Nursing 245 Test4 Questions and
Answers
Tinnitus and sensorineural hearing loss can be caused by which medications? - Answer-1. Salicylates,
loop diuretics, quinidine, quinine or aminoglycosides
Nurse is caring for a pt who has had a stroke involving the right cerebral hemisphere. What would the
nurse findings be? - Answer-Poor impulse control
What is a symptom of a concussion a nurse would suspect? - Answer-Sensitivity to light
A nurse is caring for a pt in the ICU that is in myasthenic crisis. Which of the following nursing action is
the highest priority? - Answer-1. AIRWAY (ventilator assistance)
Based on a pt explanations of recurring injuries, the nurse suspects this elderly pt is may be a victim of
what? - Answer-1. Elderly abuse, report abuse of any kind!
What precautions should be put into place when a pt has been brought into the E with symptoms of
altered LOC, fever, purpura rash in lower extremities and stiff neck? - Answer-1. Isolation! This could be
signs of bacterial meningitis
, A nurse is caring for pt who has muscular dystrophy. What assistance may the pt need to be
implemented in ADLs? - Answer-1. Maximizing the pts level of function (family participation is important
in goal setting)
Define trigeminal neuralgia and what nerve it indicates? - Answer-1. Fifth cranial nerve characterized by
paroxysms of sudden pain in the area such as brushing teeth, eating, drinking, shaving, and washing
face.
The pt has decreased LOC. This pt is receiving continuous enteral feedings with a G tube. What is priority
for the prevention of aspiration? - Answer-Elevate the HOB to 30 degrees
The pt has Glasgow coma scale score of 3 for eye opening 5 for verbal response and 5 for best motor
response. Which is an appropriate conclusion based on this information? - Answer-1. The client opens
his eyes when spoken to (A GCS of 3-5-5 indicated that the pt opens eyes in response to speech, is
oriented, and is able to localize pain)
What is the battle sign show when a pt has suffered a head injury? - Answer-1. An area of ecchymosis
(bruising over the mastoid)
What volume of decibel would we expect for hearing loss or hearing damage? - Answer-1. 80-90 dB
Following a lumbar puncture, the pt has a complaint of Headache. What education would the nurse
provide? - Answer-1. Increase fluid intake: there is a risk for CSF leaking from the puncture site.
What are the symptoms of a UTI in elderly pts? - Answer-1. Sudden confusion
What is polypharmacy and what are the risks related? - Answer-1. FALLS (impaired balance)
Answers
Tinnitus and sensorineural hearing loss can be caused by which medications? - Answer-1. Salicylates,
loop diuretics, quinidine, quinine or aminoglycosides
Nurse is caring for a pt who has had a stroke involving the right cerebral hemisphere. What would the
nurse findings be? - Answer-Poor impulse control
What is a symptom of a concussion a nurse would suspect? - Answer-Sensitivity to light
A nurse is caring for a pt in the ICU that is in myasthenic crisis. Which of the following nursing action is
the highest priority? - Answer-1. AIRWAY (ventilator assistance)
Based on a pt explanations of recurring injuries, the nurse suspects this elderly pt is may be a victim of
what? - Answer-1. Elderly abuse, report abuse of any kind!
What precautions should be put into place when a pt has been brought into the E with symptoms of
altered LOC, fever, purpura rash in lower extremities and stiff neck? - Answer-1. Isolation! This could be
signs of bacterial meningitis
, A nurse is caring for pt who has muscular dystrophy. What assistance may the pt need to be
implemented in ADLs? - Answer-1. Maximizing the pts level of function (family participation is important
in goal setting)
Define trigeminal neuralgia and what nerve it indicates? - Answer-1. Fifth cranial nerve characterized by
paroxysms of sudden pain in the area such as brushing teeth, eating, drinking, shaving, and washing
face.
The pt has decreased LOC. This pt is receiving continuous enteral feedings with a G tube. What is priority
for the prevention of aspiration? - Answer-Elevate the HOB to 30 degrees
The pt has Glasgow coma scale score of 3 for eye opening 5 for verbal response and 5 for best motor
response. Which is an appropriate conclusion based on this information? - Answer-1. The client opens
his eyes when spoken to (A GCS of 3-5-5 indicated that the pt opens eyes in response to speech, is
oriented, and is able to localize pain)
What is the battle sign show when a pt has suffered a head injury? - Answer-1. An area of ecchymosis
(bruising over the mastoid)
What volume of decibel would we expect for hearing loss or hearing damage? - Answer-1. 80-90 dB
Following a lumbar puncture, the pt has a complaint of Headache. What education would the nurse
provide? - Answer-1. Increase fluid intake: there is a risk for CSF leaking from the puncture site.
What are the symptoms of a UTI in elderly pts? - Answer-1. Sudden confusion
What is polypharmacy and what are the risks related? - Answer-1. FALLS (impaired balance)
