure would the nurse anticipate first if the goal was to obtain a thin slice of a muscular body area? A. single photon emission computed tomography B. computed tomography C. magnetic resonance imaging D. positron emission tomography

B

Which of the following assessment tools should the nurse use to perform a neurologic assessment? A. Cutaneous triggering B. Mini-Mental Status Examination C. Credé's maneuver D. Mechanical lift

B

Which of the following teaching points is a priority in the management of symptoms for a client with Bell's palsy? A. Avoid stimuli that trigger pain. B. Use ophthalmic lubricant and protect the eye. C. Encourage semiannual dental exams. D. Complete the course of antibiotics as prescribed.

B

Which statement best describes the scientific rationale for alternating a nonnarcotic antipyretic and a nonsteroidal anti- inflammatory drug (NSAID) every two (2) hours to a female client diagnosed with bacterial meningitis? A. These medications will decrease intracranial pressure and brain metabolism B. This regimen helps to decrease the purulent exudate surrounding the meninges C. These medications will increase the client's memory and orientation D. This will help prevent a yeast infection secondary to antibiotic therapy.

B

Which assessment finding is most important in determining nursing care for a client with bacterial meningitis? Select all that apply. A. Pain and stiffness of the extremities B. Purpura of hands and feet C. Cloudy cerebral spinal fluid D. Low red blood cell (RBC) count E. Low white blood cell (WBC) count F. Low antidiuretic hormone (ADH) levels

B, C,

A client is brought to the emergency department (ED) by family members who tell the triage nurse that the client doesn't recognize them. The client is diagnosed with a neurologic deficit. What other conditions are considered neurologic deficits? Select all that apply. A. Normal gait B. Abnormal bladder elimination C. Paralysis D. Impaired speech E. Muscle strength

B, C, D,

The client has been newly diagnosed with epilepsy. Which discharge instructions should be taught to the client? Select all that apply. A. Take tub baths only; do not take showers B. Have anticonvulsant medication serum levels checked regularly. C.Keep a record of seizure activity D. Avoid over-the-counter medications E. Do not drive alone; have someone in the car.

B, C, D,

The nurse is preparing a client diagnosed with rule-out meningitis for a lumbar puncture. Which interventions should the nurse implement? Select all that apply. A. Instruct the client to breathe rapidly and deeply during the procedure B. Place the client in a side-lying position with the back arched. C. Have the client empty the bladder prior to the procedure. D. Obtain an informed consent from the client or significant other. E. Explain to the client what to expect during the procedure.

B, C, E,

A client presents to the emergency department status post seizure. The physician wants to know what the pressure is in the client's head. What test might be ordered on this client? A. nerve conduction studies B. EMG C. lumbar puncture D. echoencephalography

C

A critical care nurse is documenting her assessment of a client she is caring for. The client is status postresection of a brain tumor. The nurse documents that the client is flaccid on the left. What does this mean? A. The client is hyperresponsive on the left. B. The client is hyporesponsive on the left. C. The client is not responding to stimuli. D. The client has an abnormal posture response to stimuli.

C

A nurse is caring for a client with deteriorating neurologic status. The nurse is performing an assessment at the beginning of the shift that reveals a falling blood pressure and heart rate, and the client makes no motor response to stimuli. Which documentation of neuromuscular status is most appropriate? A. abnormal posture B. weak muscular tone C. flaccidity D. decorticate posturing

C

A nurse is working in a neurologist's office. The physician orders a Romberg test. Which nursing action is correct? A. Have the client touch his nose with one finger. B. Have the client close his eyes and jump on one foot. C. Have the client close his eyes and stand erect. D. Have the client close his eyes and discriminate between dull and sharp.

C

The 29-year-old client is admitted to the medical floor diagnosed with meningitis. Which assessment by the nurse has priority? A. Assess the six cardinal fields of gaze B. Assess apical pulse C. Assess level of consciousness D. Assess lung sounds

C

The client diagnosed with ALS asks the nurse, "I know this disease is going to kill me. What will happen to me in the end?" Which statement by the nurse would be most appropriate? A. "Don't talk like that. You have to stay positive." B. "You are afraid of how you will die?" C. "Most people with ALS die of respiratory failure." D. "ALS is not a killer. You can live a long life."

