NURS 480 Exam 3 – Advanced Medical-Surgical Nursing
Practice Questions
SECTION 1: NEUROLOGICAL DISORDERS
Question 1
In planning for discharge planning for a client with bacterial meningitis, the nurse will be
sure to include which instruction?
A) Keep all family and visitors from visiting your room for protective isolation
B) Make sure you eat a high-protein diet with plenty of fluids
C) Take all of the antibiotics until gone
D) Incorporate regular exercise with an active range of motion
Correct Resolution Result Verified Answers : C
Rationale: The client should be instructed to complete all antibiotics until they are
completely gone. Failure to complete antibiotics may lead to re-infection and may spread,
causing endocarditis and other infections in the body. While the client may be in isolation
while in the hospital, family may not need to quarantine the client at home. It is important
to eat a good diet, but the most important will be taking prescribed antibiotics.
Question 2
A client with a diagnosis of multiple sclerosis (MS) is prescribed baclofen (Lioresal).
During instruction to the client, the nurse explains which of the following describes the
preferred outcome of the drug?
A) It will reduce the chance of getting viral infections
, B) It will help relieve muscular spasticity
C) It will decrease depression
D) It will help with insomnia
Correct Resolution Result Verified Answers : B
Rationale: Baclofen is a centrally acting muscle relaxant with a main outcome of relieving
muscle spasms that frequently occur with MS. Baclofen does not reduce chances of getting
infections, does not decrease depression, and sedation is an adverse effect.
Question 3
The nurse is caring for an 8-year-old client diagnosed with epilepsy following an
abnormal electroencephalogram (EEG). The parents express disbelief in the diagnosis,
indicating they never witnessed a seizure. Which type of seizure will the nurse provide
instruction on for the parents?
A) Jacksonian seizure
B) Petit mal seizure
C) Grand mal seizure
D) Myoclonic seizure
Correct Resolution Result Verified Answers : B
Rationale: Petit mal seizures are also called absence seizures since they may be observed
only as a brief staring episode. They may last only 10 seconds or less; however, they are
likely to develop into tonic-clonic later, so medical management is necessary. They usually
are found between 3 and 15 years of age.
Practice Questions
SECTION 1: NEUROLOGICAL DISORDERS
Question 1
In planning for discharge planning for a client with bacterial meningitis, the nurse will be
sure to include which instruction?
A) Keep all family and visitors from visiting your room for protective isolation
B) Make sure you eat a high-protein diet with plenty of fluids
C) Take all of the antibiotics until gone
D) Incorporate regular exercise with an active range of motion
Correct Resolution Result Verified Answers : C
Rationale: The client should be instructed to complete all antibiotics until they are
completely gone. Failure to complete antibiotics may lead to re-infection and may spread,
causing endocarditis and other infections in the body. While the client may be in isolation
while in the hospital, family may not need to quarantine the client at home. It is important
to eat a good diet, but the most important will be taking prescribed antibiotics.
Question 2
A client with a diagnosis of multiple sclerosis (MS) is prescribed baclofen (Lioresal).
During instruction to the client, the nurse explains which of the following describes the
preferred outcome of the drug?
A) It will reduce the chance of getting viral infections
, B) It will help relieve muscular spasticity
C) It will decrease depression
D) It will help with insomnia
Correct Resolution Result Verified Answers : B
Rationale: Baclofen is a centrally acting muscle relaxant with a main outcome of relieving
muscle spasms that frequently occur with MS. Baclofen does not reduce chances of getting
infections, does not decrease depression, and sedation is an adverse effect.
Question 3
The nurse is caring for an 8-year-old client diagnosed with epilepsy following an
abnormal electroencephalogram (EEG). The parents express disbelief in the diagnosis,
indicating they never witnessed a seizure. Which type of seizure will the nurse provide
instruction on for the parents?
A) Jacksonian seizure
B) Petit mal seizure
C) Grand mal seizure
D) Myoclonic seizure
Correct Resolution Result Verified Answers : B
Rationale: Petit mal seizures are also called absence seizures since they may be observed
only as a brief staring episode. They may last only 10 seconds or less; however, they are
likely to develop into tonic-clonic later, so medical management is necessary. They usually
are found between 3 and 15 years of age.
