ATI quiz Neuro questions to study with, Quizzes of Nursing

Download ATI quiz Neuro questions to study with and more Quizzes Nursing in PDF only on Docsity! A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives? 1. A. Dextrose 5% in water B. 0.9% sodium chloride C. Dextrose 10% in water D. Lactated Ringer’s solution A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements by the nurse is appropriate?  2. A. “You should decrease your caloric intake when abdominal pain is present.” B. “You should increase your daily intake of protein.” C. “You should increase fat intake when experiencing loose stools.” D. “You should limit alcohol intake to 2-3 drinks per week.” A nurse monitors for increased intracranial pressure (ICP) on a client who has a leaking cerebral aneurysm. If the client manifests increased intracranial pressure, which of the following findings should the nurse expect? (Select all that apply) 3. A. Violent headache B. Neck pain and stiffness C. Slurred speech D. Projectile vomiting E. Rapid loss of consciousness CAA_PrintAssessment created 10/07/2015 page 1 of 25 GI/Neuro Med Surg A nurse is assessing an adult who has meningococcal meningitis. Which of the following is an appropriate finding by the nurse? 4. A. Severe headache B. Bradycardia C. Increased muscle tone D. Oriented to time, person, place A nurse admits a client who has a concussion for overnight observation. Alert and oriented on admission, the client reports a headache along with neck pain and generalized muscle aches. The nurse knows that a manifestation considered an early indication of increased intracranial pressure (ICP) is 5. A. bradycardia. B. ipsilateral pupil dilation. C. widening pulse pressure. D. lethargy. A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed? 6. A. NPO until dysphagia subsides B. Supplements via nasogastric tube C. Initiation of total parenteral nutrition D. Soft residue diet CAA_PrintAssessment created 10/07/2015 page 2 of 25 GI/Neuro Med Surg A nurse is planning care for a client who has a GI bleed. Which of the following actions should the nurse take first? 13. A. Assess orthostatic blood pressure. B. Explain the procedure for an upper GI series. C. Administer pain medication. D. Test the emesis for blood. A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat- soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?  14. A. Vitamin A B. Vitamin B1 C. Vitamin C D. Vitamin B12 A nurse is caring for a client who has acute pancreatitis. After the client's pain has been addressed, which of the following is the next intervention to include in the plan of care? 15. A. Monitor respiratory status every 8 hr. B. Encourage a side-lying position with knees flexed. C. Provide frequent oral hygiene. D. Maintain NPO status. CAA_PrintAssessment created 10/07/2015 page 5 of 25 GI/Neuro Med Surg A nurse is caring for a client at a rehabilitation center 3 weeks after a cerebrovascular accident (CVA). Because the client's CVA affected the left side of the brain, which of the following goals should the nurse anticipate including in the client's rehabilitation program? 16. A. Establish the ability to communicate effectively. B. Have a regular, formed stool at least every other day. C. Learn to control impulsive behavior. D. Improve left-side motor function. A client comes to the emergency department reporting nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see if the client has acute pancreatitis? 17. A. Decreased WBC B. Increased serum amylase C. Decreased serum lipase D. Increased serum calcium A nurse is caring for a client who has an acute respiratory illness. The nurse should monitor the client for which of the following manifestations of impending airway obstruction. (Select all that apply.) 18. A. Tachycardia B. Nausea C. Retractions D. Muscle tremors E. Restlessness CAA_PrintAssessment created 10/07/2015 page 6 of 25 GI/Neuro Med Surg A nurse is assessing a client who has meningitis and notes when passively flexing the client’s neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying? 19. A. Kernig’s sign B. Nuchal rigidity C. Brudzinski sign D. Bradykinesia A nurse is caring for a client who has a history of pancreatitis. Which of the following food choices should the client avoid? 20. A. Noodles B. Vegetable soup C. Baked fish D. Cheddar cheese A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client’s history? 