Question 1

What action should the nurse implement when a patient falls to the floor in a generalized seizure?

Accepted Answer

A)  Cradle the head to prevent injury. 
B)  Insert an object between the teeth to prevent the patient from biting the tongue. 
C)  Manually restrain the limbs. 
D)  Keep the patient on his or her back to prevent aspiration. 
A)  Cradle the head to prevent injury. 
B)  Insert an object between the teeth to prevent the patient from biting the tongue. 
C)  Manually restrain the limbs. 
D)  Keep the patient on his or her back to prevent aspiration. A

Question 2

Which nursing assessment would indicate a need for suctioning a patient with Guillain-Barré who is experiencing impaired breathing patterns because of neuromuscular failure?

Accepted Answer

A)  Decreased pulse rate and respiration of 20 breaths/min 
B)  Increased pulse rate and adventitious breath sounds 
C)  Increased pulse rate and respiration of 16 breaths/min 
D)  Decreased pulse and abdominal breathing 
A)  Decreased pulse rate and respiration of 20 breaths/min 
B)  Increased pulse rate and adventitious breath sounds 
C)  Increased pulse rate and respiration of 16 breaths/min 
D)  Decreased pulse and abdominal breathing B

Question 3

A patient with Parkinson disease is considering taking St.John's wort, an herbal remedy for depression, in addition to Sinemet and L-dopa.What is the most appropriate nursing response?

Accepted Answer

A)  Depression is reduced by the use of herbal remedies such as St.John's wort. 
B)  Doses of St.John's wort and parkinsonian drugs should be taken on alternate days. 
C)  St.John's wort must be taken in large doses to reduce depression. 
D)  Herbal remedies can interfere with the effectiveness of the parkinsonian drugs. 
A)  Depression is reduced by the use of herbal remedies such as St.John's wort. 
B)  Doses of St.John's wort and parkinsonian drugs should be taken on alternate days. 
C)  St.John's wort must be taken in large doses to reduce depression. 
D)  Herbal remedies can interfere with the effectiveness of the parkinsonian drugs. D

Question 4

A patient in the emergency department states that she fell and hit her head and blacked out for a while but became alert again.The nurse suspects an epidural hematoma.For what should the nurse be diligent to assess?

Accepted Answer

A)  Headache 
B)  Drowsiness 
C)  Increasing respiration rate 
D)  Vomiting 
A)  Headache 
B)  Drowsiness 
C)  Increasing respiration rate 
D)  Vomiting

Question 5

A(n)______ hematoma forms in the space between the inner surface of the skull and the outermost meningeal covering of the brain.

Accepted Answer

The answer of A(n)______ hematoma forms in the space between...

Question 6

A nurse is caring for a patient with meningitis who has a positive Brudzinski sign.Which assessment led to this conclusion?

Accepted Answer

A)  Flexed hips when the neck is flexed by the nurse 
B)  Inability to extend the flexed leg fully because of hamstring pain 
C)  Resisting efforts of the nurse to flex his or her neck 
D)  Flexing the big toe upward and fan out the other toes 
A)  Flexed hips when the neck is flexed by the nurse 
B)  Inability to extend the flexed leg fully because of hamstring pain 
C)  Resisting efforts of the nurse to flex his or her neck 
D)  Flexing the big toe upward and fan out the other toes

Question 7

A nurse caring for an immobilized patient with a brain tumor stimulates the patient several times a day with range-of-motion exercises and changes his position every 2 hours to try to prevent a disuse syndrome.What signs and symptoms does disuse syndrome include? (Select all that apply.)

Accepted Answer

A)  Pooling of pulmonary secretions 
B)  Paralysis 
C)  Muscle tremor 
D)  Pressure ulcers 
E)  Altered visual perceptions 
A)  Pooling of pulmonary secretions 
B)  Paralysis 
C)  Muscle tremor 
D)  Pressure ulcers 
E)  Altered visual perceptions

Question 8

A patient with generalized convulsive disorder is unaware about the side effects of phenytoin (Dilantin).Which instruction would be most appropriate?

Accepted Answer

A)  Take medication with food. 
B)  Brush teeth vigorously to encourage gingival growth. 
C)  Limit fluids and eats foods that reduce diarrhea. 
D)  Reduce stimuli and take warm baths to induce drowsiness. 
A)  Take medication with food. 
B)  Brush teeth vigorously to encourage gingival growth. 
C)  Limit fluids and eats foods that reduce diarrhea. 
D)  Reduce stimuli and take warm baths to induce drowsiness.

Question 9

A nurse is careful about limb position in caring for an unconscious patient who sustained a head injury 10 days ago.What is the nurse trying to prevent?

Accepted Answer

A)  Flexion deformities 
B)  Atrophy 
C)  Paralysis 
D)  Pathologic fracture 
A)  Flexion deformities 
B)  Atrophy 
C)  Paralysis 
D)  Pathologic fracture

Question 10

Why is a patient with amyotrophic lateral sclerosis (ALS)uniquely prone to depression?

Accepted Answer

A)  Nutritional intake is poor. 
B)  Intellectual capacity is not affected. 
C)  Mobility is limited. 
D)  Communication is altered. 
A)  Nutritional intake is poor. 
B)  Intellectual capacity is not affected. 
C)  Mobility is limited. 
D)  Communication is altered.

Question 11

A family member asks the nurse what would be an appropriate gift for a patient with Parkinson disease.What is the most useful suggestion?

