NUR2790 Study Guide Exam 4: Neuroscience Questions and Answers, Exams of Nursing

Download NUR2790 Study Guide Exam 4: Neuroscience Questions and Answers and more Exams Nursing in PDF only on Docsity! NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Neuro  A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? A. Hepatitis A B. Hepatitis D C. Hepatitis C D. Hepatitis B  An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is: A. drinking excessive alcohol. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ B. eating bad food. C. traveling to a foreign country. D. being in the military.  A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: A. Bleeding. B. Nausea and vomiting. C. infection. D. Pain.  For the client who is at risk for stroke, the most important guideline the nurse should teach is to: A. monitor weight and activity. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ effects of the disease until menopause." H. "It doesn't affect people until they are in their 50s." I. Posticteric  A client is diagnosed with liver disease. Which of the following is one impact of this disorder on a client's fluid and electrolyte status? A. Hyponatremia B. Hypernatremia C. Hypercalcemia D. Hyperkalemia  The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? A. Pulmonary edema B. Pulmonary emboli C. Myocardial infarction  A client who usually smokes a pack of cigarettes a day tells the nurse NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis? A. Recovery B. Icteric C. Preicteric D. Decreased peripheral pulses NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+  A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client? A. Increase exercise. B. Avoid all alcohol. C. Expect to develop jaundice. D. Treatment includes antibiotic therapy.  A client is demonstrating yellow pigmentation of the skin and sclera. Which of the following can be used to describe this client's symptoms? (Select all that apply.) A. Icterus B. Cirrhosis C. Dyspepsia D. Sclerosis E. Jaundice F. Kernicterus NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ C. Lifeguard D. Computer keyboard operator 31, A client who plays baseball on the weekends is experiencing an arm injury. The nurse realizes this client needs to be evaluated for: A. lateral epicondylitis. B. a rotator cuff tear. C. dislocation of the shoulder. D. patellar tendinopathy. 32. A client, diagnosed with an ankle sprain, is prescribed ibuprofen to control pain and inflammation. What instruction should the client receive concerning this medication? A. "Take on an empty stomach to maximize its effect." B. "Take with food to minimize gastrointestinal irritation." C. "Wear sunscreen if outside to prevent a burn." NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ D. “Bleeding is not a problem with this medication." 33. A client, experiencing a fractured arm, asks the nurse why the splint is being applied. Which of the following should the nurse respond to this client? A. "It immobilizes the muscles and joints." B. "It prevents the need for surgery." C. "It reduces the need for a cast." D. "It reduces bleeding, swelling and pain." 1. A client has had a cast applied to immobilize a right ulnar fracture. Which of the following nursing interventions is most important? A. Giving pain medication B. Starting discharge teaching C. Checking capillary refill time D. Calling physical therapy for a sling NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+  A client with a right arm cast is experiencing signs of a serious complication. Which of the following would cause the nurse the most concern? A. Severe pain to the right arm continues after receiving pain medication B. Itching under the cast C. Finger movement D. Capillary refill time less than 3 seconds NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ B. Minor ischemic stroke within 30 days NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ C. Glucose level 120 mg/dL D. Lumbar puncture 2 days ago E. Stroke onset 5 hours ago F. INR 1.0  A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse realizes that this client's treatment could include all of the following EXCEPT: A. photo DNA therapy. B. radiation. C. surgery. D. chemotherapy.  A client diagnosed with cirrhosis is experiencing the complication of NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ ascites. Which of the following would be considered treatment for this complication? (Select all that apply.) A. Pain medication B. Diuretic therapy C. Low-sodium diet D. Bed rest E. Fluid restriction F. Increased exercise  Most common complication of Endoscopic Retrograde cholangiopancreatography (ERCP)? Bleeding Perforation of stomach and duodenum, pancreatitis, aspirate gastric content, anaphylactic reaction to contrast dye (**cannot perforate bladder**) NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ dressing change so that you have a hand to hold during the procedure." C. "As we begin the next dressing change, I want you to think of a beautiful, calm place where you feel happy and peaceful." D. "Are you familiar with acupuncture? It's a very effective technique."  The nurse would identify which body systems as directly involved in the process of normal gas exchange? (Select all that apply.) A. Endocrine system B. Immune system C. Pulmonary system NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 NUR2790 STUDY GUIDE EXAM 4 QUESTIONS $ ANSWERS 2022/2023 RATED A+ Q &As 100% correctly/verified answers 2023GRADED A+ D. Neurologic system E. Hepatic system F. Cardiovascular system  Indication of good ventilation- The nurse is assessing a client for the adequacy of ventilation. What assessment findings would indicate the client has good ventilation? (SATA) Oxygen saturation level is 98% NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ Nail beds are pink with good capillary refill There is presence of quiet, effortless breath sounds at lung base bilaterally  A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is: A. magnetic resonance imaging (MRI). B. positron emission tomography (PET). C. electrocardiography (EEG). D. computed tomography (CT).  