Rasmussen University NUR2571 Professional Nursing 2 (PN2) Exam 3 Study Guide Questions
and Answers with Explanations
Know what the left temporal lobe of brain affects as far as the senses
1. 1. A nurse prepares to teach a client who has experienced damage to theleft
temporal lobe of the brain. Which action should the nurse take when providing
education about newly prescribed medications to this client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask questions.
ANS: C
The temporal lobe contains the auditory center for sound interpretation. The
clients hearing will be impaired in the left ear. The nurse should sit onthe clients
right side and speak into the right ear. The other interventions do not address the
clients left temporal lobe damage.
Know what hypoactive deep tendon reflexes affect
2. A nurse plans care for a client who has a hypoactive response to a test of deep tendon
reflexes. Which intervention should the nurse include in this clientsplan of care?
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each shift.
ANS: B
Hypoactive deep tendon reflexes and loss of vibration sense can impair balanceand
coordination, predisposing the client to falls. The nurse should plan to provide the client
with ambulation assistance to prevent injury. The other interventions do not address the
clients problem.
Know what things can interfere with MRI scans
10. A nurse obtains a focused health history for a client who is scheduled for magnetic
resonance imaging (MRI). Which condition should alert the nurse tocontact the
provider and cancel the procedure?
a. Creatine phosphokinase (CPK) of 100 IU/L
b. Atrioventricular graft
c. Blood urea nitrogen (BUN) of 50 mg/dL
d. Internal insulin pump
ANS: D
Metal devices such as internal pumps, pacemakers, and prostheses interfere with the
accuracy of the image and can become displaced by the magnetic forcegenerated by an
MRI procedure. An atrioventricular graft does not contain any metal. CPK and BUN
levels have no impact on an MRI procedure.
14. After teaching a client who is scheduled for magnetic resonance imaging (MRI),
the nurse assesses the clients understanding. Which client statement indicates a
correct understanding of the teaching?
a. I must increase my fluids because of the dye used for the MRI.
,b. My urine will be radioactive so I should not share a bathroom.
c. I can return to my usual activities immediately after the MRI.
d. My gag reflex will be tested before I can eat or drink anything.ANS: C
No postprocedure restrictions are imposed after MRI. The client can return to normal
activities after the test is complete. There are no dyes or radioactive materials used for the
MRI; therefore, increased fluids are not needed and theclients urine would not be
radioactive. The procedure does not impact the clients gag reflex.
Know what a single-photon emission computed tomography (SPECT) scan is
and if there is any care required afterwards
20. A nurse cares for a client who is recovering from a single-photon emissioncomputed
tomography (SPECT) with a radiopharmaceutical agent. Which statement should the nurse
include when discussing the plan of care with thisclient?
a. You may return to your previous activity level immediately.
b. You are radioactive and must use a private bathroom.
c. Frequent assessments of the injection site will be completed.
d. We will be monitoring your renal functions closely.
ANS: A
The client may return to his or her previous activity level immediately. Radioisotopes
will be eliminated in the urine after SPECT, but no monitoring or special precautions are
required. The injection site will not need to be assessedafter the procedure is complete.
Know what imitrex is and any side effects associated with it
3. A nurse obtains a health history on a client prior to administering prescribed
sumatriptan succinate (Imitrex) for migraine headaches. Which condition shouldalert the
nurse to hold the medication and contact the health care provider?
a. Bronchial asthma
b. Prinzmetals angina
c. Diabetes mellitus
d. Chronic kidney disease
ANS: B
Sumatriptan succinate effectively reduces pain and other associated symptomsof migraine
headache by binding to serotonin receptors and triggering cranial vasoconstriction.
Vasoconstrictive effects are not confined to the cranium and can cause coronary
vasospasm in clients with Prinzmetals angina. The other conditions would not affect the
clients treatment.
What is bacterial meningitis and how is it contracted?
9. A nurse obtains a focused health history for a client who is suspected ofhaving
bacterial meningitis. Which question should the nurse ask?
a. Do you live in a crowded residence?
b. When was your last tetanus vaccination?
