RN Alterations in Neurologic Function Assessment Ivy Tech Community
College APHY 201 Questions with 100% Verified Answers Latest Update
Question: Answer:
A nurse is caring for a client in the emergency department. Meningitis; CSF Culture Results
The nurse suspects that the client will be diagnosed with
_________ as evidenced by the client's _______________.
Question: Answer:
A nurse is caring for a client. The client continues to Insert endotracheal tube now. Contraindicated.
experience focal tonic seizures. For potential provider's Perform electroencephalogram. Anticipated.
prescription, click to specify if the potential prescription is Administer diazepam 5 mg IV now. Anticipated.
anticipated, nonessential, or contraindicated for the client. Schedule emergent vagal nerve stimulation insertion. Nonessential.
Administer glucose 50 mg IV now. Contraindicated.
Administer oxygen at 6 L via mask. Contraindicated.
Question: Answer:
A nurse is caring for a 25-year-old, white female client without Female
housing in the intensive care unit admitted for an aneurysm.
The client's blood pressure is 118/78 mm Hg and heart rate is
88/min. Their medical history includes Type 1 diabetes, obesity,
and arthritis. What is the client's highest risk factor for the
aneurysm to rupture?
Question: Answer:
A nurse is caring for a client who has been admitted for head Dextrose 10% in Water (D10W)
trauma relating to a fall. The client is developing cerebral
edema. Which of the following types of intravenous (IV) fluid
should the nurse expect to administer to the client?
Question: Answer:
A nurse is providing discharge teaching for a client who has Changes in weather.
been newly diagnosed with migraine headaches. Which of the Caffeine.
following topics are important to include in the teaching as Food containing nitrates or tyramine is correct.
migraine triggers? (Select all that apply). Bright lights.
, Question: Answer:
A nurse is caring for a group of clients on a medical-surgical The client with a blood pressure of 180/96 mm Hg.
unit. Which of the following clients are at risk for stroke? The client with Type II diabetes mellitus (DM).
(Select all that apply). The client with sleep apnea.
The client with mitral valve stenosis.
Question: Answer:
A nurse is admitting a client who has a peripheral neuropathy "How are you sleeping at night?"
of both feet. The client has a history of diabetes type II and
hypertension. Which of the following questions should the
nurse ask while performing the admission assessment?
Question: Answer:
A nurse is caring for a client brought into the emergency The client lost consciousness.
department (ED) by ambulance. The client's partner reports
finding the client lying on the kitchen floor with jerking
movements of the whole body and urine all over the floor.
Which of the following additional client findings should the
nurse expect the client's partner to report?
Question: Answer:
A nurse is caring for a client on the neurology unit admitted "A hemorrhagic stroke is caused by bleeding in the brain."
with a hemorrhagic stroke. The family is asking how a
hemorrhagic stroke occurs. Which of the following should the
nurse include in their response?
Question: Answer:
A nurse is planning discharge instructions for a client with "Be conscientious about staying hydrated"
chronic headaches. Which of the following topics should the "Avoid eating aged cheeses"
nurse plan to include in the teaching? (Select all that apply). "Take your triptan medication at the beginning of the headache"
"Include yoga in your exercise routine"
Question: Answer:
A nurse is caring for a 36-year-old client admitted for a Ask whether the client is currently serving in the Army.
subdural hematoma (SDH). Which of the following risk factors Ask whether the client is participating in football.
should the nurse collect additional information on? (Select all Ask about client's intake of alcohol.
that apply).
College APHY 201 Questions with 100% Verified Answers Latest Update
Question: Answer:
A nurse is caring for a client in the emergency department. Meningitis; CSF Culture Results
The nurse suspects that the client will be diagnosed with
_________ as evidenced by the client's _______________.
Question: Answer:
A nurse is caring for a client. The client continues to Insert endotracheal tube now. Contraindicated.
experience focal tonic seizures. For potential provider's Perform electroencephalogram. Anticipated.
prescription, click to specify if the potential prescription is Administer diazepam 5 mg IV now. Anticipated.
anticipated, nonessential, or contraindicated for the client. Schedule emergent vagal nerve stimulation insertion. Nonessential.
Administer glucose 50 mg IV now. Contraindicated.
Administer oxygen at 6 L via mask. Contraindicated.
Question: Answer:
A nurse is caring for a 25-year-old, white female client without Female
housing in the intensive care unit admitted for an aneurysm.
The client's blood pressure is 118/78 mm Hg and heart rate is
88/min. Their medical history includes Type 1 diabetes, obesity,
and arthritis. What is the client's highest risk factor for the
aneurysm to rupture?
Question: Answer:
A nurse is caring for a client who has been admitted for head Dextrose 10% in Water (D10W)
trauma relating to a fall. The client is developing cerebral
edema. Which of the following types of intravenous (IV) fluid
should the nurse expect to administer to the client?
Question: Answer:
A nurse is providing discharge teaching for a client who has Changes in weather.
been newly diagnosed with migraine headaches. Which of the Caffeine.
following topics are important to include in the teaching as Food containing nitrates or tyramine is correct.
migraine triggers? (Select all that apply). Bright lights.
, Question: Answer:
A nurse is caring for a group of clients on a medical-surgical The client with a blood pressure of 180/96 mm Hg.
unit. Which of the following clients are at risk for stroke? The client with Type II diabetes mellitus (DM).
(Select all that apply). The client with sleep apnea.
The client with mitral valve stenosis.
Question: Answer:
A nurse is admitting a client who has a peripheral neuropathy "How are you sleeping at night?"
of both feet. The client has a history of diabetes type II and
hypertension. Which of the following questions should the
nurse ask while performing the admission assessment?
Question: Answer:
A nurse is caring for a client brought into the emergency The client lost consciousness.
department (ED) by ambulance. The client's partner reports
finding the client lying on the kitchen floor with jerking
movements of the whole body and urine all over the floor.
Which of the following additional client findings should the
nurse expect the client's partner to report?
Question: Answer:
A nurse is caring for a client on the neurology unit admitted "A hemorrhagic stroke is caused by bleeding in the brain."
with a hemorrhagic stroke. The family is asking how a
hemorrhagic stroke occurs. Which of the following should the
nurse include in their response?
Question: Answer:
A nurse is planning discharge instructions for a client with "Be conscientious about staying hydrated"
chronic headaches. Which of the following topics should the "Avoid eating aged cheeses"
nurse plan to include in the teaching? (Select all that apply). "Take your triptan medication at the beginning of the headache"
"Include yoga in your exercise routine"
Question: Answer:
A nurse is caring for a 36-year-old client admitted for a Ask whether the client is currently serving in the Army.
subdural hematoma (SDH). Which of the following risk factors Ask whether the client is participating in football.
should the nurse collect additional information on? (Select all Ask about client's intake of alcohol.
that apply).