C

The client diagnosed with Parkinson's disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data? A. Pill rolling of fingers and flat affect B. Lack of arm swing and bradykinesia. C. Difficulty swallowing and immobility D. Mask-like facies and shuffling gait

C

The client diagnosed with breast cancer has developed metastasis to the brain. Which prophylactic measure should the nurse implement? A. Institute aspiration precautions B. Teach the client about mastectomy care C. Initiate seizure precautions D. Refer the client to Reach to Recovery

C

The client is being admitted to rule out a brain tumor. Which classic triad of symptoms supports a diagnosis of brain tumor? A. Nervousness, metastasis to the lungs, and seizures. B. Abrupt loss of motor function, diarrhea, and changes in taste C. Headache, vomiting, and papilledema D. Hypotension, tachycardia, and tachypnea

C

The client is being evaluated to rule out ALS. Which signs/symptoms would the nurse note to confirm the diagnosis? A. Fatigue and malnutrition B. Slurred speech and dysphagia C. Weakness and paralysis D. Muscle atrophy and flaccidity

C

The client is diagnosed with meningococcal meningitis. Which preventive measure would the nurse expect the health-care provider to order for the significant others in the home? A. The Haemophilus influenzae vaccine. B. A 10-day dose pack of corticosteroids C. Antimicrobial chemoprophylaxis D. A gamma globulin injection

C

The client with end-stage ALS requires a gastrostomy tube feeding. Which finding would require the nurse to hold a bolus tube feeding? A. Three episodes of diarrhea B. The potassium level is 3.4 mEq/L. C. A residual of 125 mL. D. The abdomen is soft

C

The critical care nurse is caring for a client with bacterial meningitis. The client has developed cerebral vasculitis and increased intracranial pressure (ICP). What neurologic sequelae might this client develop? A. Damage to the vagal nerve B. Damage to the olfactory nerve C. Damage to the nerves that facilitate vision and hearing D. Damage to the facial nerve

C

The home care nurse is evaluating a post-cerebrovascular accident (CVA) client 1 week after returning to the home from a rehabilitation setting. Which of the following statements, made by the client, most concerns the nurse? A. "I find it difficult to get up so I am remaining in bed until the home health aide comes." B. "A lot of family is coming to see me, which is nice but makes me very tired." C. "My spouse goes to work in the morning and leaves my lunch at my bed stand." D. "I am so happy to be home, but I am not able to go upstairs to my bedroom."

C

The nurse caring for a client in the chronic phase of a neurologic deficit knows that nursing management focus on what? A. Supporting the client during recovery B. Working with team members to plan a rehabilitation program C. Preventing physical and psychological complications D. Retraining the client's bowel and bladder

C

The nurse is assessing the assigned client's level of consciousness during morning rounds. The nurse speaks the client's name, strokes the client's hand, and moves the client's shoulder. There is a delay, and then the client states, "What do you want?" Which level of conscious should the nurse document? A. semicomatose B. stuporous C. somnolent D. conscious

C

The nurse is assisting in the discharge process where a female, paralyzed client is returning home with her husband and two children. Which of the following prescription classifications, used prior to hospitalization, is most important to relate to the physician when discharging? A. A rescue inhaler B. An antihistamine C. Birth control pills D. An analgesic

C

The nurse is caring for a 55-year-old client on a rehabilitated unit following a cerebrovascular accident (CVA). The nurse is instructing on range-of-motion exercises when the client begins to cry. The client states she has always taken care of the family and does not want to be a burden. Which nursing diagnosis would the nurse add to the plan of care? A. Deficient Diversional Activity related to the inability to participate in family activity B. Impaired Home Maintenance related to inability to care for home setting C. Ineffective Role Performance related to inability to function in family role D. Ineffective Coping related to refusing to acknowledge physical limitations

