UWorld Practice Questions

The daughter of an 80-year-old client recently diagnosed with Alzheimer disease (AD) says to the nurse, "I guess I can anticipate getting this disease myself at some point." What is an appropriate response by the nurse?

"Engaging in regular exercise decreases the risk of AD."

A client comes to the emergency department with diplopia and recent onset of nausea. which statement by the client would indicate to the nurse that this is an emergency?

"I have the worst headache I've ever had in my life."

A client with a history of headaches is scheduled for a lumbar puncture to assess the cerebrospinal fluid pressure. The nurse is preparing the client for the procedure. Which statement by the client indicates a need for further teaching by the nurse?

"I will need to lie on my stomach during the procedure."

An 81-year-old client is admitted to a rehabilitation facility 3 days after total hip replacement. The next morning, the unlicensed assistive personnel (UAP) takes the client's vital signs, but when the UAP returns to assist the client with a shower, the client curses at and tries to hit the UAP. Which is the most appropriate response by practical nurse?

"I will walk to the room to observe the client's behavior."

An elderly client with dementia frequency exhibits sundowning behavior while living in a community-based residential facility. When the nurse finds the client wandering at night, which of the following statements is most appropriate?

"It's time to get back to bed now."

The nurse is caring for a client with absence seizures. The unlicensed assistive personnel (UAP) asks if the client will "shake and jerk" when having a seizure. Which response from the nurse is the most helpful?

"No, absence seizures can look like daydreaming or staring off into space."

The nurse is reinforcing discharge instructions for a postoperative client who had a partial laryngectomy for laryngeal cancer. The client is concerned because the health care provider said there was damage to the ninth cranial nerve. Which statement made by the nurse is most appropriate?

"This is the reason you are using a special swallowing technique when you eat and drink."

The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?

"You should do deep breathing and coughing exercises."

The nurse is caring for a client after a motor vehicle accident. The client's injuries include 2 fractured ribs and a concussion. The nurse notes which findings as expected neurological changes for the client with a concussion?

- Amnesia - Brief loss of consciousness - Headache

The nurse reinforces education about safety modifications in the home for the spouse of a client diagnosed with Alzheimer disease. What instructions should the nurse include? select all that apply.

- Arrange furniture to allow for for free movement - Keep frequently used items within easy reach - Lock doors leading to stairwells and outside areas - Place an identifying symbol on the bathroom door

The nurse provides care for a client who recently had a stroke that resulted in right-sided hemiplegia. Which of the following actions by the nurse are appropriate? select all that apply.

- Assists the client to eat using utensils in the client's left hand - Places a rolled blanket along the lateral side of the right hip - Places a soft foam hand cone in the client's right hand - Positions the client's right arm on a pillow for support while sitting

The nurse is caring for a client admitted for a seizure disorder. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. Which actions should the nurse take? select all that apply.

- Call for help - Prepare for suctioning - Turn the client on the side

The nurse is caring for a client with Bell's palsy. The nurse most likely expects which finding(s) on assessment? select all that apply.

- Change in tear production on the affected side - Flaccidity of forehead muscles - Inability to smile symmetrically

The nurse is caring for a client with bacterial meningitis. Which of the following actions by the nurse are appropriate? Select all that apply.

- Dons a mask and clean gloves before providing a tepid sponge bath - Elevates and maintains the head of the client's bed at 30 degrees - Pads the bedrails with blankets and sets up suction equipment.

The nurse is admitting a client with a seizure disorder and delegates preparation of the client's room to the student nurse. Which of the following actions by the student nurse indicates a correct understanding of seizure precautions? select all that apply

- Ensures that suction equipment is present and operable - Ensures that supplemental oxygen and a bag valve mask are present - Places padding on the side rails of the bed

The nurse is caring for a client following a transsphenoidal hypophysectomy. Which clinical findings would the nurse recognize as signs that the client may be developing diabetes insipidus? select all that apply.

- Excess oral water intake - High urine output - Increased serum osmolality

The nurse is caring for a client with Parkinson disease. Which of the following findings would the nurse expect? select all that apply.

- Loss of coordination and balance - Masked facial expression - Shuffling, propulsive gait - Stooped posture - Tremor in the hands and fingers at rest

The practical nurse is assisting the registered nurse in preparing the room for a client with new-onset tonic-clonic seizures. It is important to ensure that what equipment is in the room? Select all that apply.

- Oxygen delivery system - Padding on the bed side rails - Suction equipment

An unlicensed assistive personnel (UAP) is aiding a client recovering from a right-sided cerebrovascular accident with resulting mild oropharyngeal dysphagia. The client has been placed on a dysphagia diet. Which actions require intervention by the nurse? select all that apply

- The UAP adds milk to mashed potatoes to make them thinner - The UAP puts a straw in a fruit smoothie to prevent spilling

Assessment of a client with a history of stroke reveals that the client understands and follows commands but answers questions with incorrect word choices. The nurse document the presence of which communication deficit?

Aphasia

The nurse is assisting with care of a client with blunt head injury admitted for observation, including hourly neurologic check is normal, and the nurse administers acetaminophen prn. At 2:00 AM, the client appears to be sleeping. What action does the nurse anticipate taking?

Arouse the client and ask what the current month is

A client was struck on the head by a baseball bat during a robbery attempt. The nurse gives shift report to the oncoming nurse and conveys that the client's current Glasgow Coma Scale score is a "10." Which other information is most important for the reporting nurse to include?

Client's Glasgow Coma Scale score was "11" one hour ago

The nurse is caring for a client with a history of headaches who has come to the clinic reporting a "bad migraine." The client was able to provide a full health history while waiting to be seen. Which finding is most concerning?

Flat affect and drowsiness

The nurse is caring for a client with Guillain-Barre syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing is a nursing care priority in this client?

Inability to cough or lift the head

The nurse is caring for a client with a traumatic brain injury following a motor vehicle collision. The client is completely unresponsive to verbal or physical stimulus and does not open the eyes. Which prescription should the nurse clarify with the health care provider?

Infuse 0.45% sodium chloride at a rate of 100 mL/hr

A client is admitted to the hospital for severe headaches. The client has a history of increased intracranial pressure, which was relieved by draining cerebrospinal fluid via lumbar puncture. The client suddenly vomits and states, "That's weird; I didn't even feel nauseated." Which action by the nurse is most appropriate?

Notify supervising registered nurse

The client comes to the emergency department status post fall. The client is squinting both eyes and reports sudden blurry vision. The nurse is aware that this deficit reflects injury to which area of the brain?

Occipital lobe (yellow)

A client with a C3 spinal cord injury has a headache and nausea. The client's blood pressure is 170/100 mm Hg. How should the nurse respond initially?

Palpate the client's bladder

A client with an acute head injury cannot accurately identify the sensation felt when the nurse touches the intact skin with a cotton ball or paper clip. The nurse is aware that the deficit reflects injury to which area of the brain?

Parietal lobe (red)

The nurse is caring for a client with a history of tonic-clonic seizures. After a seizure lasting 25 seconds, the nurse notes that the client is confused for 20 minutes. The client does not know the current location, does not know the current season, and has a headache. The nurse documents the confusion and headache as which phase of the clients's seizure activity?

Postictal Phase

The health care provider prescribes a multivitamin regimen that includes thiamine for a client with a history of chronic alcohol abuse. The nurse is aware that thiamine is given to this client population for which purpose?

To prevent Wernicke encephalopathy

The nurse is caring for a client with left-sided weakness from a stroke. When assisting the client to a chair, what should the nurse do?

Use a transfer belt