AH Exam 1 EAQ questions

A nurse is providing instructions to a client with glaucoma. Which statements made by the client indicate the nurse needs to intervene? Select all that apply. 1 "I should take stool softeners." 2 "I can wear loose collar shirts." 3 "I should refrain from sneezing and coughing." 4 "I can lift objects that weigh more than 10 lbs (4.5 kg)." 5 "I should keep my head in a dependent position."

"I can lift objects that weigh more than 10 lbs (4.5 kg)." "I should keep my head in a dependent position."

The nurse leader suffers from headaches, hypertension, and gastrointestinal problems. Which affirmative statement by the leader reflects an appropriate way to manage the stress? 1 "I will avoid protein." 2 "I will plan a vacation." 3 "I will get enough sleep." 4 "I will participate in support groups."

"I will get enough sleep.

A client with migraine headaches is admitted for an electroencephalogram (EEG). Which statement made by the client assures the nurse that preprocedure teaching has been effective? I will need to avoid caffeine. 2 I will have a headache after the test. 3 I will need to avoid milk until the test is completed. 4 I will be able to take my sleeping pill before the test.

I will need to avoid caffeine.

The nurse is caring for a client who underwent surgery for a brain tumor. On assessment, the nurse suspects meningitis in the client. Which finding would help confirm the nurse's suspicion? 1 Positive Kernig sign 2 Glasgow coma score: 10 3 Absence of nuchal rigidity 4 Negative Brudzinski sign

Positive Kernig sign

A client with a recent history of sinusitis develops meningitis and demonstrates a positive Brudzinski sign. What is the priority nursing care? 1 Monitoring intracranial pressure 2 Adding pads to the side of the bed 3 Administering prescribed antibiotics 4 Hydrating the client with hypotonic saline

Administering prescribed antibiotics

Which pulmonary risk may be increased in a postoperative client due to anesthesia? 1 Rhonchi 2 Fremitus 3 Dyspnea 4 Atelectasis

Atelectasis

A nurse is caring for a group of clients with myasthenia gravis, Guillain-Barré syndrome, and amyotrophic lateral sclerosis (ALS). Which information should the nurse consider when planning care for this group of clients? 1 Progressive deterioration until death 2 Deficiencies of essential neurotransmitters 3 Increased risk for respiratory complications 4 Involuntary twitching of small muscle groups

Increased risk for respiratory complications

A client had a craniotomy for excision of a brain tumor. After surgery, the nurse monitors the client for increased intracranial pressure. Which clinical finding supports an increase in intracranial pressure? 1 Thready, weak pulse 2 Narrowing pulse pressure 3 Regular, shallow breathing 4 Lowered level of consciousness

Lowered level of consciousness

A client has a diskectomy and fusion for a herniated nucleus pulposus. When getting out of the bed for the first time since surgery, the client reports feeling faint and lightheaded. What should the nurses assisting with the ambulation have the client do? 1 Sit on the edge of the bed so they can hold the client upright. 2 Slide to the floor so the client will not be injured as a result of a fall. 3 Bend forward so that blood flow to the brain is increased. 4 Lie down immediately so they can take the client's blood pressure.

Sit on the edge of the bed so they can hold the client upright.

The primary healthcare provider confirms that the client has myopia. Which type of test did the nurse perform to help the primary healthcare provider reach this conclusion? 1 Perimetry 2 Jaeger card 3 Ishihara chart 4 Snellen eye chart

Snellen eye chart

A client with multiple sclerosis is informed that this is a chronic, progressive neurologic condition. The client asks the nurse, "Will I experience unbearable pain?" What is the nurse's best response? 1 "Tell me about your fears regarding pain." 2 "Analgesics will be prescribed to control the pain." 3 "Some clients report feeling a tingling or burning sensation but not unbearable pain." 4 "Let's make a list of the things you need to ask your healthcare provider."

"Some clients report feeling a tingling or burning sensation but not unbearable pain."