While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: A. anticholinergics. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ D. Concussion  The nurse is planning care for a client diagnosed with increased intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure? A. Perform range-of-motion exercises every hour. B. Keep the head of the bed in the flat position. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ C. Administer antibiotics as prescribed. D. Administer corticosteroids and osmotic diuretics as prescribed.  The nurse, caring for a client recovering from a traumatic brain injury, knows the client and the family are eligible for specific federal programs because of the: A.Associated Brain Act. B.Traumatic Brain Injury Act of 2008. C.Brain Protection Act. D.Health Brain Act.  Which of the following should be avoided when caring for a client diagnosed with increased intracranial pressure? A. Placing the client on bed rest B. Placing the bed in Trendelenburg NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ C. Starting an intravenous access line D. Administering oxygen  A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse realizes that this client's treatment could include all of the following EXCEPT: A. photo DNA therapy. B. radiation. C. surgery. D. chemotherapy.  The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? A. Clustering many nursing activities B. Aligning the neck with the body C. Elevating the head of the bed 30 degrees D. Providing stool softeners or laxatives as ordered NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ C. cranial nerve function. Liver D. Blood pressure NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+  The nurse is instructing a client on ways to prevent the onset of stress fractures. Which of the following should be included in these instructions? A. Increase intensity of training 10% each day B. Avoid overtraining C. Limit warm up exercises D. Avoid shock absorbing footwear  The nurse suspects a client, recovering from hip replacement surgery, is experiencing an infection when which of the following is assessed? A. Pain with movement NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ B. Foot intact to sensation and motion C. Blood pressure 110/68 mmHg D. Client using crutches to ambulate  The nurse is concerned that a client is demonstrating signs of compartment syndrome. Which of the following is considered a classical symptom of this disorder? (Select all that apply.) A. Paraplegia B. Pain C. Pulselessness D. Pressure E. Paresthesia NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ A client, recovering from a fractured pelvis, begins to have dyspnea and restlessness. The nurse is concerned that the client is experiencing a fat emboli when which of the following are assessed? SATA Upper body petechia Seizures Temp 102 MISCELLANEOUS  The nurse is admitting an older adult with decompensated congestive heart failure. The nursing assessment reveals adventitious lung sounds, dyspnea, and orthopnea. The nurse should question which doctor's order? A. Oxygen via face mask at 8 L/min B. Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr C. Furosemide (Lasix) 20 mg PO now NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ D. KCl 20 mEq PO two times per day  At change-of-shift report, the nurse learns the medical diagnoses for four patients. Which patient should the nurse assess most carefully for development of hyponatremia? A. Tumor that secretes excessive antidiuretic hormone (ADH) B. Tumor that destroyed the posterior pituitary gland C. Tumor that secretes excessive aldosterone D. Vomiting all day and not replacing any fluid  The patient is receiving tube feedings due to a jaw surgery. What change in assessment findings should prompt the nurse to request an order for serum sodium concentration? NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ A. Increased skin tenting and dry mouth B. Decreased level of consciousness C. Postural hypotension and tachycardia D. Development of ankle or sacral edema NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+  The nurse has telephone messages from four patients who requested information and assistance. Which one should the nurse refer to a social worker or community agency first? A. "Is there a place that I can dispose of my unused morphine pills?" B. "I ran out of money and am cutting my insulin dose in half." C. "I want to lose at least 20 pounds without getting sick this time." D. "I think I have asthma because I cough when dogs are near." NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+  The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cancer? A. Colonoscopy at age 50 and every 10 years as follow-up B. Yearly prostate specific antigen (PSA) and digital rectal exam for men aged 50 and over C. Yearly mammography for women aged 40 years and older D. Using skin protection during sun exposure while at the beach  While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient? A. "Have you noticed any blood in your stool?" NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ B. "Have you been experiencing nausea?" C. "Do you have back pain?" D. "Have you noticed any swelling in your abdomen?"  While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention? A. Limiting visitors, thus promoting the maximal amount of hours for sleep B. Completing all nursing care in the morning so the patient can rest the remainder of the day C. Completing all nursing care in the evening when the patient is more rested D. Prioritization and administration of nursing care NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ the following should the nurse include in the plan of care? A. Position the patient on the operative side only. B. Instruct the patient to cough and deep breathe. C. Avoid administering narcotic pain medications. D. Keep the patient on strict bed rest.  