NEURO PrepU 1 Exam Questions and Answers: Neurology Nursing Exam Preparation, Exams of Neurology

Download NEURO PrepU 1 Exam Questions and Answers: Neurology Nursing Exam Preparation and more Exams Neurology in PDF only on Docsity! NEURO PrepU 1 Exam Questions and Answers. A client has low back pain. What should the nurse instruct the client to avoid doing? - Correct Answers exceeding the prescribed exercise program Which information should the nurse include in the discharge plan for a client with multiple sclerosis who has an impaired peripheral sensation? Select all that apply. - Correct Answers Carefully test the temperature of bath water. Avoid hot water bottles and heating pads. Inspect the skin daily for injury or pressure points. Wear warm clothing when outside in cold temperatures A nurse is assessing an elderly client with senile dementia. Which neurotransmitter condition is most likely to contribute to this client's cognitive changes? - Correct Answers decreased acetylcholine level A new nurse has been assigned to the neurologic intensive care unit. Which client would be best to assign the nurse? A client: - Correct Answers admitted 48 hours ago with bacterial meningitis who requires antibiotic administration After cataract removal surgery on the left eye, the client sits up and reports having sharp pain in the operative eye. What should the nurse do next? - Correct Answers Contact the health care provider. Upon review of a client's phenytoin levels, a nurse notes a value of 16 mcg/ml. What should the nurse do next? - Correct Answers No action is needed at this time because the drug level is normal. A client is color blind. The nurse understands that this client has a problem with - Correct Answers cones A nurse is assessing a client with syndrome of inappropriate antidiuretic hormone. Which finding requires further action? - Correct Answers jugular vein distention A client is undergoing testing to confirm a diagnosis of myasthenia gravis. The nurse explains that a diagnosis is made if muscle function improves after the client receives an I.V. injection of a medication. What is the medication the nurse tells the client they'll receive during this test? - Correct Answers edrophonium After returning home, a client who has had cataract surgery will need to continue to instill eye drops in the affected eye. The client is instructed to apply slight pressure against the nose at the inner canthus of the eye after instilling the eye drops. What is the expected outcome of applying pressure? - Correct Answers prevents the medication from entering the tear duct. After teaching a group of schoolteachers about seizures, the teachers role- play a scenario involving a child experiencing a generalized tonic-clonic seizure. Which action, when performed first, indicates that the nurse's teaching has been successful? - Correct Answers Remove any nearby objects that could harm the child. When caring for a client with head trauma, a nurse notes a small amount of clear, watery fluid oozing from the client's nose. What should the nurse do first? - Correct Answers Test the nasal drainage for glucose. When assessing the pressure of the anterior chamber of the eye, a nurse normally expects to find a pressure of - Correct Answers 10 to 20 mm Hg. Which nursing action addresses the primary concern for a client with Guillain-Barré syndrome? - Correct Answers preparing for mechanical ventilation A client is transferred to the intensive care unit after evacuation of a subdural hematoma. Which nursing intervention reduces the client's risk of increased intracranial pressure (ICP)? - Correct Answers administering a stool softener as ordered A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out the IV line. What should the nurse do to protect the client without increasing the intracranial pressure (ICP)? - Correct Answers Wrap the hands in soft "mitten" restraints. One day after cataract surgery, the client is having discomfort from bright light. What should the nurse advise the client to do? - Correct Answers Use sunglasses that wrap around the side of the face when in bright light. A client has chronic open-angle glaucoma. What should the nurse ask the client about when conducting a focused assessment? - Correct Answers decreasing peripheral vision A charge nurse completing a deceased client's chart audit notes that the chart contains a copy of the client's advance directive and the do-not- resuscitate (DNR) order. While reviewing the nurses' notes, the charge nurse finds documentation of a code blue and cardiopulmonary resuscitation with a physician entry to "Discontinue code blue due to existing advanced directives and DNR from client." What does the charge nurse conclude? Select all that apply. - Correct Answers The physician was correct to stop resuscitation efforts. By calling a code blue, the nurse disregarded the client's advance directives and DNR order A client who has apnea during sleep would require which of the following interventions? Select all that apply. - Correct Answers Refer to primary healthcare provider Have client keep a sleep diary Assess sleep routine/hours A nurse is caring for a client who's had surgery to repair a hip fracture. The client says their left hand and arm are numb and they can't move the extremity. The nurse contacts the physician, who suspects brachial plexus nerve damage. What additional priority assessment does the nurse need? - Correct Answers function of the client's left hand before the operation For a client with suspected increased intracranial pressure (ICP), an appropriate respiratory goal is to - Correct Answers promote carbon dioxide elimination. The nurse is teaching the family of a client with dysphagia about decreasing the risk of aspiration while eating. Which strategies should the nurse include in the teaching plan? Check all that apply. - Correct Answers maintaining an upright position while eating introducing foods on the unaffected side of the mouth keeping distractions to a minimum A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What do these manifestations indicate? - Correct Answers meningeal irritation A client with weakness and tingling in both legs is admitted to the medical- surgical unit with a tentative diagnosis of Guillain-Barré syndrome. On admission, which assessment is most important for this client? - Correct Answers lung auscultation and measurement of vital capacity and tidal volume When the nurse talks with a client with multiple sclerosis who has slurred speech, which nursing intervention is contraindicated? - Correct Answers asking the client to speak louder when tired When assessing the client with Parkinson's disease, the nurse should observe the client for: - Correct Answers a stiff, masklike facial expression. When performing a postoperative assessment on a client who has undergone surgery to manage increased intracranial pressure (ICP), a nurse notes an ICP reading of 0 mm Hg. Which action should the nurse perform first? - Correct Answers Check the equipment. A client accidentally splashes chemicals into one eye. The nurse knows that eye irrigation with plain tap water should begin immediately and continue for 15 to 20 minutes. What is the primary purpose of this first-aid treatment? - Correct Answers to prevent vision loss When assessing a client diagnosed with macular degeneration, the nurse would expect to see which finding? - Correct Answers drusen on retina The nurse is assessing a client's motor response after brain surgery. The nurse pinches the client's skin to elicit a response and observes the client's arms and legs moving straight out and the feet and toes bend downward. How should the nurse document this response? - Correct Answers extension posturing A client is scheduled for electroconvulsive therapy (ECT). Before ECT begins, the nurse expects to administer which neuromuscular blocking agent? - Correct Answers succinylcholine The client asks when to stop taking the eye medication for chronic open- angle glaucoma. The nurse should tell the client: - Correct Answers to use the eye medication for the rest of life. A nurse is caring for a client admitted with a diagnosis of exacerbation of myasthenia gravis. Upon assessment of the client, the nurse notes the client has severely depressed respirations. The nurse would expect to identify which acid-base disturbance? - Correct Answers respiratory acidosis