C

The nurse is caring for a client who is to have a lumbar puncture. What are the lowest vertebrae that contain the spinal cord? A. coccyx B. eleventh thoracic vertebrae C. second lumbar vertebrae D. fifth lumbar vertebrae

C

The nurse is caring for a client who is undergoing single-photon emission computed tomography (SPECT). What is a potential side effect that this client may suffer? A. Claustrophobia B. Headache and pain in the neck C. Allergic reaction to the imaging material D. Allergic reaction to radioactive rays

C

The nurse is caring for a client with a significant allergy history to various medications and shellfish. Because the client needs to have a diagnostic study with contrast, which medication classification is anticipated? A. antibiotic B. cardiotonic C. antihistamine D. bronchodilator

C

The nurse is caring for a client with mid-to-late stage of an inoperable brain tumor. What teaching is important for the nurse to do with this client? A. Managing muscle weakness B. Offering family support groups C. Explaining hospice care and services D. Optimizing nutrition

C

The nurse is caring for the client diagnosed with West Nile virus. Which assessment data would require immediate intervention from the nurse? A. The client complains of generalized body aches and pains. B. The vital signs are documented as T 100.2°F, P 80, R 18, and BP 136/78. C. The client becomes lethargic and is difficult to arouse using verbal stimuli D. Positive results are reported from the enzyme-linked immunosorbent assay (ELISA).

C

The nurse is planning the care for a client diagnosed with Parkinson's disease. Which would be a therapeutic goal of treatment for the disease process? A. The client will experience periods of akinesia throughout the day B. The client will take the prescribed medications correctly C. The client will be able to carry out activities of daily living D. The client will be able to enjoy a family outing with the spouse

C

The nurse is talking with the mother of a client who is diagnosed with a traumatic brain injury. The mother states that she has never seen the client lash out when frustrated or throw things across the room. Which instruction, made by the nurse, is most correct? A. "All traumatic brain injury clients act in this similar way." B. "The client has underlying aggression problems, which manifest in behavior." C. "The client may be experiencing a change in affect due to the brain injury." D. "The client has demonstrated this behavior before and is now anticipated."

C

The public health nurse is giving a lecture on potential outbreaks of infectious meningitis. Which population is most at risk for an outbreak? A. Clients recently discharged from the hospital B. Individuals who visit a third world country C. Residents of a college dormitory D. Employees in a high-rise office building.

C

When a nurse is caring for a client diagnosed with neurologic deficit who has begun responding to those around him, what therapy should the nurse suggest to help strengthen muscles that are under voluntary control? A. Recreational therapy B. Range-of-motion (ROM) exercises C. Occupational therapy D. Music therapy

C

When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings? A. Hypotension and tachycardia B. Hypotension and bradycardia C. Hypertension and bradycardia D. Hypertension and tachycardia

C

Which assessment finding would the earliest and most sensitive indicator that there is an alteration in intracranial regulation? A. Inability to focus visually B. Loss of primitive reflexes C. Change in level of consciousness D. Unequal pupil size

C

Which basic of client care, occurring during the acute phase, is most helpful in promoting the rehabilitation of a client following a debilitating cerebrovascular accident? A. Creating a positive environment B. Use of adaptive equipment C. Prevention of joint contractures D. Promoting ability to critically think

C

Which client goal, established by the nurse, is most important as the nurse plans care for a seizure client in the home setting? A. The client will verbalize an understanding of feelings that preempt seizure activity. B. The client will take the seizure medication at the same time daily. C. The client will remain free of injury if a seizure does occur. D. The client will post emergency numbers on the refrigerator for ease of obtaining.

C

A client, who was adopted at birth, recently discovers that Huntington's disease is prevalent in the biological family history. How can the nurse best assist the client in dealing with personal fears? A. Offer genetic testing. B. Provide information of the progression of the disease. C. Encourage client to verbalize fears. D. Explain that inherited risk is 50%

C.

