NUR 314 (Med Surg) Exam 1
questions with answers
A nurse is caring for a client who is postprocedure
following lumbar puncture and reports a throbbing
headache when sitting upright. Which of the following
actions should the nurse take? SATA
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing and
cough exercises
B, C, D
A nurse is caring for a client who experienced a traumatic
head injury and has intraventricular catheter
(ventriculostomy) for ICP monitoring. The nurse should
monitor the client for which of the following complications
related to ventriculostomy?
A. Headache
,B. Infection
C. Aphasia
D. Hypertension
B
A nurse is assessing a client for changes in the level of
consciousness using the Glasgow Coma Scale (GCS). The
client opens his eyes when spoken to, speaks
incoherently, and moves his extremities when pain is
applied. Which of the following GCS scores should the
nurse document?
A. E2+ V3+ M5 = 10
B. E3+ V4 + M4 = 11
C. E4 + V5+ M6= 15
D. E2 + V2 + M4 = 8
DON'T THINK WE NEED TO KNOW THIS FOR TEST
B
A nurse is developing a plan of care for a client who is
scheduled for cerebral angiography with contrast media.
,Which of the following statements by the client should
the nurse report to the provider? SATA
A. " I think i might be pregnant"
B. " I take warfarin"
C. " I take antihypertensive medication"
D. " I am allergic to shrimp"
E. " I ate a light breakfast this morning"
A, B, D, E
Ask professor Harvey, bc there's no correlation between
shellfish allergies and risk with receiving contrast (iodine)
A nurse is providing education to a client who is to
undergo an electroencephalogram (EEG) the next day.
Which of the following information should the nurse
include in the teaching?
A. " Do mot wash your hair the morning of the procedure
"
B. " Try to stay awake most of the night prior to the
procedure "
C. " The procedure will take approximately 15 minutes "
, D. " You will need to lie flat for 4 hours after the
procedure"
B
A nurse is caring for a client who is experiencing mild
acute pain after spraining an ankle. Which of the
following analgesics should the nurse expect to
administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone
A
A nurse at a clinic is talking with a client who has cancer
and takes extended- release opioids twice daily. The client
reports an increase in localized, achy pain over the last
few days. How should the nurse document this increase
in pain?
A. Phantom limb pain
questions with answers
A nurse is caring for a client who is postprocedure
following lumbar puncture and reports a throbbing
headache when sitting upright. Which of the following
actions should the nurse take? SATA
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing and
cough exercises
B, C, D
A nurse is caring for a client who experienced a traumatic
head injury and has intraventricular catheter
(ventriculostomy) for ICP monitoring. The nurse should
monitor the client for which of the following complications
related to ventriculostomy?
A. Headache
,B. Infection
C. Aphasia
D. Hypertension
B
A nurse is assessing a client for changes in the level of
consciousness using the Glasgow Coma Scale (GCS). The
client opens his eyes when spoken to, speaks
incoherently, and moves his extremities when pain is
applied. Which of the following GCS scores should the
nurse document?
A. E2+ V3+ M5 = 10
B. E3+ V4 + M4 = 11
C. E4 + V5+ M6= 15
D. E2 + V2 + M4 = 8
DON'T THINK WE NEED TO KNOW THIS FOR TEST
B
A nurse is developing a plan of care for a client who is
scheduled for cerebral angiography with contrast media.
,Which of the following statements by the client should
the nurse report to the provider? SATA
A. " I think i might be pregnant"
B. " I take warfarin"
C. " I take antihypertensive medication"
D. " I am allergic to shrimp"
E. " I ate a light breakfast this morning"
A, B, D, E
Ask professor Harvey, bc there's no correlation between
shellfish allergies and risk with receiving contrast (iodine)
A nurse is providing education to a client who is to
undergo an electroencephalogram (EEG) the next day.
Which of the following information should the nurse
include in the teaching?
A. " Do mot wash your hair the morning of the procedure
"
B. " Try to stay awake most of the night prior to the
procedure "
C. " The procedure will take approximately 15 minutes "
, D. " You will need to lie flat for 4 hours after the
procedure"
B
A nurse is caring for a client who is experiencing mild
acute pain after spraining an ankle. Which of the
following analgesics should the nurse expect to
administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone
A
A nurse at a clinic is talking with a client who has cancer
and takes extended- release opioids twice daily. The client
reports an increase in localized, achy pain over the last
few days. How should the nurse document this increase
in pain?
A. Phantom limb pain
