Questions with 100% Correct
Answers | Latest Update
Which of the following is indicative of worsening condition? -
ANSWER ✔✔Pupil size changing from 5 to 9mm
(sign of increased ICP)
Which position is best best for patient who is at risk for increased ICP? -
ANSWER ✔✔Semi Fowler position
,Your patient is S/P craniotomy for tumor removal. Which of the following
is indicative of a complication? - ANSWER ✔✔Client states he feels a
lot of drainage at the back of his throat
What is a normal reaction of a patient has received a craniotomy? -
ANSWER ✔✔Eyes that are swollen post op
Your patient is S/P a craniotomy. Which of the following will need to
reported to the PCP? - ANSWER ✔✔BP change from 120/80 to
140/88
Which statement is correct about meningococcal vaccines #1
prevention? - ANSWER ✔✔Recommended between the ages 11-12
and boosters should be recv'd by age 16
Which is appropriate when caring for a patient with encephalitis? -
ANSWER ✔✔Keeping room lights dim or off
You are caring for a patient who has had Huntington's for 15 years and is
admitted with pneumonia. Which actions is priority? - ANSWER
✔✔Set up bedside humidification
Your patient has been ordered pyridostigmine for myasthenia gravis. You
understand that this medication is used to? - ANSWER ✔✔Improve
muscle strength
,(DO NOT SKIP DOSES OF MEDICATIONS!)
Your patient is experiencing myasthenia exacerbation related to missed
dose of medication. Which are signs of this crisis state (SATA) -
ANSWER ✔✔-Difficult speaking (Dysphonia)
-Extreme muscle weakness
-Shallow, slow RR
-Dyshpagia
*Emergency Prepare for intubation
Your patient is diagnosed with Fibromyalgia. Which is a key feature of
this disease? - ANSWER ✔✔Difficulty Sleeping (insomnia)
What education statment is correct when teaching your patient with MS,
about activity and mobility? - ANSWER ✔✔Waking improves gait
Your patient sustained a C4 injury. You will expect all of the following
EXCEPT? - ANSWER ✔✔Full range of motion
Autonomic dysreflexia is considered an emergency. Why? -
ANSWER ✔✔Increase in BP can raise ICP
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3
, The patient with fibromyalgiai suffering from pain at 12 of the 18
identification site sites, including the neck upper back and the knees.
The patient also reports nonfreshing sleep, depression, and being
anxious when dealing with multiple tasks. The nurse should teach the
patient about what treatments? (SATA) - ANSWER ✔✔-Relaxation
strategy (biofeedback)
-Serotonin reputake inhihibitor (e.g setraline)
-Establish a regular sleep patern
-Instruct patient on performing regular LOW IMPACT exercise such as
walking, swimming, biking and water exercise.
What medicaitons are approved for fibromyalgia pain? - ANSWER
✔✔Antidepressants (preglabalin & duloxetine) as these meds work to
release serotonin and nor-epinephrine in the brain
The nurse is caring for a client with a head injury and would recognize
which assessment findings as early sings of increase ICP? SATA -
ANSWER ✔✔-Kussmaul breathing
-Weakness in one extremity
A nurse is caring for a client diagnosed to have a head injury. Which of
the following situations needs intervention by the nurse? - ANSWER