NUR 130 CORRECT EXAMS QUESTIONS AND
ANSWERS SET A+
✔✔A clients mean arterial pressure is 60 mm Hg and intracranial pressure is 20 mm
Hg. Based on the clients cerebral perfusion pressure, what should the nurse anticipate
for this client? - ✔✔Poor prognosis and cognitive function
✔✔A client with a stroke has damage to Brocas area. What intervention to promote
communication is best for this client? - ✔✔Assess if the patient is able to write
✔✔A client experiences impaired swallowing after a stroke and has worked with
speech-language pathology on eating. What nursing assessment best indicates that a
priority goal for this problem has been met? - ✔✔Has clear lung sounds on auscultation
✔✔A client had an embolectomy for an arteriovenous malformation (AVM). The client is
now reporting a severe headache and has vomited. What action by the nurse takes
priority? - ✔✔Notify the Rapid Response Team
✔✔A client with a stroke is being evaluated for fibrinolytic therapy. What information
from the client or family is most important for the nurse to obtain? - ✔✔Time of symptom
onset
✔✔A nurse receives a report on a client who had a left-sided stroke and has
homonymous hemianopsia. What action by the nurse is most appropriate for this client?
- ✔✔Rotate the clients meal tray when the client stops eating.
✔✔A client had an embolic stroke and is having an echocardiogram. When the client
asks why the provider ordered a test on my heart, how should the nurse respond? -
✔✔Most of these type of blood clots come from the heart
, ✔✔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.) - ✔✔Dilated pupils, Widened pulse pressure,
Bradycardia
✔✔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.) -
✔✔surgical mask, gloves
✔✔A nurse plans care for a client with epilepsy who is admitted to the hospital. Which
interventions should the nurse include in this clients plan of care? (Select all that apply.)
- ✔✔have suction at the bedside, keep bedrails up at all times, ensure the client has IV
access
✔✔A nurse delegates care for a client with early-stage Alzheimers disease to an
unlicensed assistive personnel (UAP). Which statement should the nurse include when
delegating this clients care? - ✔✔Reorient the client to the day, time and environment
each time
✔✔A nurse delegates care for a client with Parkinson disease to an unlicensed assistive
personnel (UAP). What statement should the nurse include while delegating this care? -
✔✔Allow the client to be as independent as possible with activities
✔✔A nurse prepares to discharge a client with Alzheimers disease. Which statement
should the nurse include in the discharge teaching for this clients caregiver? - ✔✔Install
deadbolt locks on all outside doors
✔✔A nurse cares for a client with advanced Alzheimers disease. The clients caregiver
states, She is always wandering off. What can I do to manage this restless behavior?
How should the nurse respond? - ✔✔Engage the client in scheduled activities
✔✔A nurse assesses a client with Alzheimers disease who is recently admitted to the
hospital. Which psychosocial assessment should the nurse complete? - ✔✔Evaluate
the client's reaction to the change of the environment
✔✔A nurse is teaching the daughter of a client who has Alzheimers disease. The
daughter asks, Will the medication my mother is taking improve her dementia? How
should the nurse respond? - ✔✔It will not improve dementia but it will help with the
emotional response
✔✔A nurse plans care for a client with Parkinson's disease. Which intervention should
the nurse include in this client's plan of care? - ✔✔Keep the HOB 30 or greater
ANSWERS SET A+
✔✔A clients mean arterial pressure is 60 mm Hg and intracranial pressure is 20 mm
Hg. Based on the clients cerebral perfusion pressure, what should the nurse anticipate
for this client? - ✔✔Poor prognosis and cognitive function
✔✔A client with a stroke has damage to Brocas area. What intervention to promote
communication is best for this client? - ✔✔Assess if the patient is able to write
✔✔A client experiences impaired swallowing after a stroke and has worked with
speech-language pathology on eating. What nursing assessment best indicates that a
priority goal for this problem has been met? - ✔✔Has clear lung sounds on auscultation
✔✔A client had an embolectomy for an arteriovenous malformation (AVM). The client is
now reporting a severe headache and has vomited. What action by the nurse takes
priority? - ✔✔Notify the Rapid Response Team
✔✔A client with a stroke is being evaluated for fibrinolytic therapy. What information
from the client or family is most important for the nurse to obtain? - ✔✔Time of symptom
onset
✔✔A nurse receives a report on a client who had a left-sided stroke and has
homonymous hemianopsia. What action by the nurse is most appropriate for this client?
- ✔✔Rotate the clients meal tray when the client stops eating.
✔✔A client had an embolic stroke and is having an echocardiogram. When the client
asks why the provider ordered a test on my heart, how should the nurse respond? -
✔✔Most of these type of blood clots come from the heart
, ✔✔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.) - ✔✔Dilated pupils, Widened pulse pressure,
Bradycardia
✔✔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.) -
✔✔surgical mask, gloves
✔✔A nurse plans care for a client with epilepsy who is admitted to the hospital. Which
interventions should the nurse include in this clients plan of care? (Select all that apply.)
- ✔✔have suction at the bedside, keep bedrails up at all times, ensure the client has IV
access
✔✔A nurse delegates care for a client with early-stage Alzheimers disease to an
unlicensed assistive personnel (UAP). Which statement should the nurse include when
delegating this clients care? - ✔✔Reorient the client to the day, time and environment
each time
✔✔A nurse delegates care for a client with Parkinson disease to an unlicensed assistive
personnel (UAP). What statement should the nurse include while delegating this care? -
✔✔Allow the client to be as independent as possible with activities
✔✔A nurse prepares to discharge a client with Alzheimers disease. Which statement
should the nurse include in the discharge teaching for this clients caregiver? - ✔✔Install
deadbolt locks on all outside doors
✔✔A nurse cares for a client with advanced Alzheimers disease. The clients caregiver
states, She is always wandering off. What can I do to manage this restless behavior?
How should the nurse respond? - ✔✔Engage the client in scheduled activities
✔✔A nurse assesses a client with Alzheimers disease who is recently admitted to the
hospital. Which psychosocial assessment should the nurse complete? - ✔✔Evaluate
the client's reaction to the change of the environment
✔✔A nurse is teaching the daughter of a client who has Alzheimers disease. The
daughter asks, Will the medication my mother is taking improve her dementia? How
should the nurse respond? - ✔✔It will not improve dementia but it will help with the
emotional response
✔✔A nurse plans care for a client with Parkinson's disease. Which intervention should
the nurse include in this client's plan of care? - ✔✔Keep the HOB 30 or greater
