Questions and Detailed Answers | Get it
100% Correct Answers
A client is hospitalized in ICU after a drug overdose. Which statement
would the nurse interpret as indicating the client has normal mentation?
(Select all that apply.)
1. "Which part of the hospital am I in?"
2. "I just want to die."
3. "I should have swallowed the pills with bourbon."
4. "Get that cat out of here."
5. "My feet are cold." - 🧠ANSWER ✔✔Answer: 1, 2, 3, 5
,A client reports feeling very anxious and not being able to sleep. The nurse
anticipates initially administering a drug from which class to treat these
disorders?
1. Opiate narcotics
2. Benzodiazepines
3. Antidepressants
4. Neuromuscular blockers - 🧠ANSWER ✔✔Answer: 2
Which characteristics would the nurse attribute to delirium rather than
dementia? (Select all that apply.)
1. The client's mentation was clear until he was hospitalized last week.
2. The client does not recognize his children.
3. The client has periods of clarity that alternate with confusion.
4. The client's family reports his confusion has become steadily more
pronounced over the last year
5. The client continually tries to get out of bed stating, "I've got to get off
this - 🧠ANSWER ✔✔Answer: 1, 3
,A nurse is concerned that a hospitalized client may be developing delirium.
Which interventions are indicated? (Select all that apply.)
1. Ask the family to bring the client's eyeglasses from home.
2. Turn room lights down at night to encourage sleep.
3. Maintain bed rest until mentation improves.
4. Remove the television from the room.
5. Review the client's medication list. - 🧠ANSWER ✔✔Answer: 1, 2, 5
The nurse discovers a client having a seizure. What should be the nurse's
initial action?
1. Roll the client onto his or her side.
2. Intubate the client immediately.
3. Administer pentobarbital.
4. Establish an IV line. - 🧠ANSWER ✔✔Answer: 1
A client experiencing continued seizure activity is to be given propofol. The
nurse should prepare for which other intervention?
1. Administration of insulin
2. Mechanical ventilation
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, 3. Placement of an oral airway
4. Administration of a neuromuscular blocking agent - 🧠ANSWER
✔✔Answer: 2
A client experienced an episode of vision loss and right-side weakness that
lasted 4 hours before totally resolving. What information should the nurse
provide to this client?
1. "Your symptoms indicate that you have had a subarachnoid
hemorrhage."
2. "While these symptoms have resolved, your risk for a stroke is higher."
3. "These symptoms often occur in older clients and are nothing to worry
about."
4. "Your stroke involved the occipital lobe and your vision will dim over the
next few weeks." - 🧠ANSWER ✔✔Answer: 2
A client suffered a stroke yesterday and has recovered partial function. The
client's spouse says, "I don't understand what is happening. When my
mother had a stroke, she was left in a coma for years before she died."
What is the nurse's best response?
1. "All strokes are different."