Accepted Answer

A)  Soft-soled house shoes 
B)  Jigsaw puzzle 
C)  Set of card games 
D)  Satin sheets 
A)  Soft-soled house shoes 
B)  Jigsaw puzzle 
C)  Set of card games 
D)  Satin sheets

Question 12

The ______ of the seizure is characterized by stiffening of the muscles or extremities with loss of consciousness.

Accepted Answer

The answer of The ______ of the seizure is characterized...

Question 13

The nurse is caring for a patient with symptoms of a migraine headache.What assessment information supports this diagnosis? (Select all that apply.)

Accepted Answer

A)  Bilateral pain in temples 
B)  Nausea 
C)  Photosensitivity 
D)  Elevated WBC count 
E)  Tearing 
A)  Bilateral pain in temples 
B)  Nausea 
C)  Photosensitivity 
D)  Elevated WBC count 
E)  Tearing

Question 14

What should the nurse implement before giving an enteral feeding to a patient?

Accepted Answer

A)  Palpate the abdomen to check for residual feeding. 
B)  Warm the feeding. 
C)  Elevate the head of the bed 30 degrees. 
D)  Ask the patient to tip his head forward. 
A)  Palpate the abdomen to check for residual feeding. 
B)  Warm the feeding. 
C)  Elevate the head of the bed 30 degrees. 
D)  Ask the patient to tip his head forward.

Question 15

A nurse is evaluating the effectiveness of teaching for a patient with multiple sclerosis (MS).Which statement by the patient indicates that accurate patient learning has taken place?

Accepted Answer

A)  "Now that I am taking steroids, I will be able to work like I used to." 
B)  "I'm making a list of things that are important and things I will simply have to let go." 
C)  "I will make a plan to allow for long rest periods at least four times a day." 
D)  "I am working on balancing time among rest, work, and family time." 
A)  "Now that I am taking steroids, I will be able to work like I used to." 
B)  "I'm making a list of things that are important and things I will simply have to let go." 
C)  "I will make a plan to allow for long rest periods at least four times a day." 
D)  "I am working on balancing time among rest, work, and family time."

Question 16

A patient with Parkinson disease is depressed because his drug protocol of L-dopa and Sinemet is no longer controlling his symptoms.What is the best response by the nurse?

Accepted Answer

A)  Other drugs can be combined with L-dopa to increase its effectiveness. 
B)  The effect of these drugs has an uneven course; symptoms will begin to subside again soon. 
C)  The two drugs can be given in higher doses to control the symptoms. 
D)  Surgical interventions have been very effective in the control of parkinsonian symptoms. 
A)  Other drugs can be combined with L-dopa to increase its effectiveness. 
B)  The effect of these drugs has an uneven course; symptoms will begin to subside again soon. 
C)  The two drugs can be given in higher doses to control the symptoms. 
D)  Surgical interventions have been very effective in the control of parkinsonian symptoms.

Question 17

Which intervention supports nutritional intake in a patient with Parkinson disease?

Accepted Answer

A)  Offer large meals with a variety of finger foods. 
B)  Thicken liquids to make them easier to swallow. 
C)  Puree all foods and drink through a straw. 
D)  Offer a diet high in carbohydrates and fat and low in protein. 
A)  Offer large meals with a variety of finger foods. 
B)  Thicken liquids to make them easier to swallow. 
C)  Puree all foods and drink through a straw. 
D)  Offer a diet high in carbohydrates and fat and low in protein.

Exam 22: Neurologic Disorders

What action should the nurse implement when a patient falls to the floor in a generalized seizure?

Which nursing assessment would indicate a need for suctioning a patient with Guillain-Barré who is experiencing impaired breathing patterns because of neuromuscular failure?

A patient with Parkinson disease is considering taking St.John's wort, an herbal remedy for depression, in addition to Sinemet and L-dopa.What is the most appropriate nursing response?

A patient in the emergency department states that she fell and hit her head and blacked out for a while but became alert again.The nurse suspects an epidural hematoma.For what should the nurse be diligent to assess?

A(n)______ hematoma forms in the space between the inner surface of the skull and the outermost meningeal covering of the brain.

A nurse is caring for a patient with meningitis who has a positive Brudzinski sign.Which assessment led to this conclusion?

A nurse caring for an immobilized patient with a brain tumor stimulates the patient several times a day with range-of-motion exercises and changes his position every 2 hours to try to prevent a disuse syndrome.What signs and symptoms does disuse syndrome include? (Select all that apply.)

A patient with generalized convulsive disorder is unaware about the side effects of phenytoin (Dilantin).Which instruction would be most appropriate?

A nurse is careful about limb position in caring for an unconscious patient who sustained a head injury 10 days ago.What is the nurse trying to prevent?

Why is a patient with amyotrophic lateral sclerosis (ALS)uniquely prone to depression?

A family member asks the nurse what would be an appropriate gift for a patient with Parkinson disease.What is the most useful suggestion?

The ______ of the seizure is characterized by stiffening of the muscles or extremities with loss of consciousness.

The nurse is caring for a patient with symptoms of a migraine headache.What assessment information supports this diagnosis? (Select all that apply.)

What should the nurse implement before giving an enteral feeding to a patient?

A nurse is evaluating the effectiveness of teaching for a patient with multiple sclerosis (MS).Which statement by the patient indicates that accurate patient learning has taken place?

A patient with Parkinson disease is depressed because his drug protocol of L-dopa and Sinemet is no longer controlling his symptoms.What is the best response by the nurse?

Which intervention supports nutritional intake in a patient with Parkinson disease?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management