MS 2 Final Exam Review Questions
With Verified Answers
The nurse identifies the nursing diagnosis of decreased cardiac output related
to valvular insufficiency for the patient with infective endocarditis (IE) based on
the assessment finding of...
Select one:
a. fever ,chill and diaphoresis
b. urine output less than 30 ml
c. increase pulse rate with activity
d. petechiae of the bucchal muscosa - ANSWER A
A client complains of pain in his right lower extremity. The physician orders
codeine 60mg and aspirin grains XPO every four hours, as needed for pain. Each
codeine tablet contains 15mg of codeine. Each aspirin tablet contains 325mg of
aspirin. Which of the following should the nurse administer?
Select one:
a. 2 codeine tablets and 4 aspirin tablets
b. 4 codeine tablets and 2 aspirin tablets
c. 4 codeine tablets and 3 aspirin tablets
d. 3 codeine tablets and 3 aspirin tablets - ANSWER C
A client is to receive 1,000ml if 5% dextrose in 0.45 NA///cl intravenous solution
in an 8-hour period. The intravenous set delivers 15 drops per milliliter. The
nurse should regulate the flow rate so it delivers how many drops of fluid per
minute?
Select one:
a. 45
b. 60
c. 31
d. 15 - ANSWER C
During the acute phase of a cerebrovascular accident(CVA) , the nurse should
maintain the client in which of the following positions?
Select one:
a. Semi prone with the head of the bed elevated 60-90 degrees
b. Prone , with the head of the bed flat.
c. Lateral, with the head of the bed flat
d. Supine, with the head of the bed elevated 30-45 degrees. - ANSWER D
,The nurse knows that it is Most important for which of the following clients to
receive their scheduled medication on time?
Select one:
a. A client diagnosed with bipolar disordeer receiving Lithium
b. a client diagnosed with myasthenia gravis receiving pyridostignine bromide
(Mestinon)
c. A client diagnosed with Parkinson's receiving levodopa (L-Dopa)
d. A client diagnosed with tuberculosis receiving INH - ANSWER B
A client is transferred to an nursing home following a CVA. The client has right
sided paralysis and has been experiencing dysphagia. The nurse observes an
aide prepare the client to eat lunch. which of the following situations would
require and intervention by the nurse?
Select one:
a. The aide puts the food in the back of his mout on the unaffected side
b. The client is in bed in high -Fowlers position
c. The client's head and neck are positioned slightly forward
d. The aide liquifies the pudding to help the client swallow.
Feedback - ANSWER D
A client is newly diagnosed with relapsing-remitting multiple sclerosis (RRMS).
Which instruction should the nurse provide?
Select one:
a. "Your type of MS is the least common, making it difficult to manage."
b. "You must avoid stress and extreme fatigue, because these can trigger a
relapse."
c. "You will have a steady and gradual decline in function.""You will have a
steady and gradual decline in function."
d. "You should take your medications only during times of relapse." - ANSWER B
A client with a tentative diagnosis of myasthenia gravis is admitted for a
diagnostic workup. Myasthenia gravis is confirmed by:
Select one:
a. Brudzinski's sign.
b. Kernig's sign.
c. a positive edrophonium (Tensilon) test.
d. positive sweat chloride test. - ANSWER C
Which clinical manifestation would be exhibited by a client following a
hemorrhagic stroke of the right hemisphere?
Select one:
a. Neglect on the right side
b. Neglict on the left side
c. Inability to move right arm
d. Expressive aphasia - ANSWER B
, Thrombolytic therapy should be initiated within what time frame of an ischemic
stroke to achieve the best functional outcome?
Select one:
a. 24 hours
b. 3 hours
c. 9 hours
d. 6 hours - ANSWER B
The nurse is caring for a client with Guillain-Barré syndrome (GBS). The client
also has an ascending paralysis. Knowing the potential complications of the
disorder, what should the nurse keep always ready at the bedside?
Select one:
a. Intubation tray and suction apparatus
b. Nebulizer and thermometer
c. Incentive spirometer
d. Blood pressure apparatus - ANSWER A
The nurse recognizes health promotion efforts to decrease the risk for ischemic
stroke involve encouraging a healthy lifestyle, including
Select one:
a. a low-fat, low-cholesterol diet and increased exercise.a low-fat, low-
cholesterol diet and increased exercise.a low-fat, low-cholesterol diet and
increased exercise.
b. a high-protein diet and increased weight-bearing exercise.
c. eating fish no more than once a month.
d. a low-cholesterol, low-protein diet and decreased aerobic exercise. -
ANSWER A
A client is receiving baclofen for management of symptoms associated with
multiple sclerosis. The nurse evaluates the effectiveness of this medication by
assessing which of the following?
Select one:
a. Appetite
b. Mood and affect
c. Sleep pattern
d. Muscle spasms - ANSWER D
The nurse is caring for a client with trigeminal neuralgia (tic douloureux). The
care plan for this client reflects the client's problem eating due to jaw pain. To
assist the client in meeting the adequate nutritional needs, what should the
nurse suggest?