, c. Have you had any viral infections recently?
d. Have you traveled out of the country in the last month?ANS:
A
Meningococcal meningitis tends to occur in multiple outbreaks. It is most likelyto occur
in areas of high-density population, such as college dormitories, prisons, and military
barracks. A tetanus vaccination would not place the clientat increased risk for meningitis
or protect the client from meningitis. A viral infection would not lead to bacterial
meningitis but could lead to viral meningitis. Simply knowing if the client traveled out of
the country does not provide enough information. The nurse should ask about travel to
specific countries in which the disease is common, for example, sub-Saharan Africa.
What are clinical manifestations of Parkinson‟s?
10. After teaching the wife of a client who has Parkinson disease, the nurse assesses the
wifes understanding. Which statement by the clients wife indicatesshe correctly
understands changes associated with this disease?
a. His masklike face makes it difficult to communicate, so I will use a white board.
b. He should not socialize outside of the house due to uncontrollable drooling.
c. This disease is associated with anxiety causing increased perspiration.
d. He may have trouble chewing, so I will offer bite-sized portions.ANS:
D
Because chewing and swallowing can be problematic, small frequent meals anda
supplement are better for meeting the clients nutritional needs. A masklike face and
drooling are common in clients with Parkinson disease. The client should be encouraged
to continue to socialize and communicate as normally aspossible. The wife should
understand that the clients masklike face can be misinterpreted and additional time may be
needed for the client to communicate with her or others. Excessive perspiration is also
common in clients with Parkinson disease and is associated with the autonomic nervous
systems response.
11. A nurse plans care for a client with Parkinson disease. Which interventionshould
the nurse include in this clients plan of care?
a. Ambulate the client in the hallway twice a day.
b. Ensure a fluid intake of at least 3 liters per day.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater.ANS:
D
Elevation of the head of the bed will help prevent aspiration. The other options will not
prevent aspiration, which is the greatest respiratory complication of Parkinson disease, nor
do these interventions address any of the complicationsof Parkinson disease. Ambulation
in the hallway is usually implemented to prevent venous thrombosis. Increased fluid intake
flushes out toxins from the clients blood. Pursed-lip breathing increases exhalation of
carbon dioxide.
Know patient/family teaching for Alzheimer‟s and what the medications do
and Answers with Explanations
Know what the left temporal lobe of brain affects as far as the senses
1. 1. A nurse prepares to teach a client who has experienced damage to theleft
temporal lobe of the brain. Which action should the nurse take when providing
education about newly prescribed medications to this client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask questions.
ANS: C
The temporal lobe contains the auditory center for sound interpretation. The
clients hearing will be impaired in the left ear. The nurse should sit onthe clients
right side and speak into the right ear. The other interventions do not address the
clients left temporal lobe damage.
Know what hypoactive deep tendon reflexes affect
2. A nurse plans care for a client who has a hypoactive response to a test of deep tendon
reflexes. Which intervention should the nurse include in this clientsplan of care?
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each shift.
ANS: B
Hypoactive deep tendon reflexes and loss of vibration sense can impair balanceand
coordination, predisposing the client to falls. The nurse should plan to provide the client
with ambulation assistance to prevent injury. The other interventions do not address the
clients problem.
Know what things can interfere with MRI scans
10. A nurse obtains a focused health history for a client who is scheduled for magnetic
resonance imaging (MRI). Which condition should alert the nurse tocontact the
provider and cancel the procedure?
a. Creatine phosphokinase (CPK) of 100 IU/L
b. Atrioventricular graft
c. Blood urea nitrogen (BUN) of 50 mg/dL
d. Internal insulin pump
ANS: D
Metal devices such as internal pumps, pacemakers, and prostheses interfere with the
accuracy of the image and can become displaced by the magnetic forcegenerated by an
MRI procedure. An atrioventricular graft does not contain any metal. CPK and BUN
levels have no impact on an MRI procedure.
14. After teaching a client who is scheduled for magnetic resonance imaging (MRI),
the nurse assesses the clients understanding. Which client statement indicates a
correct understanding of the teaching?
a. I must increase my fluids because of the dye used for the MRI.