21. A. Gallstones B. Hypolipidemia C. COPD D. Diabetes mellitus CAA_PrintAssessment created 10/07/2015 page 7 of 25 GI/Neuro Med Surg A client has right-sided paralysis from a cerebral vascular accident (CVA). Which of the following interventions should the nurse implement to prevent foot-drop? 28. A. Place sandbags to maintain right plantar flexion. B. Position soft pillows against the bottom of the feet. C. Support the right foot in dorsiflexion with a footboard. D. Splint the right lower extremity to maintain proper alignment. A nurse is collaborating on care for a client following a cerebrovascular accident (CVA). Which of the following should be addressed by an occupational therapist? 29. A. Using assistive devices B. Completing self-care C. Thickening clear liquids D. Transferring from chair to bed A nurse is caring for a conscious client who has an airway obstruction. Which of the following is an appropriate intervention? 30. A. Tilt the head and lift the chin. B. Begin the Heimlich maneuver. C. Turn the client to the side. D. Perform a blind finger sweep. CAA_PrintAssessment created 10/07/2015 page 10 of 25 GI/Neuro Med Surg A nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following should the nurse recognize as a complication of this therapy? 31. A. Polyuria B. Aspiration C. Diarrhea D. Stomatitis A nurse is caring for an adolescent client in the emergency department who sustained a head injury. The nurse notes the client’s IV fluids are infusing at 125 mL/hour. Which of the following is an appropriate action by the nurse? 32. A. Slow the rate to 20 mL/hr. B. Continue the rate at 125 mL/hr. C. Slow the rate to 50 mL/hr. D. Increase the rate to 250 mL/hr. A nurse is caring for a client who has cancer and is receiving total parenteral nutrition (TPN). Which of the following lab values indicates the treatment is effective? 33. A. Hct 43% B. WBC 8,000/uL C. Albumin 4.2 g/dL D. Calcium 9.4 mg/dL CAA_PrintAssessment created 10/07/2015 page 11 of 25 GI/Neuro Med Surg A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). The nurse should know that which of the following client findings supports this suspicion? 34. A. Cyanotic fingertips. B. Nuchal rigidity. C. Fever. D. Diplopia. A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemi-colectomy. Which of the following foods should the nurse instruct the client to avoid? 35. A. Rice B. Poached eggs C. Fresh apples D. White bread A nurse is caring for a client receiving total parenteral nutrition (TPN) therapy via an infusion pump. When assessing the client receiving this therapy, which of the following observations by the nurse is of least importance? 36. A. IV site B. Height of IV pole C. Date on tubing D. Contents of solution bag CAA_PrintAssessment created 10/07/2015 page 12 of 25 GI/Neuro Med Surg A nurse is admitting a client who has bacterial meningitis. The nurse notes during the physical examination that the client cannot extend his leg when his hip is flexed so that his thigh rests on his abdomen. The nurse should document this as which of the following? 43. A. Brudzinski’s sign B. Chvostek’s sign C. Goodell’s sign D. Kernig’s sign A nurse is assessing a client who has obstruction of the common bile duct due to cholelithiasis. Which of the following is an expected finding? 44. A. Fatty stools B. Straw-colored urine C. Tenderness in the left upper abdomen D. Ecchymosis of the extremities A nurse is caring for a client who is one day post-operative from an appendectomy and is HIV positive.  Which of the following actions requires the nurse to wear a gown as personal protection equipment? 45. A. Talking to the client at the bedside. B. Administering an IV piggyback medication. C. Completing a dressing change. D. Administering an IM injection. CAA_PrintAssessment created 10/07/2015 page 15 of 25 GI/Neuro Med Surg A nurse on the pediatric unit is notified that a child is being admitting following an appendectomy and is to be placed in a room with another client. The nurse should plan to place the child with which of the following clients? 46. A. A child with sickle cell crisis. B. A child with tonsillitis. C. A child with head injury. D. A child with type 1 diabetes. A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following statements indicates the nurse understands the rationale for using this solution? 