A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of drugs from which class? 1 Steroids 2 Diuretics 3 Anticonvulsants 4 Antihypertensives

Steroids

Which nursing action is specific to the plan of care for a client with trigeminal neuralgia? 1 Be alert to prevent dehydration or starvation. 2 Initiate exercises of the jaw and facial muscles. 3 Apply ice compresses to the affected body area. 4 Emphasize the importance of brushing the teeth.

Be alert to prevent dehydration or starvation.

A client is diagnosed with trigeminal neuralgia. Which medication should the nurse anticipate will be prescribed for this client? 1 Ascorbic acid (vitamin C) 2 Morphine 3 Allopurinol 4 Carbamazepine

Carbamazepine

What should the nurse instruct the client to do to limit triggering the pain associated with trigeminal neuralgia? 1 Drink iced liquids. 2 Avoid oral hygiene. 3 Apply warm compresses. 4 Chew on the unaffected side.

Chew on unaffected side

A nurse is assessing the laboratory findings of cerebrospinal fluids of four different clients. Which finding is consistent with meningitis? 1 Client A 2 Client B 3 Client C 4 Client D

Client A

The symptoms of four clients with different levels of impaired vision are given below: Which client is expected to be diagnosed with macular degeneration? 1 Client A 2 Client B 3 Client C 4 Client D

Client B

The nurse is providing preoperative teaching for a client who is to have cataract surgery. Which is appropriate for the nurse to include concerning what the client should do after surgery? Select all that apply. 1 Do not blow your nose. 2 Remain flat for three hours. 3 Eat a soft diet for two days. 4 Breathe and cough deeply. 5 Avoid bending from the waist.

Do not blow your nose Avoid bending at the waste

Steroid therapy is prescribed for a client with common signs and symptoms of multiple sclerosis. In response to the steroid therapy, what symptom does the nurse expect to decrease? 1 Emotional lability 2 Muscular contractions 3 Pain in the extremities 4 Episodes of vision loss

Episodes of vision loss

A client with a brain tumor develops a urine output of 300 mL/hr, dry skin, and dry mucous membranes. Which nursing intervention is the most appropriate to perform for this client? 1 Evaluate urine specific gravity. 2 Implement fluid restrictions. 3 Provide emollients to the skin to prevent breakdown. 4 Slow down the intravenous (IV) fluids and notify the primary healthcare provider.

Evaluate urine specific gravity.

A registered nurse assesses a client's electronic medical record (EMR) and observes increased blood pressure, severe myopia, and blood glucose levels. Which type of eye disorder will the nurse most likely observe written in the EMR? 1 Cataract 2 Glaucoma 3 Corneal abrasions 4 Keratoconjunctivitis sicca

Glaucoma

During an exacerbation of multiple sclerosis a client reports urinary urgency and frequency. What is the most appropriate initial nursing action? 1 Begin teaching self-catheterization. 2 Develop a plan to ensure high fluid intake. 3 Palpate the suprapubic area of the abdomen. 4 Initiate a regimen to monitor urinary output.

Palpate the suprapubic area of the abdomen.

A registered nurse teaches a nursing student about cluster headaches. Which statement made by the nursing student indicates a need for further teaching? 1"Each episode of a cluster headache may last up to 3 hours." 2"Pupillary constriction occurs during the period of cluster headaches." 3"Pulsating pain is the characteristic type of pain that occurs in cluster headaches." 4"Cluster headaches occur for weeks to months followed by a period of remission."

Pulsating pain is the characteristic type of pain that occurs in cluster headaches

Dexamethasone has been prescribed for a client after a craniotomy for a brain tumor. When evaluating the effectiveness of the medication, the nurse expects what physiologic response? 1 Reduced cell growth 2 Reduced cerebral edema 3 Increased renal reabsorption 4 Increased response to sedation

Reduced cerebral edema

A home care nurse is counseling a client with amyotrophic lateral sclerosis (ALS). What information should the nurse include in the discussion? Select all that apply 1 Space activities throughout the day. 2 Engage in social interactions with large groups. 3 Request an opioid if leg pain becomes excessive. 4 Anticipate the use of alternate ways to communicate. 5 Use leg restraints to decrease the risk of physical injury.

Space activities throughout the day. Anticipate the use of alternate ways to communicate