NSG 4100 EXAM 4 AHIL
ADULT HEALTH 3 EXAM
LATEST WITH VERIFIED QUESTIONS
AND ANSWERS
,The pt w fibromyalgia is suffering from pain at 12 of the 18 identification sites,
including the neck & upper back & knees. The pt also reports non-refreshing
sleep, depression, & being anxious when dealing w multiple tasks. The nurse
should teach this pt about what treatments? Select all that apply:
a. Minimal aerobic exercise
b. Relaxation strategy (biofeedback)
c. Anti-seizure during phenytoin
d. Serotonin reuptake inhibitor (e.g. sertraline)
e. Establish a regular sleep pattern - CORRECT ANSWER - B, D, E
The nurse caring for a client w a head injury would recognize which assessment
finding as early signs of increased ICP? Select all that apply:
a. Kussmaul breathing
b. Projectile vomiting
c. Weakness in one extremity
d. Headache not aggravated by movement of straining
e. Decreased urine output
f. Papilledema - CORRECT ANSWER - A, C, D
,A nurse caring for a client diagnosed to have head injury. Which of the following
situations needs intervention by the nurse?
a. The padded side rails up
b. The bed is adjusted to low level
c. The client's spouse turns on the TV one hour in the afternoon and 3 hours in the
evening
d. The head of bed is elevated at 30 degree angle - CORRECT ANSWER - C
The critical care nurse is caring for a client w a head injury secondary to a
motorcycle accident who, on morning rounds, is responsive to painful stimulus
and assumes decorticate posturing. Two hours later, which data would warrant
immediate intervention by the nurse?
a. The client has purposeful movement when the nurse rubs the sternum
b. The client extends the upper and lower extremities in response to painful
stimuli
c. The client is aimlessly thrashing in the bed when a noxious stimuli is applied -
CORRECT ANSWER - B
The nurse is caring for clients in the ED. Which client should the nurse assess first?
a. The client w an epidural hematoma
, b. The client who had a seizure who is in the postictal state
c. The client diagnosed w R/O encephalitis who has a headache
d. The client w multiple sclerosis who has scanning speech - CORRECT ANSWER -
A
A female pt has experienced an episode of myasthenic crisis. The nurse would
assess whether the pt has precipitating factors such as:
a. Getting too little exercise
b. Taking excess medication
c. Omitting doses of medication
d. Intake of fatty foods - CORRECT ANSWER - C
A pt is being admitted to the neurologic ICU following an acute head injury that
has resulted in cerebral edema. When planning this pt's care, the nurse would
expect to administer what priority medication?
a. Hydrochlorothiazide (HydroDIURIL)
b. Furosemide (Lasix)
c. Mannitol (Osmitrol)
d. Spriolactone (Aldactone) - CORRECT ANSWER - C
ADULT HEALTH 3 EXAM
LATEST WITH VERIFIED QUESTIONS
AND ANSWERS
,The pt w fibromyalgia is suffering from pain at 12 of the 18 identification sites,
including the neck & upper back & knees. The pt also reports non-refreshing
sleep, depression, & being anxious when dealing w multiple tasks. The nurse
should teach this pt about what treatments? Select all that apply:
a. Minimal aerobic exercise
b. Relaxation strategy (biofeedback)
c. Anti-seizure during phenytoin
d. Serotonin reuptake inhibitor (e.g. sertraline)
e. Establish a regular sleep pattern - CORRECT ANSWER - B, D, E
The nurse caring for a client w a head injury would recognize which assessment
finding as early signs of increased ICP? Select all that apply:
a. Kussmaul breathing
b. Projectile vomiting
c. Weakness in one extremity
d. Headache not aggravated by movement of straining
e. Decreased urine output
f. Papilledema - CORRECT ANSWER - A, C, D
,A nurse caring for a client diagnosed to have head injury. Which of the following
situations needs intervention by the nurse?
a. The padded side rails up
b. The bed is adjusted to low level
c. The client's spouse turns on the TV one hour in the afternoon and 3 hours in the
evening
d. The head of bed is elevated at 30 degree angle - CORRECT ANSWER - C
The critical care nurse is caring for a client w a head injury secondary to a
motorcycle accident who, on morning rounds, is responsive to painful stimulus
and assumes decorticate posturing. Two hours later, which data would warrant
immediate intervention by the nurse?
a. The client has purposeful movement when the nurse rubs the sternum
b. The client extends the upper and lower extremities in response to painful
stimuli
c. The client is aimlessly thrashing in the bed when a noxious stimuli is applied -
CORRECT ANSWER - B
The nurse is caring for clients in the ED. Which client should the nurse assess first?
a. The client w an epidural hematoma
, b. The client who had a seizure who is in the postictal state
c. The client diagnosed w R/O encephalitis who has a headache
d. The client w multiple sclerosis who has scanning speech - CORRECT ANSWER -
A
A female pt has experienced an episode of myasthenic crisis. The nurse would
assess whether the pt has precipitating factors such as:
a. Getting too little exercise
b. Taking excess medication
c. Omitting doses of medication
d. Intake of fatty foods - CORRECT ANSWER - C
A pt is being admitted to the neurologic ICU following an acute head injury that
has resulted in cerebral edema. When planning this pt's care, the nurse would
expect to administer what priority medication?
a. Hydrochlorothiazide (HydroDIURIL)
b. Furosemide (Lasix)
c. Mannitol (Osmitrol)
d. Spriolactone (Aldactone) - CORRECT ANSWER - C
