NUR 242 EXAM 4||
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,The nurse is planning care for an immobilized client who had a stroke with
right-sided hemiparesis. Which activity would the nurse include in the plan of
care- ANSWER: - answer Assist the client to perform range-of-motion (ROM)
exercises every 1 to 2 hours
Which is the priority nursing action for a client admitted to the hospital in a
coma after having a stroke- ANSWER: - answer Maintain an open airway.
Which position would the nurse plan to use for the client who is having a
hypertensive crisis and evolving stroke- ANSWER: - answer Side-lying
Which nursing action is essential when a client experiences hemianopsia as the
result of a left ischemic stroke- ANSWER: - answer Place objects within the
visual field
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the
nurse assesses that the right pupil is reacting more slowly than the left and that
the systolic blood pressure is rising. Which complication would the nurse plan
to address- ANSWER: - answer Increased intracranial pressure
The registered nurse (RN) is caring for a client who is currently hospitalized
for a stroke. Which professional management strategy will be most effective
for the RN to improve the safety and quality of client care- ANSWER: - answer
Delegation
The client taking intravenous coagulant medications for a bleeding disorder
suddenly develops an embolic stroke as a result of medication overdose. Which
actions by the hospital management does the Leapfrog Group suggest-
, ANSWER: Select all that apply. One, some, or all responses may be correct. -
answer Apologize to the client and family.
Waive all costs directly related to the adverse effect.
Report the adverse event to The Joint Commission.
Which action will the nurse complete when preparing a stroke client for
cerebral imaging with iodine-based contrast dye- ANSWER: - answer Ensure a
recent creatinine level has been assessed.
Which behaviors would the nurse include when teaching a family what to
expect from a client who experienced a stroke on the left side of the brain-
ANSWER: Select all that apply. One, some, or all responses may be correct. -
answer Slow performance and caution
Impaired speech/language aphasias
Awareness of deficits with depression and anxiety
When a client has difficulty swallowing after a stroke, which action by the
nurse would be most important in preventing pneumonia- ANSWER: - answer
Having suction available during meals
A client has had a recent brain attack (cerebrovascular accident/stroke).
Which preventative would the nurse anticipate will be prescribed daily to
avoid straining due to constipation- ANSWER: - answer Stool softener
Which intervention would the disaster management team nurse perform for
the survivors of an explosion who developed heat stroke- ANSWER: - answer
Apply ice packs on the client's scalp
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,The nurse is planning care for an immobilized client who had a stroke with
right-sided hemiparesis. Which activity would the nurse include in the plan of
care- ANSWER: - answer Assist the client to perform range-of-motion (ROM)
exercises every 1 to 2 hours
Which is the priority nursing action for a client admitted to the hospital in a
coma after having a stroke- ANSWER: - answer Maintain an open airway.
Which position would the nurse plan to use for the client who is having a
hypertensive crisis and evolving stroke- ANSWER: - answer Side-lying
Which nursing action is essential when a client experiences hemianopsia as the
result of a left ischemic stroke- ANSWER: - answer Place objects within the
visual field
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the
nurse assesses that the right pupil is reacting more slowly than the left and that
the systolic blood pressure is rising. Which complication would the nurse plan
to address- ANSWER: - answer Increased intracranial pressure
The registered nurse (RN) is caring for a client who is currently hospitalized
for a stroke. Which professional management strategy will be most effective
for the RN to improve the safety and quality of client care- ANSWER: - answer
Delegation
The client taking intravenous coagulant medications for a bleeding disorder
suddenly develops an embolic stroke as a result of medication overdose. Which
actions by the hospital management does the Leapfrog Group suggest-
, ANSWER: Select all that apply. One, some, or all responses may be correct. -
answer Apologize to the client and family.
Waive all costs directly related to the adverse effect.
Report the adverse event to The Joint Commission.
Which action will the nurse complete when preparing a stroke client for
cerebral imaging with iodine-based contrast dye- ANSWER: - answer Ensure a
recent creatinine level has been assessed.
Which behaviors would the nurse include when teaching a family what to
expect from a client who experienced a stroke on the left side of the brain-
ANSWER: Select all that apply. One, some, or all responses may be correct. -
answer Slow performance and caution
Impaired speech/language aphasias
Awareness of deficits with depression and anxiety
When a client has difficulty swallowing after a stroke, which action by the
nurse would be most important in preventing pneumonia- ANSWER: - answer
Having suction available during meals
A client has had a recent brain attack (cerebrovascular accident/stroke).
Which preventative would the nurse anticipate will be prescribed daily to
avoid straining due to constipation- ANSWER: - answer Stool softener
Which intervention would the disaster management team nurse perform for
the survivors of an explosion who developed heat stroke- ANSWER: - answer
Apply ice packs on the client's scalp