A 50-year-old client is exhibiting progressive signs of Huntington's disease. The client verbalizes a wish to die and has become withdrawn. Poor appetite is noted, sleep pattern is disturbed, and the choreiform movements are worsening. Which nursing diagnosis best reflects the needs of this client? A. Altered Nutrition B. Disturbed Sleep Pattern C. Impaired Home Maintenance D. Hopelessness

D

A client is exhibiting signs of increasing intracranial pressure (ICP). Which intravenous solution (IV) would the nurse anticipate hanging? A. Half-normal saline (0.45% NSS) B. Dextrose 5% in water (D5W) C. One-third normal saline (0.33%NSS) D. Mannitol

D

A client undergoes a scheduled electroencephalogram (EEG). Which of the following post-procedure activities should the nurse carry out for the client? A. Provide the client with adequate caffeine-rich drinks. B. Measure the heart and the pulse rate. C. Measure the level of consciousness (LOC) of the client. D. Allow the client to rest and shampoo the client's hair

D

A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment? A. Blood pressure is rising. B. Hyperpyrexia is resolving. C. Level of consciousness is improving. D. Urine output is increased

D

A nurse is completing a neurologic assessment and determines that the client has significant visual deficits. A brain tumor is considered. Considering the functions of the lobes of the brain, which area will most likely contain the neurologic deficit? A. temporal B. parietal C. frontal D. occipital

D

A nursing instructor is teaching the senior nursing class about clients with neurologic disorder. The instructor tells the students that these clients are at risk of disuse syndrome due to musculoskeletal inactivity and neuromuscular impairment. What nursing intervention helps prevent plantar flexion? A. Application of an abdominal binder B. Use of a flotation mattress C. Use of parallel bars or a walker D. Use of a footboard

D

The client diagnosed with PD is being discharged on carbidopa/levodopa (Sinemet), an antiparkinsonian drug. Which statement is the scientific rationale for combining these medications? A. There will be fewer side effects with this combination than with carbidopa alone. B. Carbidopa crosses the blood-brain barrier to treat Parkinson's disease. C. Dopamine D requires the presence of both of these medications to work. D. Carbidopa makes more levodopa available to the brain.

D

The client has undergone a craniotomy for a brain tumor. Which data indicate a complication of this surgery? A. The client experiences dizziness when trying to get up too quickly B. The client complains of a headache at "3" to "4" on a 1-to-10 scale C. The client complains of a raspy, sore throat D. The client has an intake of 1,000 mL and an output of 3,500 mL

D

The client is admitted to the intensive care unit (ICU) experiencing status epilepticus. Which collaborative intervention should the nurse anticipate? A. Assess the client's neurological status every hour B. Monitor the client's heart rhythm via telemetry. C. Prepare to administer a glucocorticosteroid orally D. Administer an anticonvulsant medication by intravenous push.

D

The client is diagnosed with ALS. As the disease progresses, which intervention should the nurse implement? A. Discuss the need to be placed in a long-term care facility. B. Explain how to care for a sigmoid colostomy C. Teach the client how to use a motorized wheelchair D. Assist the client to prepare an advance directive.

D

The client is diagnosed with a metastatic brain tumor, and radiation therapy is scheduled. The client asks the nurse, "Why not try chemotherapy first? It has helped my other tumors." The nurse's response is based on which scientific rationale? A. Metastatic tumors become resistant to chemotherapy and it becomes useless B. Chemotherapy is only used as a last resort in caring for clients with brain tumors C. Radiation therapy will have fewer side effects than chemotherapy D. The blood-brain barrier prevents medications from reaching the brain.

D

The client is diagnosed with a pituitary tumor and is scheduled for a transsphenoidal hypophysectomy. Which preoperative instruction is important for the nurse to teach? A. The client will not be able to eat for four (4) or five (5) days postop B. The client will have to lie flat for 24 hours following the surgery. C. There will be a large turban dressing around the skull after surgery D. The client should not blow the nose for two (2) weeks after surgery

D

The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure disorder. Which statement indicates the client understands the discharge teaching concerning this medication? A. "I will check my Dilantin level daily." B. "My urine will turn orange while on Dilantin." C. "I won't have any seizures while on this medication." D. "I will brush my teeth after every meal."

