Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a client with suspected increased intracranial pressure. Which finding should
be reported immediately?
A. Headache rated 3 out of 10
✔✔ B. Unequal pupil size
C. Slight drowsiness after lunch
D. Temperature of 37.4°C (99.3°F)
A client who has had a stroke is drooling and coughing during meals. What is the priority nursing
action?
A. Provide thickened liquids
✔✔ B. Hold oral intake and notify the provider
C. Encourage fluid intake
D. Instruct the client to eat quickly
Which action should a nurse take first when a client begins having a tonic-clonic seizure?
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,A. Place a tongue blade in the mouth
✔✔ B. Turn the client to the side
C. Administer lorazepam
D. Record the duration of the seizure
A client is receiving phenytoin for seizure prevention. Which statement by the client requires
further teaching?
A. “I will avoid alcohol while taking this medication.”
✔✔ B. “I can stop the medication when I feel better.”
C. “I will brush and floss my teeth regularly.”
D. “I will take my medication at the same time each day.”
Which finding should the nurse expect in a client with left-sided stroke?
✔✔ A. Difficulty with speech
B. Impulsive behavior
C. Neglect of the left side
D. Visual changes on the left
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, A nurse is providing discharge teaching to a client with multiple sclerosis. Which statement
indicates understanding?
A. “I will exercise until I’m fatigued.”
✔✔ B. “I will take frequent rest periods throughout the day.”
C. “I will take hot showers to relax my muscles.”
D. “I can stop my medications when symptoms improve.”
A nurse is caring for a client receiving levetiracetam for seizures. Which instruction should the
nurse give?
✔✔ A. “Avoid driving until you know how this medication affects you.”
B. “Take this medication with grapefruit juice.”
C. “You may stop this medication if no seizures occur for one week.”
D. “Double the dose if you miss a pill.”
A nurse is performing a neurological assessment. Which finding is consistent with damage to
cranial nerve VII?
A. Loss of gag reflex
B. Inability to smell
✔✔ C. Facial droop
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