PN CAPSTONE NCLEX STUDY GUIDE_1

1. If a male client experienced a cerebrovascular accident (CVA) that damaged the hypothalamus, the nurse anticipate that the client has problems with: a) Body temperature control. b) Balance and equilibrium c) Visual acuity d) Thinking and reasoning 2. A female client admitted to an acute care facility after a car accident develops signs and symptoms of increased intracranial pressure (ICP). The client is intubated and placed on mechanical ventilation to help reduce ICP. To prevent a further rise in ICP caused by suctioning, the nurse anticipates administering which drug endotracheal before suctioning? a) Phenytoin (Dilantin) b) Mannitol (Osmitrol) c) Lidocaine (Xylocaine) d) Furosemide (Lasix) 3. After striking his head on a tree while falling from a ladder, a young man age 18 is admitted to the emergency department. He’s unconscious and his pupils are nonreactive. Which intervention would be the most dangerous for the client? a) Give him a barbiturate b) Place him a mechanical ventilation c) Perform a lumbar puncture d) Elevate the head of his bed 4. When obtaining the health history from a male client with retinal detachment, the nurse expects the client to report: a) Light flashed and floaters in front of the eye b) A recent driving accident while changing lanes c) Headaches, nausea, and redness of the eyes d) Frequent episodes of double vision 5. Which nursing diagnosis takes highest priority for a client with Parkinson’s crisis? a) Imbalanced nutrition: less than body requirements b) Ineffective airway clearance c) Impaired urinary elimination d) Risk for injury 6. To encourage adequate nutritional intake for a female client with Alzheimer’s disease, the nurse should: a) Stay with the client and encourage him to eat b) Help the client fill out his menu c) Give the client privacy during meals d) Fill out the menu for the client 7. The nurse is performing a mental status examination on a male client diagnosed with subdural hematoma. This test assesses which of the following? a) Cerebellar function b) Intellectual function c) Cerebral function d) Sensory function 8. Shortly after admission to an acute care facility, a male client with a seizure disorder develop status epilepticus. The physician orders diazepam (Valium) 10 mg I.V. stat. How soon can the nurse administer a second dose of diazepam, if needed and prescribed? a) In 30 to 45 seconds b) In 10 to 15 minutes c) In 30 to 45 minutes d) In 1 to 2 hours 9. A female complains of periorbital aching, tearing, blurred vision, and photophobia in her right eye. Ophthalmologic examination reveals a small, irregular, nonreactive pupil - a condition resulting from acute iris inflammation (iritis). As part of the client’s therapeutic regimen, the physician prescribes atropine sulfate (Atropisol), two drops of 0.5% solution in the right eye twice daily. Atropine Sulfate belongs to which drug classification? a) Para sympathomimetic agent b) Sympatholytic agent c) Adrenergic blocker d) Cholinergic blocker 10. Emergency medical techni