NURS 6202 EXAM 3 QUESTIONS AND ANSWERS | NURS 6202
STUDY GUIDE & PRACTICE TEST 2026/2027
A client with an onset of Bell's palsy is very upset and crying about the change in facial appearance. The
nurse plans to emotionally support the client by telling the client that:
A. This is similar to a cerebrovascular accident, but symptoms will reverse without treatment
B. This is not a CVA and many clients recover in 3-5 weeks
C. This is caused by a small tumor, which can easily be removed
D. This is a temporary problem, with treatment similar to that for migraine headaches - correct answer
✔✔B. This is not a CVA and many clients recover in 3-5 weeks
Clients with Bell's palsy should be reassured that they have not experienced a CVA and that symptoms
often disappear spontaneously in 3-5 weeks. This client is given supportive treatment for symptoms. It is
not usually caused by a tumor, and the treatment is not similar to that for migraine headaches.
While the nurse ambulated the client to the bathroom, the client begins to have a seizure. Which of the
following actions should the nurse take first?
A. Note the time the seizure began
B. Carry the patient to the nearest bed
C. Call for a wheelchair
D. Ease the patient to the floor - correct answer ✔✔D. Ease the patient to the floor
Following a generalized tonic-clonic seizure, the patient is tired and sleepy. The nurse should:
A. Suction the patient before allowing him to rest
B. Allow the patient to sleep as long as he feels sleepy
C. Stimulate the patient to increase his level of consciousness
D. Check the patient's level of consciousness every 15 minutes for an hour - correct answer ✔✔B. Allow
the patient to sleep as long as he feels sleepy
This type of headache may be accompanied by nausea, vomiting, and irritability:
A. Cluster
B. Migraine
C. Tension-type
D. Hammering - correct answer ✔✔B. Migraine
The most important technique for diagnosing headaches is:
A. Cerebral blood flow studies
B. CT scan
C. A thorough history of the headaches
D. EMG - correct answer ✔✔C. A thorough history of the headaches
When obtaining a health history and physical assessment for a patient with possible multiple sclerosis
(MS), the nurse should:
A. Assess for the presence of chest pain
,B. Inquire about any urinary tract problems
C. Inspect the skin for rashes or discoloration
D. Question the patient about any increase in libido - correct answer ✔✔B. Inquire about any urinary
tract problems
A client with myasthenia gravis has a nursing diagnosis of "Risk for Ineffective Airway Clearance and Risk
for Ineffective Breathing Pattern." The nurse would keep which of the following available at the client's
bedside?
A. Incentive spirometer and cough pillow
B. Oxygen and metered dose inhaler
C. Pulse oximeter and cardiac monitor
D. Ambu bag and suction equipment - correct answer ✔✔D. Ambu bag and suction equipment
The client with myasthenia gravis may experience episodes of respiratory distress if excessively fatigued,
or if the client develops myasthenic crisis or cholinergic crisis. For this reason an ambu bag, intubation
tray and suction equipment should be available at the bedside.
A nurse is planning care for a client with a neurogenic bladder due to MS. Which of the following plans
for fluid administration of at least 2000mL/day would be most helpful to this client?
A. 400-500mL with each meal, additional fluids in the morning but not after mid-day
B. 400-500mL with each meal, 500-600mL in the evening prior to bedtime
C. 400-500mL with each meal, 200-250mL at midmorning, midafternoon, and late afternoon
D. 400-500mL with each meal, with all extra fluid concentrated in the afternoon and evening - correct
answer ✔✔C. 400-500mL with each meal, 200-250mL at midmorning, midafternoon, and late afternoon
In observing a client with a suspected diagnosis of Parkinson's Disease the nurse would expect the
following clinical manifestations:
A. Flaccidity, bradykinesia, visual disturbances
B. Patchy blindness, ptosis, tremors
C. Tremor, rigidity, bradykinesia
D. Ataxia, restless legs, cogwheeling - correct answer ✔✔C. Tremor, rigidity, bradykinesia
A nurse has given instructions to a client with Parkinson's disease about maintaining mobility. The would
evaluate that the client understood the directions if the client states he or she should:
A. Exercise in the evening to combat fatigue
B. Rock back and forth to start movement with bradykinesia
C. Sit in soft, deep chairs
D. Buy clothes with many buttons to maintain finger dexterity - correct answer ✔✔B. Rock back and
forth to start movement with bradykinesia
The client with Parkinson's disease should exercise in the morning when energy levels are highest. The
client should avoid sitting in soft, deep chairs, because they are difficult to get up from. The client can
rock back and for the to initiate movement. The client should buy clothes with Velcro fasteners and slide-
locking buckles to support the ability to dress.
In assessing a patient with a T-12 SCI, which clinical manifestations would the nurse expect to find to
support the diagnosis of spinal shock?
