NUR 445-Exam 3 Questions with Detailed
Verified 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." Ans: 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 Ans: 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 Ans:
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. Ans: 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. Ans: 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
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, 3. Placement of an oral airway
4. Administration of a neuromuscular blocking agent Ans: 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." Ans: 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."
2. "Each client responds differently."
3. "There are different levels of damage done by strokes."
4. "Your mother must have had some additional medical problems." Ans: Answer: 3
An 82-year-old African American man has a history of hypertension, type 1 diabetes,
and had a stroke two years ago. He is a smoker and admits to leading a sedentary life
style. The nurse analyzes this information to determine that the client has ________
non-modifiable risk factors for stroke. Ans: 4: age, gender, ethnicity, and history of
previous stroke.
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Verified 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." Ans: 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 Ans: 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 Ans:
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. Ans: 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. Ans: 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
© Get it right 2025 Getaway - Stuvia US All rights reserved
, 3. Placement of an oral airway
4. Administration of a neuromuscular blocking agent Ans: 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." Ans: 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."
2. "Each client responds differently."
3. "There are different levels of damage done by strokes."
4. "Your mother must have had some additional medical problems." Ans: Answer: 3
An 82-year-old African American man has a history of hypertension, type 1 diabetes,
and had a stroke two years ago. He is a smoker and admits to leading a sedentary life
style. The nurse analyzes this information to determine that the client has ________
non-modifiable risk factors for stroke. Ans: 4: age, gender, ethnicity, and history of
previous stroke.
© Get it right 2025 Getaway - Stuvia US All rights reserved
