PNH 301 – Test 1 Practice Questions Study Guide
Flexion of the hip and knees with passive flexion of the neck. - ANS✔✔ Client has meningitis,
what should the nurse find during assessment?
Protecting patient from injury. - ANS✔✔ Priority actin for taking care of patient with seizure
Spinal X-ray - ANS✔✔ What do you do prior to a electroconvulsive therapy?
Note the first thing the client does; this provides information on which part in the brain the
seizure began. - ANS✔✔ Priority action for a tonic-clinic seizure
maintain adequate airway - ANS✔✔ Priority nursing intervention for closed head injury
Hypertension - ANS✔✔ Most important risk factor for a stroke
Place client on pressure reducing support surface; they are at risk for skin breakdown due to
immobility - ANS✔✔ Unstable spinal cord at T7. What is priority action during care?
Communication strategies - ANS✔✔ Most helpful intervention with AD.
Sever throbbing headache - ANS✔✔ A client with spinal cord injury is at risk for experiencing
autonomic dysreflexia. The nurse will monitor this manifestations
Use hands to communicate, use picture board and flash cards, and speak slowly. - ANS✔✔ How
should a nurse care for a client with receptive and expressive aphasia, communicate with them?
Flexion of the hip and knees with passive flexion of the neck. - ANS✔✔ Client has meningitis,
what should the nurse find during assessment?
Protecting patient from injury. - ANS✔✔ Priority actin for taking care of patient with seizure
Spinal X-ray - ANS✔✔ What do you do prior to a electroconvulsive therapy?
Note the first thing the client does; this provides information on which part in the brain the
seizure began. - ANS✔✔ Priority action for a tonic-clinic seizure
maintain adequate airway - ANS✔✔ Priority nursing intervention for closed head injury
Hypertension - ANS✔✔ Most important risk factor for a stroke
Place client on pressure reducing support surface; they are at risk for skin breakdown due to
immobility - ANS✔✔ Unstable spinal cord at T7. What is priority action during care?
Communication strategies - ANS✔✔ Most helpful intervention with AD.
Sever throbbing headache - ANS✔✔ A client with spinal cord injury is at risk for experiencing
autonomic dysreflexia. The nurse will monitor this manifestations
Use hands to communicate, use picture board and flash cards, and speak slowly. - ANS✔✔ How
should a nurse care for a client with receptive and expressive aphasia, communicate with them?