A. No reflex activity below the waist
, B. Inability to move upper extremities
C. Complaints of a pounding headache
D. Hypertension and Bradycardia - correct answer ✔✔A. No reflex activity below the waist
Spinal shock is characterized by decreased reflexes, loss of sensation, and flaccid paralysis below the
level of the injury. The syndrome lasts days to months and may mask postinjury neurologic function
A patient with a spinal cord transection at T-1 is recovering from spinal shock. While monitoring the
patient, the nurse recognizes that autonomic dysreflexia symptoms caused by alterations in sympathetic
nervous system function may include:
A. Nasal stuffiness
B. Tachycardia
C. Hypotension
D. Hypomotility of GI system - correct answer ✔✔A. Nasal stuffiness
Symptoms of autonomic dysreflexia include HTN, bradycardia, throbbing headache, nasal congestion,
sweating, blurred vision, nausea, and anxiety
In a patient who has a corticospinal tract lesion, the nurse should assess for:
A. Extremity movement and strength
B. Cranial nerve function
C. Peripheral sensitivity to pain
D. Level of consciousness - correct answer ✔✔A. Extremity movement and strength
The corticospinal tracts are descending tracts that carry impulses from the brain to the peripheral nerves
and are responsible for voluntary movement
The 25-year-old patient who has a C-6 spinal cord injury is crying and asks the nurse "Why did I have to
survive? I wish I was dead." Which statement would be the nurse's best response?
A. "Don't talk like that. At least you are alive and able to talk."
B. "God must have something planned for your life. Pray about it."
C. "You survived because the people at the accident saved your life."
D. "This must be difficult to cope with. Would you like to talk?" - correct answer ✔✔D. "This must be
difficult to cope with. Would you like to talk?"
The nurse determines that teaching about management of osteoarthritis of the feet and hands has been
effective when the patient says:
A. "I will be careful to avoid crowds and people with infections."
B. "I can use heat to relieve the stiffness when I wake up in the morning."
C. "I should exercise my hands every day, especially if they are painful and inflamed."
D. "I should avoid the use of glucosamine as it has been shown to have no therapeutic value." - correct
answer ✔✔B. "I can use heat to relieve the stiffness when I wake up in the morning."
Effective management of osteoarthritis includes the following: heat therapy for stiffness, including hot
packs, whirlpool baths, ultrasound, and paraffin wax baths; the affected joint should be rested during
any periods of acute inflammation and maintained in a functional position with splints or braces if
necessary; cortisone injections have a local effect, and the patient will not develop immunosuppression;
STUDY GUIDE & PRACTICE TEST 2026/2027
A client with an onset of Bell's palsy is very upset and crying about the change in facial appearance. The
nurse plans to emotionally support the client by telling the client that:
A. This is similar to a cerebrovascular accident, but symptoms will reverse without treatment
B. This is not a CVA and many clients recover in 3-5 weeks
C. This is caused by a small tumor, which can easily be removed
D. This is a temporary problem, with treatment similar to that for migraine headaches - correct answer
✔✔B. This is not a CVA and many clients recover in 3-5 weeks
Clients with Bell's palsy should be reassured that they have not experienced a CVA and that symptoms
often disappear spontaneously in 3-5 weeks. This client is given supportive treatment for symptoms. It is
not usually caused by a tumor, and the treatment is not similar to that for migraine headaches.
While the nurse ambulated the client to the bathroom, the client begins to have a seizure. Which of the
following actions should the nurse take first?
A. Note the time the seizure began
B. Carry the patient to the nearest bed
C. Call for a wheelchair
D. Ease the patient to the floor - correct answer ✔✔D. Ease the patient to the floor
Following a generalized tonic-clonic seizure, the patient is tired and sleepy. The nurse should:
A. Suction the patient before allowing him to rest
B. Allow the patient to sleep as long as he feels sleepy
C. Stimulate the patient to increase his level of consciousness
D. Check the patient's level of consciousness every 15 minutes for an hour - correct answer ✔✔B. Allow
the patient to sleep as long as he feels sleepy
This type of headache may be accompanied by nausea, vomiting, and irritability:
A. Cluster
B. Migraine
C. Tension-type
D. Hammering - correct answer ✔✔B. Migraine
The most important technique for diagnosing headaches is:
A. Cerebral blood flow studies
B. CT scan
C. A thorough history of the headaches
D. EMG - correct answer ✔✔C. A thorough history of the headaches
When obtaining a health history and physical assessment for a patient with possible multiple sclerosis
(MS), the nurse should:
A. Assess for the presence of chest pain
,B. Inquire about any urinary tract problems
C. Inspect the skin for rashes or discoloration
D. Question the patient about any increase in libido - correct answer ✔✔B. Inquire about any urinary
tract problems
A client with myasthenia gravis has a nursing diagnosis of "Risk for Ineffective Airway Clearance and Risk
for Ineffective Breathing Pattern." The nurse would keep which of the following available at the client's
bedside?
