semester 2 exam 7

a female client undergoes a scheduled electroencephalogram (EEG). which of the following postprocedure activities should the nurse carry out for the client? a. allow the client to rest and shampoo the clients hair b. provide the client with adequate caffeine rich drinks c. measure the level of consciousness (LOC) of the client d. measure the heart and the pulse rate

a. allow the client to rest and shampoo the clients hair

the critical care nurse is giving report on a client she is caring for. the nurse uses the GCS to assess the lever of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. what does and LOC score of 6 in a client indicate? a. comatose b. somnolence c. stupor d. normal

a. comatose

a client presents to the emergency department status postseizure. the physician wants to know what the pressure is in the clients head. what test might be ordered on this client? a. lumbar puncture b. echoencephalography c. nerve conduction studies d. EMG

a. lumbar puncture

the nurse is assessing the clients pupils following a sports injury. which of the following assessment findings indicates a neurologic concern? select all that apply a. unequal pupils b. pupil reaction quick c. pinpoint pupils d. absence of pupillary response e. pupil reacts to light

a. unequal pupils c. pinpoint pupils d. absence of pupillary response

when completing a neurologic examination on a client, which question is most essential to evaluate the accuracy of the data? a. when, if any, was your last narcotic used? b. do you have any history of forgetfulness? c. have you been diagnosed with any mental health issues? d. have you experienced any unusual sensations?

a. when, if any, was your last narcotic used?

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. cerebrospinal fluid is cloudy in nature c. client states a piercing felling d. client states a pressure relief in the head

b. cerebrospinal fluid is cloudy in nature

the nurse is caring for a comatose client. the nurse knows she should assess the clients motor response. which method may the nurse use to assess the motor response? a. observing the reaction of pupils to light b. observing the clients response to painful stimulus c. using the romberg test d assessing the clients sensitivity to temperature, touch and pain

b. observing the clients response to painful stimulus

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. second lumbar vertebrae c. eleventh thoracic vertebrae d. fifth lumbar vertebrae

b. second lumbar vertebrae

the nurse is scoring the clients 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 20 b. a score of 15 c. a score of 9 d. a score of 4

c. a score of 9

the nurse is employed in a neurologists 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. cranial nerve II b. cranial nerve VI c. cranial nerve VIII d. cranial nerve XI

c. cranial nerve VIII

a client you are caring for experiences a seizure. what would be a priority nursing action. a. restrain the client during the seizure b. insert a tongue blade between the teeth c. protect the client from injury d. suction the mouth during the convulsion

c. protect the client from injury

the nurse is working in an outpatient studies unit administering neurologic test. 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 acetone b. the paste is removed with a special soap c. the paste is removed with standard shampoo d. the paste is removed by flushing with warm water

c. the paste is removed with standard shampoo

the physicians 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 aneurism a. myelogram b. electroencephalogram c. echoencephalography d. cerebral angiography

d. cerebral angiography

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. cranial nerve I b. cranial nerve V c. cranial nerve XI d. cranial nerve XII

d. cranial nerve XII

which neurons transmit impulses from the CNS? a. sensory b. neurilemma c. dendrites d. motor

d. motor

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. administer antihistamines to the client b. provide adequate caffeine rich drinks to the client c. assess the lever of consciousness(LOC) and the pupil response of the client d. position the client flat for at least 3 hours

d. position the client flat for at least 3 hours