,b. My urine will be radioactive so I should not share a bathroom.
c. I can return to my usual activities immediately after the MRI.
d. My gag reflex will be tested before I can eat or drink anything.ANS: C
No postprocedure restrictions are imposed after MRI. The client can return to normal
activities after the test is complete. There are no dyes or radioactive materials used for the
MRI; therefore, increased fluids are not needed and theclients urine would not be
radioactive. The procedure does not impact the clients gag reflex.
Know what a single-photon emission computed tomography (SPECT) scan is
and if there is any care required afterwards
20. A nurse cares for a client who is recovering from a single-photon emissioncomputed
tomography (SPECT) with a radiopharmaceutical agent. Which statement should the nurse
include when discussing the plan of care with thisclient?
a. You may return to your previous activity level immediately.
b. You are radioactive and must use a private bathroom.
c. Frequent assessments of the injection site will be completed.
d. We will be monitoring your renal functions closely.
ANS: A
The client may return to his or her previous activity level immediately. Radioisotopes
will be eliminated in the urine after SPECT, but no monitoring or special precautions are
required. The injection site will not need to be assessedafter the procedure is complete.
Know what imitrex is and any side effects associated with it
3. A nurse obtains a health history on a client prior to administering prescribed
sumatriptan succinate (Imitrex) for migraine headaches. Which condition shouldalert the
nurse to hold the medication and contact the health care provider?
a. Bronchial asthma
b. Prinzmetals angina
c. Diabetes mellitus
d. Chronic kidney disease
ANS: B
Sumatriptan succinate effectively reduces pain and other associated symptomsof migraine
headache by binding to serotonin receptors and triggering cranial vasoconstriction.
Vasoconstrictive effects are not confined to the cranium and can cause coronary
vasospasm in clients with Prinzmetals angina. The other conditions would not affect the
clients treatment.
What is bacterial meningitis and how is it contracted?
9. A nurse obtains a focused health history for a client who is suspected ofhaving
bacterial meningitis. Which question should the nurse ask?
a. Do you live in a crowded residence?
b. When was your last tetanus vaccination?
, c. Have you had any viral infections recently?
d. Have you traveled out of the country in the last month?ANS:
A
Meningococcal meningitis tends to occur in multiple outbreaks. It is most likelyto occur
in areas of high-density population, such as college dormitories, prisons, and military
barracks. A tetanus vaccination would not place the clientat increased risk for meningitis
or protect the client from meningitis. A viral infection would not lead to bacterial
meningitis but could lead to viral meningitis. Simply knowing if the client traveled out of
the country does not provide enough information. The nurse should ask about travel to
specific countries in which the disease is common, for example, sub-Saharan Africa.
What are clinical manifestations of Parkinson‟s?
10. After teaching the wife of a client who has Parkinson disease, the nurse assesses the
wifes understanding. Which statement by the clients wife indicatesshe correctly
understands changes associated with this disease?
a. His masklike face makes it difficult to communicate, so I will use a white board.
b. He should not socialize outside of the house due to uncontrollable drooling.
c. This disease is associated with anxiety causing increased perspiration.
d. He may have trouble chewing, so I will offer bite-sized portions.ANS:
D
Because chewing and swallowing can be problematic, small frequent meals anda
supplement are better for meeting the clients nutritional needs. A masklike face and
drooling are common in clients with Parkinson disease. The client should be encouraged
to continue to socialize and communicate as normally aspossible. The wife should
understand that the clients masklike face can be misinterpreted and additional time may be
needed for the client to communicate with her or others. Excessive perspiration is also
common in clients with Parkinson disease and is associated with the autonomic nervous
systems response.
11. A nurse plans care for a client with Parkinson disease. Which interventionshould
the nurse include in this clients plan of care?
a. Ambulate the client in the hallway twice a day.
b. Ensure a fluid intake of at least 3 liters per day.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater.ANS:
D
Elevation of the head of the bed will help prevent aspiration. The other options will not
prevent aspiration, which is the greatest respiratory complication of Parkinson disease, nor
do these interventions address any of the complicationsof Parkinson disease. Ambulation
in the hallway is usually implemented to prevent venous thrombosis. Increased fluid intake
flushes out toxins from the clients blood. Pursed-lip breathing increases exhalation of
carbon dioxide.
Know patient/family teaching for Alzheimer‟s and what the medications do
