NUR 203 MOD C NEURO QUESTIONS AND ANSWERS
A nurse assesses a client with a history of epilepsy who experiences stiffening of the
muscles of the arms and legs, followed by an immediate loss of consciousness and
jerking of all extremities. How should the nurse document this activity? - Answers -
Tonic-clonic seizure
A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of
consciousness. Which action should the nurse take? - Answers - Turn the client's head
to the side.
A nurse cares for a client who is experiencing status epilepticus. Which prescribed
medication should the nurse prepare to administer? - Answers - Lorazepam (Ativan)
After teaching a client who is diagnosed with new-onset status epilepticus and
prescribed phenytoin (Dilantin), the nurse assesses the client's understanding. Which
statement by the client indicates a correct understanding of the teaching? - Answers -
"Even when my seizures stop, I will continue to take this drug."
After teaching a client newly diagnosed with epilepsy, the nurse assesses the client's
understanding. Which statement by the client indicates a need for additional teaching? -
Answers - "If I am nauseated, I will not take my epilepsy medication."
A nurse obtains a focused health history for a client who is suspected of having
bacterial meningitis. Which question should the nurse ask? - Answers - "Do you live in a
crowded residence?"
A nurse assesses a client after administering prescribed levetiracetam (Keppra). Which
laboratory tests should the nurse monitor for potential adverse effects of this
medication? - Answers - Kidney function tests
A nurse plans care for a client with epilepsy who is admitted to the hospital. Which
interventions should the nurse include in this client's plan of care? (Select all that apply.)
- Answers - Have suction equipment at the bedside.
Keep bed rails up at all times.
Ensure that the client has IV access.
A nurse evaluates the results of diagnostic tests on a client's cerebrospinal fluid (CSF).
Which fluid results alerts the nurse to possible viral meningitis? (Select all that apply.) -
Answers - Clear
Increased protein level
Normal glucose level
, A nurse assesses a client who is experiencing an absence seizure. For which clinical
manifestations should the nurse assess? (Select all that apply.) - Answers - Lip
smacking
Picking at clothing
Patting of the hand on the leg
A nurse prepares to provide perineal care to a client with meningococcal meningitis.
Which personal protective equipment should the nurse wear? (Select all that apply.) -
Answers - Surgical mask
Gloves
A nurse assesses clients on a medical-surgical unit. Which clients should the nurse
identify as at risk for secondary seizures? (Select all that apply.) - Answers - A 26-year-
old woman with a left temporal brain tumor
A 38-year-old male client in an alcohol withdrawal program
A 42-year-old football player with a traumatic brain injury
A nurse assesses a client who is recovering from the implantation of a vagal nerve
stimulation device. For which clinical manifestations should the nurse assess as
common complications of this procedure? (Select all that apply.) - Answers -
Hoarseness
Dysphagia
A nurse is caring for a client with meningitis. Which laboratory values should the nurse
monitor to identify potential complications of this disorder? (Select all that apply.) -
Answers - Sodium level
Liver enzymes
A nurse assesses a client who has encephalitis. Which manifestations should the nurse
recognize as signs of increased intracranial pressure (ICP), a complication of
encephalitis? (Select all that apply.) - Answers - Dilated pupils
Widened pulse pressure
Bradycardia
A nurse promotes the prevention of lower back pain by teaching clients at a community
center. Which instruction should the nurse include in this education? - Answers -
"Participate in an exercise program to strengthen muscles."
A nurse plans care for a client with lower back pain from a work-related injury. Which
intervention should the nurse include in this client's plan of care? - Answers - Apply a
heating pad for 20 minutes at least four times daily.
A nurse assesses a client who is recovering from a diskectomy 6 hours ago. Which
assessment finding should the nurse address first? - Answers - Bladder palpated above
pubis
A nurse assesses a client with a history of epilepsy who experiences stiffening of the
muscles of the arms and legs, followed by an immediate loss of consciousness and
jerking of all extremities. How should the nurse document this activity? - Answers -
Tonic-clonic seizure
A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of
consciousness. Which action should the nurse take? - Answers - Turn the client's head
to the side.
A nurse cares for a client who is experiencing status epilepticus. Which prescribed
medication should the nurse prepare to administer? - Answers - Lorazepam (Ativan)
After teaching a client who is diagnosed with new-onset status epilepticus and
prescribed phenytoin (Dilantin), the nurse assesses the client's understanding. Which
statement by the client indicates a correct understanding of the teaching? - Answers -
"Even when my seizures stop, I will continue to take this drug."
After teaching a client newly diagnosed with epilepsy, the nurse assesses the client's
understanding. Which statement by the client indicates a need for additional teaching? -
Answers - "If I am nauseated, I will not take my epilepsy medication."
A nurse obtains a focused health history for a client who is suspected of having
bacterial meningitis. Which question should the nurse ask? - Answers - "Do you live in a
crowded residence?"
A nurse assesses a client after administering prescribed levetiracetam (Keppra). Which
laboratory tests should the nurse monitor for potential adverse effects of this
medication? - Answers - Kidney function tests
A nurse plans care for a client with epilepsy who is admitted to the hospital. Which
interventions should the nurse include in this client's plan of care? (Select all that apply.)
- Answers - Have suction equipment at the bedside.
Keep bed rails up at all times.
Ensure that the client has IV access.
A nurse evaluates the results of diagnostic tests on a client's cerebrospinal fluid (CSF).
Which fluid results alerts the nurse to possible viral meningitis? (Select all that apply.) -
Answers - Clear
Increased protein level
Normal glucose level
, A nurse assesses a client who is experiencing an absence seizure. For which clinical
manifestations should the nurse assess? (Select all that apply.) - Answers - Lip
smacking
Picking at clothing
Patting of the hand on the leg
A nurse prepares to provide perineal care to a client with meningococcal meningitis.
Which personal protective equipment should the nurse wear? (Select all that apply.) -
Answers - Surgical mask
Gloves
A nurse assesses clients on a medical-surgical unit. Which clients should the nurse
identify as at risk for secondary seizures? (Select all that apply.) - Answers - A 26-year-
old woman with a left temporal brain tumor
A 38-year-old male client in an alcohol withdrawal program
A 42-year-old football player with a traumatic brain injury
A nurse assesses a client who is recovering from the implantation of a vagal nerve
stimulation device. For which clinical manifestations should the nurse assess as
common complications of this procedure? (Select all that apply.) - Answers -
Hoarseness
Dysphagia
A nurse is caring for a client with meningitis. Which laboratory values should the nurse
monitor to identify potential complications of this disorder? (Select all that apply.) -
Answers - Sodium level
Liver enzymes
A nurse assesses a client who has encephalitis. Which manifestations should the nurse
recognize as signs of increased intracranial pressure (ICP), a complication of
encephalitis? (Select all that apply.) - Answers - Dilated pupils
Widened pulse pressure
Bradycardia
A nurse promotes the prevention of lower back pain by teaching clients at a community
center. Which instruction should the nurse include in this education? - Answers -
"Participate in an exercise program to strengthen muscles."
A nurse plans care for a client with lower back pain from a work-related injury. Which
intervention should the nurse include in this client's plan of care? - Answers - Apply a
heating pad for 20 minutes at least four times daily.
A nurse assesses a client who is recovering from a diskectomy 6 hours ago. Which
assessment finding should the nurse address first? - Answers - Bladder palpated above
pubis