The patient asks the nurse to explain the sinoatrial node in the heart. The nurse's best response would be, "The sinoatrial node A. protects the heart from infection." B. provides the heart with oxygenated blood." C. provides the heart with the stimulation to beat in a normal rhythm." NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ D. protects the heart from atherosclerotic changes."  A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. The nurse knows that the patient should be observed for A. tissue ischemia. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ B. intestinal blockage. C. cardiac dysrhythmia. D. brain malformations.  A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands the concept of perfusion when the student states, "Perfusion A. varies as a person ages, so I would expect changes in the body." B. is a normal function of the body, and I don't have to be concerned about it." C. is monitored by vital signs and capillary refill." D. is monitored by the physician, and I just follow orders."  The nurse is assigned a group of patients. Which patient would NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ C. "I will increase the intake of green, leafy vegetables for a more healthful diet." D. "I will increase the amount of protein in my diet to protect my kidneys."  The nurse would expect to administer an anticoagulant to a patient following which surgery? A. Appendectomy B. Hip replacement C. Abdominal aorta aneurism (AAA) repair D. Hysterectomy  A patient on a medical surgical unit has a platelet count of 90,000 per mm3. The nurse knows to include which of the following precautions in discharge instructions? NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ A. Have aggressive dental care immediately to prevent dental caries. B. Use a soft bristle toothbrush. C. Do not eat fresh fruit. D. Use a standard safety razor for shaving.  The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members? A. Decreased ability to document expenses of care provided B. Increased time to discharge patients to outpatient care C. Longer time to begin surgical cases D. The occurrence of a patient event resulting in death or NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ serious injury  A client asks the nurse to pray with him. The nurse is an atheist. Which statement by the nurse is the correct response? A. "No, I'm sorry, I can't do that." B. "I'll hold your hand while you pray." C. "No, I don't believe in prayer." NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ C. "This drug will help prevent kidney damage caused by dehydration." D. "Tagamet will stimulate intestinal movement so you can eat more."  A client who is burned is drooling and is having difficulty swallowing. Which action does the nurse take first? A. Measure abdominal girth and auscultate bowel sounds. B. Assess level of consciousness and pupillary reactions. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ C. Auscultate breath sounds over the trachea and mainstem bronchi. D. Ascertain the time food or liquid was last consumed.  The nurse assesses a client who suffered chest trauma and finds that the left chest sucks in during inhalation and out during exhalation. The client's oxygen saturation has dropped from 94% to 86%. What is the priority action by the nurse? A. Encourage the client to take deep, controlled breaths. B. Stabilize the chest wall with rib binders. C. Document findings and continue to monitor the client. D. Notify the health care provider and prepare for intubation.  What is the best way for the nurse to communicate with a client who is intubated and is receiving mechanical ventilation? NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ A. Ask the client to blink for "yes" and "no." B. Teach the client some simple sign language. C. Have the client mouth words slowly. D. Ask the client to point to words on a board.  A client is experiencing sinus bradycardia with hypotension and dizziness. What medication does the nurse administer? A. Metoprolol (Lopressor) B. Lidocaine (Xylocaine) C. Atropine (Atropine) D. Digoxin (Lanoxin) NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ A. Obtain two sets of blood cultures. B. Administer the prescribed IV vancomycin (Vancocin). C. Administer the prescribed IV norepinephrine (Levophed). D. Obtain central venous pressure (CVP) measurements.  The nurse is caring for a client who had a myocardial infarction. The client develops increased pulmonary congestion; an increase in heart rate from 80 to 102 beats/min; and cold, clammy skin. Which action does the nurse implement before notifying the health care provider? A. Increase the IV flow rate. B. Prepare the client for surgery. C. Place the client in supine position. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ D. Administer oxygen.  A client has received vasopressin (DDAVP) for diabetes insipidus. Which assessment finding indicates a therapeutic response to this therapy? A. Urine output is decreased; specific gravity is increased. NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+ B. Urine output is increased; specific gravity is decreased. C. Urine output is increased; specific gravity is increased. D. Urine output is decreased; specific gravity is decreased.  Which client is most at risk for developing postrenal kidney failure? A. Client with congestive heart failure B. Client taking NSAIDs for arthritis pain C. Client recovering from glomerulonephritis D. Client diagnosed with renal calculi NUR2790 STUDY GUIDE EXAM 4 Q &As 100% correctly/verified answers 2023GRADED A+