Ms2 NEURO Exam Questions Correctly Answered.

Ms2 NEURO Exam Questions Correctly Answered. The nurse is assessing the motor and sensory function of an unconscious client. The nurse should use which technique to test the client's peripheral response to pain? - CORRECT ANSWER Nail bed pressure The nurse is caring for the client with increased intracranial pressure. The nurse would note which trend in vital signs if the intracranial pressure is rising? - CORRECT ANSWER Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure A client recovering from a head injury is participating in care. The nurse determines that the client understands measures to prevent elevations in intracranial pressure if the nurse observes the client doing which activity? - CORRECT ANSWER Exhaling during repositioning A client has clear fluid leaking from the nose following a basilar skull fracture. Which finding would alert the nurse that cerebrospinal fluid is present? - CORRECT ANSWER Fluid separates into concentric rings and tests positive for glucose. A client with a spinal cord injury is prone to experiencing autonomic dysreflexia. The nurse should include which measures in the plan of care to minimize the risk of occurrence? Select all that apply. - CORRECT ANSWER Keeping the linens wrinkle-free under the client, Preventing unnecessary pressure on the lower limbs, Turning and repositioning the client at least every 2 hours The nurse is evaluating the neurological signs of a client in spinal shock following spinal cord injury. Which observation indicates that spinal shock persists? - CORRECT ANSWER Flaccid paralysis The nurse is caring for a client who begins to experience seizure activity while in bed. Which actions should the nurse take? Select all that apply. - CORRECT ANSWER Loosening restrictive clothing, Removing the pillow and raising padded side rails, Positioning the client to the side if possible with the head flexed forward The nurse is assigned to care for a client with complete right-sided hemiparesis from a stroke (brain attack). Which characteristics are associated with this condition? Select all that apply. - CORRECT ANSWER The client is aphasic, The client has weakness on the right side of the body, The client has weakness on the right side of the face and tongue. The nurse has instructed the family of a client with stroke (brain attack) who has homonymous hemianopsia about measures to help the client overcome the deficit. Which statement suggests that the family understands the measures to use when caring for the client? - CORRECT ANSWER "We need to remind him to turn his head to scan the lost visual field." The nurse is assessing the adaptation of a client to changes in functional status after a stroke (brain attack). Which observation indicates to the nurse that the client is adapting most successfully? - CORRECT ANSWER Consistently uses adaptive equipment in dressing self The nurse is teaching a client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. Which client activity suggests that teaching is most effective? - CORRECT ANSWER Taking medications as scheduled The nurse is instructing a client with Parkinson's disease about preventing falls. Which client statement reflects a need for further teaching? - CORRECT ANSWER "I don't need to use my walker to get to the bathroom." The nurse has given suggestions to a client with trigeminal neuralgia about strategies to minimize episodes of pain. The nurse determines that the client needs further teaching if the client makes which statement? - CORRECT ANSWER "I'll try to eat my food either very warm or very cold." The client is admitted to the hospital with a diagnosis of Guillain-Barré syndrome. Which past medical history finding makes the client most at risk for this disease? - CORRECT ANSWER Respiratory or gastrointestinal infection during the previous month A client with Guillain-Barré syndrome has ascending paralysis and is intubated and receiving mechanical ventilation. Which strategy should the nurse incorporate in the plan of care to help the client cope with this illness? - CORRECT ANSWER Providing information, giving positive feedback, and encouraging relaxation