Unit 8
1. The nurse is caring for a client whose spinal cord injury has caused recent muscle spasticity.
What medication should the nurse expect to be prescribed to control this?
Baclofen
2. A client with spinal cord injury is ready to be discharged home. A family member asks the
nurse to review potential complications one more time. What are the potential complications
that should be monitored for in this client? Select all that apply.
Orthostatic hypotension
Autonomic dysreflexia
DVT
3. A client diagnosed with MS has been admitted to the medical unit for treatment of an MS
exacerbation. Included in the admission orders is baclofen. What should the nurse identify as an
expected outcome of this treatment?
Decreased muscle spasms in the lower extremities
4. A medical nurse is providing palliative care to a client with a diagnosis of end-stage chronic
obstructive pulmonary disease (COPD). What is the primary goal of this nurse's care?
To improve the client's and family's quality of life
5. A client with herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What
medication would the nurse expect the health care provider to order for the treatment of this
disease process?
Acyclovir
6. The nurse knows that Benzodiazepines slow down the CNS. What side effects would the
nurse expect to see? (Select all that apply.)
Drowsiness
Lethargy
Hypotension
7. A 21-year-old patient has a head injury resulting from trauma and is unconscious. There are
no other injuries. During the assessment what would the nurse expect to find when testing the
patient’s deep tendon reflexes?
, Reflexes will be normal
8. A client with a cerebral aneurysm exhibits signs and symptoms of an increase in intracranial
pressure (ICP). What nursing intervention would be most appropriate for this client?
Absolute bed rest in a quiet, nonstimulating environment
9. The staff educator is precepting a nurse new to the critical care unit when a client with a T2
spinal cord injury is admitted. The client is soon exhibiting manifestations of neurogenic shock.
In addition to monitoring the client closely, what would be the nurse's most appropriate action?
Prepare for interventions to increase the client's BP
10. A client who is in shock is receiving dopamine in addition to IV fluids. What principle should
inform the nurse's care planning during the administration of a vasoactive drug?
The drug dose should be tapered down once vital signs improve
11. The critical care nurse is admitting a client in myasthenic crisis to the ICU. The nurse should
prioritize what nursing action in the immediate care of this client?
Providing ventilatory assistance
12. The nurse is caring for a client whose spinal cord injury has caused recent muscle spasticity.
What medication should the nurse expect to be prescribed to control this?
Baclofen
13. A client with a C5 spinal cord injury has tetraplegia. After being moved out of the ICU, the
client reports a severe throbbing headache. What should the nurse do first?
Check the client's indwelling urinary catheter for kinks to ensure patency
14. A client has developed diabetes insipidus after having increased ICP following head trauma.
What nursing assessment best addresses this complication?
Vigilant monitoring of fluid balance
15. A client, brought to the clinic by his wife and son, is diagnosed with Huntington disease.
When providing anticipatory guidance, the nurse should address the future possibility of what
effect of Huntington disease?
Emotional and personality changes
16. The nurse is caring for a patient who has just had neurosurgery. To assess for increased
intracranial pressure, what would the nurse include in the assessment?
Level of consciousness, motor function, pupillary response, and vital signs
1. The nurse is caring for a client whose spinal cord injury has caused recent muscle spasticity.
What medication should the nurse expect to be prescribed to control this?
Baclofen
2. A client with spinal cord injury is ready to be discharged home. A family member asks the
nurse to review potential complications one more time. What are the potential complications
that should be monitored for in this client? Select all that apply.
Orthostatic hypotension
Autonomic dysreflexia
DVT
3. A client diagnosed with MS has been admitted to the medical unit for treatment of an MS
exacerbation. Included in the admission orders is baclofen. What should the nurse identify as an
expected outcome of this treatment?
Decreased muscle spasms in the lower extremities
4. A medical nurse is providing palliative care to a client with a diagnosis of end-stage chronic
obstructive pulmonary disease (COPD). What is the primary goal of this nurse's care?
To improve the client's and family's quality of life
5. A client with herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What
medication would the nurse expect the health care provider to order for the treatment of this
disease process?
Acyclovir
6. The nurse knows that Benzodiazepines slow down the CNS. What side effects would the
nurse expect to see? (Select all that apply.)
Drowsiness
Lethargy
Hypotension
7. A 21-year-old patient has a head injury resulting from trauma and is unconscious. There are
no other injuries. During the assessment what would the nurse expect to find when testing the
patient’s deep tendon reflexes?
, Reflexes will be normal
8. A client with a cerebral aneurysm exhibits signs and symptoms of an increase in intracranial
pressure (ICP). What nursing intervention would be most appropriate for this client?
Absolute bed rest in a quiet, nonstimulating environment
9. The staff educator is precepting a nurse new to the critical care unit when a client with a T2
spinal cord injury is admitted. The client is soon exhibiting manifestations of neurogenic shock.
In addition to monitoring the client closely, what would be the nurse's most appropriate action?
Prepare for interventions to increase the client's BP
10. A client who is in shock is receiving dopamine in addition to IV fluids. What principle should
inform the nurse's care planning during the administration of a vasoactive drug?
The drug dose should be tapered down once vital signs improve
11. The critical care nurse is admitting a client in myasthenic crisis to the ICU. The nurse should
prioritize what nursing action in the immediate care of this client?
Providing ventilatory assistance
12. The nurse is caring for a client whose spinal cord injury has caused recent muscle spasticity.
What medication should the nurse expect to be prescribed to control this?
Baclofen
13. A client with a C5 spinal cord injury has tetraplegia. After being moved out of the ICU, the
client reports a severe throbbing headache. What should the nurse do first?
Check the client's indwelling urinary catheter for kinks to ensure patency
14. A client has developed diabetes insipidus after having increased ICP following head trauma.
What nursing assessment best addresses this complication?
Vigilant monitoring of fluid balance
15. A client, brought to the clinic by his wife and son, is diagnosed with Huntington disease.
When providing anticipatory guidance, the nurse should address the future possibility of what
effect of Huntington disease?
Emotional and personality changes
16. The nurse is caring for a patient who has just had neurosurgery. To assess for increased
intracranial pressure, what would the nurse include in the assessment?
Level of consciousness, motor function, pupillary response, and vital signs