47. A. Reduce edema of the brain. B. Provide fluid hydration. C. Increase cell size in the brain. D. Expand extracellular fluid volume. A nurse is caring for a 5-month-old undergoing a lumbar puncture to rule out meningitis. The nurse who is planning to assist with the procedure should 48. A. utilize a papoose board to restrain limbs. B. position the infant seated on the side of table. C. have several other nurses help hold the infant. D. hold the infant's chin to his chest and knees to his abdomen. CAA_PrintAssessment created 10/07/2015 page 16 of 25 GI/Neuro Med Surg A nurse is planning care for a 6-year-old client who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care? 49. A. Place the client in semi-Fowler's position. B. Admit the client to a private room. C. Measure head circumference every shift. D. Implement seizure precautions. After receiving TPN at 84 ml/hr continuously for five days, a client, in a state of confusion, pulled out their central line. Prior to notifying the physician, the nurse should start a peripheral IV and do which of the following? 50. A. Flush the peripheral IV line with 0.9% sodium chloride to await further instructions from the physician. B. Change the tubing and filter on the TPN. C. Hang an infusion 10% dextrose. D. Notify the pharmacy. A nurse is caring for a school-age child who sustained a closed head injury. Which of the following findings is an early indicator of increased intracranial pressure?  51. A. Pupils 4 mm and reactive. B. Irritability C. Bradycardia and hypertension D. Glasgow Coma Scale of 14 CAA_PrintAssessment created 10/07/2015 page 17 of 25 GI/Neuro Med Surg A client’s IV bag of total parenteral nutrition (TPN) is empty, and the new bag has not arrived from the pharmacy. Which of the following is the most appropriate intervention for the nurse to make? 58. A. Hang a bag of dextrose 10% in water (D10W) until the new bag of TPN is delivered. B. Discontinue the TPN, and flush the central line with heparin. C. Convert the central line to a saline lock using sterile technique. D. Call the provider for new TPN orders. A nurse is caring for a client who has increased intracranial pressure. Which of the nursing interventions by the nurse is appropriate? 59. A. Teach controlled coughing and deep breathing. B. Provide a brightly lit environment. C. Elevate the head of the bed 30 degrees. D. Encourage a minimum intake of 2000 mL/day of clear fluids. A nurse is caring for a child with a suspected diagnosis of bacterial meningitis. Which of the following is a priority action for the nurse to take? 60. A. Prepare the child for a lumbar puncture. B. Administer an intervenous antibiotic. C. Obtain blood cultures. D. Place the child in isolation. CAA_PrintAssessment created 10/07/2015 page 20 of 25 GI/Neuro Med Surg A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). To determine if the client is experiencing pain, the nurse should use 61. A. pulse and blood pressure findings. B. behavioral indicators and affect. C. facial expressions and grimaces. D. a self-report pain rating scale. A nurse is caring for a client who has a long history of peptic ulcers and is admitted for treatment of pyloric obstruction. The nurse is preparing to insert a nasogastric tube. Which of the following options is the rationale for the use of the nasogastric tube? 62. A. Determine the pH of the gastric secretions B. Supply nutrients via tube feedings C. Decompress the stomach D. Administer medications A nurse is reviewing medications for a client who has a diagnosis of a small bowel obstruction. The nurse should withhold senna (Senoket) prescribed orally based on understanding of which of the following? 63. A. Laxatives are contraindicated in clients who have a small bowel obstruction. B. Only bulk-forming laxatives such as psyllium (Metamucil) should be prescribed. C. Medication should be administered via NG tube rather than the oral route. D. Opioid analgesics, rather than laxatives, should be prescribed to alleviate discomfort. CAA_PrintAssessment created 10/07/2015 page 21 of 25 GI/Neuro Med Surg A nurse is caring for a client who has hemianopsia following a cerebrovascular accident (CVA). The nurse should document an improvement in this condition when the nurse observes that the client 64. A. walks independently with a cane. B. eats items from both sides of her lunch tray. C. has infrequent episodes of crying. D. maintains communication with others. A nurse is caring for a client who is diagnosed with a cerebrovascular accident (CVA, stroke). Which of the following actions should be implemented to prevent deep-vein thrombosis (DVT)? 65. A. Massage lower extremities daily. B. Check for positive Homans’ sign. C. Monitor the client’s level of consciousness. D. Place sequential compression devices bilaterally. A nurse is developing an educational poster regarding risk factors for cerebrovascular accidents (CVA) for a group of clients. In a listing of nonmodifiable risk factors, the nurse should include 66. A. smoking. B. obesity. C. hypertension. D. race. CAA_PrintAssessment created 10/07/2015 page 22 of 25 GI/Neuro Med Surg