D

The client who just had a three (3)-minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement? A. Perform a complete neurological assessment B. Interview the client to find out what caused the seizure C. Awaken the client every 30 minutes D. Turn the client to the side and allow the client to sleep.

D

The male client is sitting in the chair and his entire body is rigid with his arms and legs contracting and relaxing. The client is not aware of what is going on and is making guttural sounds. Which action should the nurse implement first? A. Place the client on his side B. Push aside any furniture C. Assess the client's vital signs. D. Ease the client to the floor

D

The nurse caring for a client diagnosed with Parkinson's disease writes a problem of "impaired nutrition." Which nursing intervention would be included in the plan of care? A. Provide three (3) meals per day that include nuts and whole-grain breads. B. Consult the occupational therapist for adaptive appliances for eating C. Request a low-fat, low-sodium diet from the dietary department D. Offer six (6) meals per day with a soft consistency

D

The nurse educator is presenting an in-service on seizures. Which disease process is the leading cause of seizures in the elderly? A. Alzheimer's disease. B. Brain atrophy due to aging C. Parkinson's disease (PD). D. Cerebral Vascular Accident (CVA, stroke).

D

The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis? A. Positive Babinski's sign and peripheral paresthesia B. Negative Trousseau's sign and nystagmus C. Negative Chvostek's sign and facial tingling D. Positive Kernig's sign and nuchal rigidity

D

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern? A. Physician maintains aseptic procedure. B. Client states a pressure relief in the head. C. Client states a piercing feeling. D. Cerebrospinal fluid is cloudy in nature.

D

The nurse is caring for a client diagnosed with encephalitis. Which is an expected outcome for the client? A. The client will have improved renal function B. The client will have no short-term memory loss. C. The client will apply hydrocortisone cream daily. D. The client will regain as much neurological function as possible

D

The nurse is caring for a client in the emergency department with diagnosis of head trauma secondary to a motorcycle accident. The nurse aide is assigned to clean the client's face and torso. For which action, made by the nurse aide, would the nurse provide further instruction? A. The nurse aide used mild soapy water to clean the face. B. The nurse aide cleaned the neck and upper chest area. C. The nurse aide cleaned the eye area from the inner to outer eye area. D. The nurse aide moved the client's head to clean behind the ears.

D

The nurse is developing a plan of care for a client diagnosed with aseptic meningitis secondary to a brain tumor. Which nursing goal would be most appropriate for the client problem "altered cerebral tissue perfusion"? A. The client will have elastic tissue turgor with ready recoil B. The client will be able to complete activities of daily living C. The client will be afebrile for 48 hours prior to discharge D. The client will be protected from injury if seizure activity occurs

D

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly? A. Gently pressing the bones on the neck B. Moving the head toward both sides C. Lightly tapping the lower portion of the neck to detect sensation D. Moving the head and chin toward the chest

D

The physician's office nurse is caring for a client who has a history of a cerebral aneurysm. Which diagnostic test does the nurse anticipate to monitor the status of the aneurysm? A. echoencephalogram B. electroencephalogram C. myelogram D. cerebral angiography

D

The school nurse notes a 6-year-old running across the playground with his friends. The child stops in midstride, freezing for a few seconds. Then the child resumes his progress across the playground. The school nurse suspects what in this child? A. A partial seizure B. A tonic-clonic seizure C. A myoclonic seizure D. An absence seizure

D

The son of a client diagnosed with ALS asks the nurse, "Is there any chance that I could get this disease?" Which statement by the nurse would be most appropriate? A. "If you are exposed to the same virus, you may get the disease." B. "No, this disease is not genetic or contagious." C. "It must be scary to think you might get this disease." D. "ALS does have a genetic factor and runs in families."

D

What would the nurse do to best assist the client in increasing peristalsis and encouraging defecation after suffering from a neurologic deficit? A. Administer a low-volume enema each day at the same time. B. Encourage a high-fiber diet. C. Encourage liquids throughout the day. D. Help the client to the bathroom at a particular time each day.

D