Select one:
a. Take small meals of soft consistency
b. Include additional servings of fruits and raw vegetables
c. Include fish, liver, and chicken in diet
d. Increase the intake of calcium and proteins. - ANSWER A
With Verified Answers
The nurse identifies the nursing diagnosis of decreased cardiac output related
to valvular insufficiency for the patient with infective endocarditis (IE) based on
the assessment finding of...
Select one:
a. fever ,chill and diaphoresis
b. urine output less than 30 ml
c. increase pulse rate with activity
d. petechiae of the bucchal muscosa - ANSWER A
A client complains of pain in his right lower extremity. The physician orders
codeine 60mg and aspirin grains XPO every four hours, as needed for pain. Each
codeine tablet contains 15mg of codeine. Each aspirin tablet contains 325mg of
aspirin. Which of the following should the nurse administer?
Select one:
a. 2 codeine tablets and 4 aspirin tablets
b. 4 codeine tablets and 2 aspirin tablets
c. 4 codeine tablets and 3 aspirin tablets
d. 3 codeine tablets and 3 aspirin tablets - ANSWER C
A client is to receive 1,000ml if 5% dextrose in 0.45 NA///cl intravenous solution
in an 8-hour period. The intravenous set delivers 15 drops per milliliter. The
nurse should regulate the flow rate so it delivers how many drops of fluid per
minute?
Select one:
a. 45
b. 60
c. 31
d. 15 - ANSWER C
During the acute phase of a cerebrovascular accident(CVA) , the nurse should
maintain the client in which of the following positions?
Select one:
a. Semi prone with the head of the bed elevated 60-90 degrees
b. Prone , with the head of the bed flat.
c. Lateral, with the head of the bed flat
d. Supine, with the head of the bed elevated 30-45 degrees. - ANSWER D
,The nurse knows that it is Most important for which of the following clients to
receive their scheduled medication on time?
Select one:
a. A client diagnosed with bipolar disordeer receiving Lithium
b. a client diagnosed with myasthenia gravis receiving pyridostignine bromide
(Mestinon)
c. A client diagnosed with Parkinson's receiving levodopa (L-Dopa)
d. A client diagnosed with tuberculosis receiving INH - ANSWER B
A client is transferred to an nursing home following a CVA. The client has right
sided paralysis and has been experiencing dysphagia. The nurse observes an
aide prepare the client to eat lunch. which of the following situations would
require and intervention by the nurse?
Select one:
a. The aide puts the food in the back of his mout on the unaffected side
b. The client is in bed in high -Fowlers position
c. The client's head and neck are positioned slightly forward
d. The aide liquifies the pudding to help the client swallow.
Feedback - ANSWER D
A client is newly diagnosed with relapsing-remitting multiple sclerosis (RRMS).
Which instruction should the nurse provide?
Select one:
a. "Your type of MS is the least common, making it difficult to manage."
b. "You must avoid stress and extreme fatigue, because these can trigger a
relapse."
c. "You will have a steady and gradual decline in function.""You will have a
steady and gradual decline in function."
d. "You should take your medications only during times of relapse." - ANSWER B
A client with a tentative diagnosis of myasthenia gravis is admitted for a
diagnostic workup. Myasthenia gravis is confirmed by:
Select one:
a. Brudzinski's sign.
b. Kernig's sign.
c. a positive edrophonium (Tensilon) test.
d. positive sweat chloride test. - ANSWER C
Which clinical manifestation would be exhibited by a client following a
hemorrhagic stroke of the right hemisphere?
Select one:
a. Neglect on the right side
b. Neglict on the left side
c. Inability to move right arm
d. Expressive aphasia - ANSWER B
, Thrombolytic therapy should be initiated within what time frame of an ischemic
stroke to achieve the best functional outcome?
Select one:
a. 24 hours
b. 3 hours
c. 9 hours
d. 6 hours - ANSWER B
The nurse is caring for a client with Guillain-Barré syndrome (GBS). The client
also has an ascending paralysis. Knowing the potential complications of the
disorder, what should the nurse keep always ready at the bedside?
Select one:
a. Intubation tray and suction apparatus
b. Nebulizer and thermometer
c. Incentive spirometer
d. Blood pressure apparatus - ANSWER A
The nurse recognizes health promotion efforts to decrease the risk for ischemic
stroke involve encouraging a healthy lifestyle, including
Select one:
a. a low-fat, low-cholesterol diet and increased exercise.a low-fat, low-
cholesterol diet and increased exercise.a low-fat, low-cholesterol diet and
increased exercise.
b. a high-protein diet and increased weight-bearing exercise.
c. eating fish no more than once a month.
d. a low-cholesterol, low-protein diet and decreased aerobic exercise. -
ANSWER A
A client is receiving baclofen for management of symptoms associated with
multiple sclerosis. The nurse evaluates the effectiveness of this medication by
assessing which of the following?
Select one:
a. Appetite
b. Mood and affect
c. Sleep pattern
d. Muscle spasms - ANSWER D
The nurse is caring for a client with trigeminal neuralgia (tic douloureux). The
care plan for this client reflects the client's problem eating due to jaw pain. To
assist the client in meeting the adequate nutritional needs, what should the
nurse suggest?
Select one:
a. Take small meals of soft consistency
b. Include additional servings of fruits and raw vegetables
c. Include fish, liver, and chicken in diet
d. Increase the intake of calcium and proteins. - ANSWER A
