AH2 Next-Gen Exam 1 Questions and
Correct Answers
Question 1
Which action would the nurse take to prevent the aspiration of food in a client with
myasthenia gravis who has increased difficulty swallowing?
a. Offer three large meals a day and snacks in between
b. Assess the client's respiratory status before and after meals
c. Seek a change in the diet prescription from soft foods to clear liquids
d. Schedule meals with the peak effect of. ananticholinesterase muscle stimulant
Correct Answer
D
Question 2
Which type of nerve helps the client's pupil constrict?
a. Motor
b. Sensory
c. Sympathetic
d. Parasympathetic-motor
Correct Answer
D
Question 3
Which nursing intervention would the nurse implement for a client newly diagnosed
with myasthenia gravis who voiced concerns about fluctuations in physical condition
and generalized weakness?
a. Preplan the spacing of activities throughout the day
b. Restrict activities and encourage bed rest
c. Teach the client about limitations imposed by the disorder
d. Have a family member stay at the bedside to give the client support
Correct Answer
A
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,Question 4
Which assessment finding reflects increased intracranial pressure (ICP)?
a. Tachycardia
b. Unequal pupil size
c. Decreasing body temperature
d. Decreasing systolic blood pressure
Correct Answer
B
Question 5
Which condition would the nurse suspect in a client reporting intolerance to music
played at sound levels that do not bother other people?
a. Vertigo
b. Tinnitus
c. Hyperopia
d. Hyperacusis
Correct Answer
D
Question 6
Which action would the nurse include in the preoperative plan of care for a client
admitted to the hospital for cranial surgery?
a. Helping the client put on a wig before the client's visitors arrive
b. Obtaining the client's consent for shaving the client's head
c. Braiding the client's hair to keep it restrained during surgery
d. Telling the client that the head is shaved after anesthesia begins
Correct Answer
B
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,Question 7
Which intervention is useful in promoting comfort for the client experiencing a
headache?
a. Massage
b. Heat therapy
c. Cold therapy
d. Relaxation strategies
Correct Answer
C
Question 8
Which action would the nurse include in the long-term plan of care for a client with
expressive aphasia?
a. Begin helping the client write
b. Encourage the client to acknowledge that this disability is permanent
c. Wait for communication to be initiated by the client even if it takes a long time
d. Assist family members to accept the fact that they cannot communicate verbally
with the client
Correct Answer
A
Question 9
Which is the priority risk associated with dysphagia for a client who has myasthenia
gravis?
a. Aspiration
b. Dehydration
c. Nutritional imbalance
d. Weight loss
Correct Answer
A
Page 3 of 46
, Question 10
Which information would the nurse include in the teaching plan when a back brace is
prescribed for a client who had a laminectomy?
a. Use the brace when your back feels tired
b. Apply the brace before getting out of bed
c. Obtain a soft mattress for resting when the brace is off
d. Wear the brace when performing twisting exercises
Correct Answer
B
Question 11
Which explanation would the nurse provide about the client's behavior when family
members of a client who had a cerebrovascular accident (CVA) ask why the client cries
easily and without provocation?
a. Has little control over this behavior
b. Is making an attempt to get attneiton
c. Feels guilty about the demands being made on the family
d. Has selective memory from the past, especially the sad events
Correct Answer
A
Question 12
Which initial objective would the nurse establish with the client when a health care
provider prescribes a diagnostic workup for a client who may have myasthenia gravis?
a. "The client will adhere to the teaching plan."
b. "The client will achieve psychologic adjustment."
c. "The client will maintain present muscle strength."
d. "The client will prepare for a possible myasthenic crisis."
Correct Answer
C
Page 4 of 46
Correct Answers
Question 1
Which action would the nurse take to prevent the aspiration of food in a client with
myasthenia gravis who has increased difficulty swallowing?
a. Offer three large meals a day and snacks in between
b. Assess the client's respiratory status before and after meals
c. Seek a change in the diet prescription from soft foods to clear liquids
d. Schedule meals with the peak effect of. ananticholinesterase muscle stimulant
Correct Answer
D
Question 2
Which type of nerve helps the client's pupil constrict?
a. Motor
b. Sensory
c. Sympathetic
d. Parasympathetic-motor
Correct Answer
D
Question 3
Which nursing intervention would the nurse implement for a client newly diagnosed
with myasthenia gravis who voiced concerns about fluctuations in physical condition
and generalized weakness?
a. Preplan the spacing of activities throughout the day
b. Restrict activities and encourage bed rest
c. Teach the client about limitations imposed by the disorder
d. Have a family member stay at the bedside to give the client support
Correct Answer
A
Page 1 of 46
,Question 4
Which assessment finding reflects increased intracranial pressure (ICP)?
a. Tachycardia
b. Unequal pupil size
c. Decreasing body temperature
d. Decreasing systolic blood pressure
Correct Answer
B
Question 5
Which condition would the nurse suspect in a client reporting intolerance to music
played at sound levels that do not bother other people?
a. Vertigo
b. Tinnitus
c. Hyperopia
d. Hyperacusis
Correct Answer
D
Question 6
Which action would the nurse include in the preoperative plan of care for a client
admitted to the hospital for cranial surgery?
a. Helping the client put on a wig before the client's visitors arrive
b. Obtaining the client's consent for shaving the client's head
c. Braiding the client's hair to keep it restrained during surgery
d. Telling the client that the head is shaved after anesthesia begins
Correct Answer
B
Page 2 of 46
,Question 7
Which intervention is useful in promoting comfort for the client experiencing a
headache?
a. Massage
b. Heat therapy
c. Cold therapy
d. Relaxation strategies
Correct Answer
C
Question 8
Which action would the nurse include in the long-term plan of care for a client with
expressive aphasia?
a. Begin helping the client write
b. Encourage the client to acknowledge that this disability is permanent
c. Wait for communication to be initiated by the client even if it takes a long time
d. Assist family members to accept the fact that they cannot communicate verbally
with the client
Correct Answer
A
Question 9
Which is the priority risk associated with dysphagia for a client who has myasthenia
gravis?
a. Aspiration
b. Dehydration
c. Nutritional imbalance
d. Weight loss
Correct Answer
A
Page 3 of 46
, Question 10
Which information would the nurse include in the teaching plan when a back brace is
prescribed for a client who had a laminectomy?
a. Use the brace when your back feels tired
b. Apply the brace before getting out of bed
c. Obtain a soft mattress for resting when the brace is off
d. Wear the brace when performing twisting exercises
Correct Answer
B
Question 11
Which explanation would the nurse provide about the client's behavior when family
members of a client who had a cerebrovascular accident (CVA) ask why the client cries
easily and without provocation?
a. Has little control over this behavior
b. Is making an attempt to get attneiton
c. Feels guilty about the demands being made on the family
d. Has selective memory from the past, especially the sad events
Correct Answer
A
Question 12
Which initial objective would the nurse establish with the client when a health care
provider prescribes a diagnostic workup for a client who may have myasthenia gravis?
a. "The client will adhere to the teaching plan."
b. "The client will achieve psychologic adjustment."
c. "The client will maintain present muscle strength."
d. "The client will prepare for a possible myasthenic crisis."
Correct Answer
C
Page 4 of 46