A. Incentive spirometer and cough pillow
B. Oxygen and metered dose inhaler
C. Pulse oximeter and cardiac monitor
D. Ambu bag and suction equipment - correct answer ✔✔D. Ambu bag and suction equipment
The client with myasthenia gravis may experience episodes of respiratory distress if excessively fatigued,
or if the client develops myasthenic crisis or cholinergic crisis. For this reason an ambu bag, intubation
tray and suction equipment should be available at the bedside.
A nurse is planning care for a client with a neurogenic bladder due to MS. Which of the following plans
for fluid administration of at least 2000mL/day would be most helpful to this client?
A. 400-500mL with each meal, additional fluids in the morning but not after mid-day
B. 400-500mL with each meal, 500-600mL in the evening prior to bedtime
C. 400-500mL with each meal, 200-250mL at midmorning, midafternoon, and late afternoon
D. 400-500mL with each meal, with all extra fluid concentrated in the afternoon and evening - correct
answer ✔✔C. 400-500mL with each meal, 200-250mL at midmorning, midafternoon, and late afternoon
In observing a client with a suspected diagnosis of Parkinson's Disease the nurse would expect the
following clinical manifestations:
A. Flaccidity, bradykinesia, visual disturbances
B. Patchy blindness, ptosis, tremors
C. Tremor, rigidity, bradykinesia
D. Ataxia, restless legs, cogwheeling - correct answer ✔✔C. Tremor, rigidity, bradykinesia
A nurse has given instructions to a client with Parkinson's disease about maintaining mobility. The would
evaluate that the client understood the directions if the client states he or she should:
A. Exercise in the evening to combat fatigue
B. Rock back and forth to start movement with bradykinesia
C. Sit in soft, deep chairs
D. Buy clothes with many buttons to maintain finger dexterity - correct answer ✔✔B. Rock back and
forth to start movement with bradykinesia
The client with Parkinson's disease should exercise in the morning when energy levels are highest. The
client should avoid sitting in soft, deep chairs, because they are difficult to get up from. The client can
rock back and for the to initiate movement. The client should buy clothes with Velcro fasteners and slide-
locking buckles to support the ability to dress.
In assessing a patient with a T-12 SCI, which clinical manifestations would the nurse expect to find to
support the diagnosis of spinal shock?
A. No reflex activity below the waist
, B. Inability to move upper extremities
C. Complaints of a pounding headache
D. Hypertension and Bradycardia - correct answer ✔✔A. No reflex activity below the waist
Spinal shock is characterized by decreased reflexes, loss of sensation, and flaccid paralysis below the
level of the injury. The syndrome lasts days to months and may mask postinjury neurologic function
A patient with a spinal cord transection at T-1 is recovering from spinal shock. While monitoring the
patient, the nurse recognizes that autonomic dysreflexia symptoms caused by alterations in sympathetic
nervous system function may include:
A. Nasal stuffiness
B. Tachycardia
C. Hypotension
D. Hypomotility of GI system - correct answer ✔✔A. Nasal stuffiness
Symptoms of autonomic dysreflexia include HTN, bradycardia, throbbing headache, nasal congestion,
sweating, blurred vision, nausea, and anxiety
In a patient who has a corticospinal tract lesion, the nurse should assess for:
A. Extremity movement and strength
B. Cranial nerve function
C. Peripheral sensitivity to pain
D. Level of consciousness - correct answer ✔✔A. Extremity movement and strength
The corticospinal tracts are descending tracts that carry impulses from the brain to the peripheral nerves
and are responsible for voluntary movement
The 25-year-old patient who has a C-6 spinal cord injury is crying and asks the nurse "Why did I have to
survive? I wish I was dead." Which statement would be the nurse's best response?
A. "Don't talk like that. At least you are alive and able to talk."
B. "God must have something planned for your life. Pray about it."
C. "You survived because the people at the accident saved your life."
D. "This must be difficult to cope with. Would you like to talk?" - correct answer ✔✔D. "This must be
difficult to cope with. Would you like to talk?"
The nurse determines that teaching about management of osteoarthritis of the feet and hands has been
effective when the patient says:
A. "I will be careful to avoid crowds and people with infections."
B. "I can use heat to relieve the stiffness when I wake up in the morning."
C. "I should exercise my hands every day, especially if they are painful and inflamed."
D. "I should avoid the use of glucosamine as it has been shown to have no therapeutic value." - correct
answer ✔✔B. "I can use heat to relieve the stiffness when I wake up in the morning."
Effective management of osteoarthritis includes the following: heat therapy for stiffness, including hot
packs, whirlpool baths, ultrasound, and paraffin wax baths; the affected joint should be rested during
any periods of acute inflammation and maintained in a functional position with splints or braces if
necessary; cortisone injections have a local effect, and the patient will not develop immunosuppression;
