MSII Neuro 1 Exam Questions Correctly Answered.
A nurse is contributing to the plan of care for a client experiencing headaches following administration of spinal anesthesia for spinal surgery. The nurse should: - CORRECT ANSWER Encourage intake of fluids
A nurse is caring for a patient taking sumatriptan for migraines who reports that she is positive for pregnancy. - CORRECT ANSWER Sumatriptan is contraindicated during pregnancy; use another type of migraine med
The nurse is caring for a client who has ingestion poison and is now having seizures. Which of the following requires priority action by the nurse? - CORRECT ANSWER maintain patent airway
The nurse is collecting data for a client who has Parkinson's Disease and is experiencing bradykinesia. Which of the following findings should the nurse expect? - CORRECT ANSWER slurred speech
Nurse is reinforcing teaching with a client who takes benztropine to treat Parkinson's Disease. The nurse
should instruct client which is an adverse effect of the medication? - CORRECT ANSWER difficulty voiding
A patient has Parkinson's Disease and gets nauseated. Which food to take? - CORRECT ANSWER applesauce
A nurse is caring for patient with dementia whose family says they wander at night. Nursing action? - CORRECT ANSWER put personal items within their reach
take client to the bathroom frequently (keeps them from getting up at night)
A patient with early stage of dementia is oriented to name and place and usually cooperative. What is the appropriate nursing action if they refuse their medications? - CORRECT ANSWER "What's your reason?" The nurse is dealing with dementia patient. What should the nurse include in teaching? - CORRECT ANSWER Forgetfulness
gradual progression to disorientation
A nurse is contributing to the plan of care of a patient with dementia. Which of the following is appropriate to include in the plan of care? - CORRECT ANSWER limit client's choices for daily activity
A nurse is reinforcing teaching with a family of a client with a new diagnosis of dementia. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER manifestations of dementia are progressive and irreversible
A nurse is performing mental status exam(MSE). The nurse includes which of the following? - CORRECT ANSWER -the ability to perform calculation
-level of LOC
-depressing suicidal thoughts -the level of orientation
A nurse is in a long term care facility and is performing mental status exam for newly admitted client who has dementia. Which of the following data should the nurse include? - CORRECT ANSWER -include grooming - long term memory
-affect
A nurse is contributing to the plan of care for a client with dementia. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER provide consistent daily routine
A nurse is caring for a client who has AIDS associated dementia and is confused. Which of the following actions should the nurse take? - CORRECT ANSWER apply bed alarm to client's bed
A Nurse is collecting data from a client who has severe dementia and a fractured femur due to a fall. Which of the following manifestations should the nurse understand is a physical finding and acute pain? - CORRECT ANSWER increase pulse rate
A nurse is contributing to the plan of care for a client experiencing headaches following administration of spinal anesthesia for spinal surgery. The nurse should: - CORRECT ANSWER Encourage intake of fluids
A nurse is caring for a patient taking sumatriptan for migraines who reports that she is positive for pregnancy. - CORRECT ANSWER Sumatriptan is contraindicated during pregnancy; use another type of migraine med
The nurse is caring for a client who has ingestion poison and is now having seizures. Which of the following requires priority action by the nurse? - CORRECT ANSWER maintain patent airway
The nurse is collecting data for a client who has Parkinson's Disease and is experiencing bradykinesia. Which of the following findings should the nurse expect? - CORRECT ANSWER slurred speech
Nurse is reinforcing teaching with a client who takes benztropine to treat Parkinson's Disease. The nurse
should instruct client which is an adverse effect of the medication? - CORRECT ANSWER difficulty voiding
A patient has Parkinson's Disease and gets nauseated. Which food to take? - CORRECT ANSWER applesauce
A nurse is caring for patient with dementia whose family says they wander at night. Nursing action? - CORRECT ANSWER put personal items within their reach
take client to the bathroom frequently (keeps them from getting up at night)
A patient with early stage of dementia is oriented to name and place and usually cooperative. What is the appropriate nursing action if they refuse their medications? - CORRECT ANSWER "What's your reason?" The nurse is dealing with dementia patient. What should the nurse include in teaching? - CORRECT ANSWER Forgetfulness
gradual progression to disorientation
A nurse is contributing to the plan of care of a patient with dementia. Which of the following is appropriate to include in the plan of care? - CORRECT ANSWER limit client's choices for daily activity
A nurse is reinforcing teaching with a family of a client with a new diagnosis of dementia. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER manifestations of dementia are progressive and irreversible
A nurse is performing mental status exam(MSE). The nurse includes which of the following? - CORRECT ANSWER -the ability to perform calculation
-level of LOC
-depressing suicidal thoughts -the level of orientation
A nurse is in a long term care facility and is performing mental status exam for newly admitted client who has dementia. Which of the following data should the nurse include? - CORRECT ANSWER -include grooming - long term memory
-affect
A nurse is contributing to the plan of care for a client with dementia. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER provide consistent daily routine
A nurse is caring for a client who has AIDS associated dementia and is confused. Which of the following actions should the nurse take? - CORRECT ANSWER apply bed alarm to client's bed
A Nurse is collecting data from a client who has severe dementia and a fractured femur due to a fall. Which of the following manifestations should the nurse understand is a physical finding and acute pain? - CORRECT ANSWER increase pulse rate
