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NUR 242 MED SURG EXAM 4 NEWEST 2025
ACTUAL EXAM| COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
NEWEST!!
Which rationale would the nurse include in teaching a client with
glaucoma about the need for treatment? - ANSWER - Lost vision cannot
be restored
Which treatment goal would the nurse emphasize when teaching a client
with a diagnosis of open-angle glaucoma? - ANSWER - Control
intraocular pressure
Which information would the nurse include in explaining glaucoma to a
client? - ANSWER - An increase in the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that
it is important to seek treatment for primary open-angle glaucoma
(POAG)? - ANSWER - Prevent blindness
While assessing the eyes of a client, a health care provider notices there
is an obstruction to the outflow of aqueous humor. Which additional
finding would be noted to support a diagnosis of glaucoma? - ANSWER
- Elevated intraocular pressure
pg. 1
,2|Page
Which medication worsens uncontrolled angle-closure glaucoma when
used for the treatment of generalized anxiety disorder? - ANSWER -
Duloxetine
The nurse understands that which second-generation antidepressant can
worsen uncontrolled angle-closure glaucoma? - ANSWER - Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic
preparation is indicated to manage this condition? - ANSWER - Timolol
maleate
Which medication would the nurse anticipate may be prescribed to
produce diuresis and inhibit formation of aqueous humor for a client
with glaucoma? - ANSWER - Acetazolamide
Which clinical indicator is the nurse most likely to identify when
exploring the history of a client with open-angle glaucoma? - ANSWER
- Impairment of peripheral vision
Which ocular symptom would the nurse expect a client with a diagnosis
of dry age-related macular degeneration to report? - ANSWER - Loss of
central vision
Which response reported by an older adult client would the nurse
identify as consistent with the diagnosis of macular degeneration? -
ANSWER - I can't see objects in the center of my vision field.
pg. 2
,3|Page
Which instruction would the nurse give to a client with reduced sensory
perception? - ANSWER - Use a bath thermometer
A client on antidepressant therapy develops hyperthermia, seizures, and
a heart rate of 200 beats per minute. Which medication would the nurse
suspect is responsible for the condition? - ANSWER - Sertraline
A 7-year-old child who is taking medication to prevent seizures has been
seizure free for 2 years. The child's parents ask the nurse, "How much
longer will my child need to take the medication?" Which answer will
the nurse provide? - ANSWER - "This is usually attempted after 2 years,
but medications must be gradually decreased."
The registered nurse (RN) is delegating tasks to the health care team.
Which team member is most likely to achieve an effective outcome in
the care of a client who is bedridden for long periods with seizures? -
ANSWER - Licensed practical nurse (LPN)
During a home visit, the nurse discovers that a child in the household
who has a disability has been experiencing seizures. The child's parent
appears indifferent to the child's physical, emotional, or medical needs
and seems to provoke seizure episodes by harsh verbal exchanges with
the child. Where would the nurse direct a referral? - ANSWER - Child
Protective Services
During a seizure, a client had sudden loss of muscle tone that lasted for a
few seconds followed by confusion. Which statement about this type of
seizures is true? Select all that apply. One, some, or all responses may be
pg. 3
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correct - ANSWER - These seizures increase the risk for injuries from a
fall. These seizures are most resistant to medication therapy
A client who has a history of seizures is scheduled for an arteriogram at
10:00 AM and is to have nothing by mouth before the test. The client is
scheduled to receive an anticonvulsant medication at 9:00 AM. Which
action would the nurse take? - ANSWER - Ask the health care provider
to prescribe an alternative
A client is admitted to the hospital with a tonic-clonic seizure after his
seizures had been well controlled by phenytoin for 6 months. The client
says to the nurse, "I am so upset. I didn't think I was going to have more
seizures." Which response would the nurse make? - ANSWER - You are
worried about having more seizures
A client with severe abdominal pain is on meperidine treatment and later
develops seizures. Which intervention is given highest priority? -
ANSWER - Stop administration of meperidine
Which action would the nurse perform immediately according to priority
of care for a client with tonic-clonic seizures? - ANSWER - Ensuring a
patent airway.
According to priority, in which order would the nurse perform care
activities for a client with complete partial seizures? - ANSWER - 1.
Maintain airway. 2. Record time and duration of seizure. 3. Assess vital
signs. 4. Perform neurological checks
pg. 4
NUR 242 MED SURG EXAM 4 NEWEST 2025
ACTUAL EXAM| COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
NEWEST!!
Which rationale would the nurse include in teaching a client with
glaucoma about the need for treatment? - ANSWER - Lost vision cannot
be restored
Which treatment goal would the nurse emphasize when teaching a client
with a diagnosis of open-angle glaucoma? - ANSWER - Control
intraocular pressure
Which information would the nurse include in explaining glaucoma to a
client? - ANSWER - An increase in the pressure within the eyeball
Which goal is the nurse trying to achieve by reinforcing to the client that
it is important to seek treatment for primary open-angle glaucoma
(POAG)? - ANSWER - Prevent blindness
While assessing the eyes of a client, a health care provider notices there
is an obstruction to the outflow of aqueous humor. Which additional
finding would be noted to support a diagnosis of glaucoma? - ANSWER
- Elevated intraocular pressure
pg. 1
,2|Page
Which medication worsens uncontrolled angle-closure glaucoma when
used for the treatment of generalized anxiety disorder? - ANSWER -
Duloxetine
The nurse understands that which second-generation antidepressant can
worsen uncontrolled angle-closure glaucoma? - ANSWER - Duloxetine
A client has primary open-angle glaucoma. Which ophthalmic
preparation is indicated to manage this condition? - ANSWER - Timolol
maleate
Which medication would the nurse anticipate may be prescribed to
produce diuresis and inhibit formation of aqueous humor for a client
with glaucoma? - ANSWER - Acetazolamide
Which clinical indicator is the nurse most likely to identify when
exploring the history of a client with open-angle glaucoma? - ANSWER
- Impairment of peripheral vision
Which ocular symptom would the nurse expect a client with a diagnosis
of dry age-related macular degeneration to report? - ANSWER - Loss of
central vision
Which response reported by an older adult client would the nurse
identify as consistent with the diagnosis of macular degeneration? -
ANSWER - I can't see objects in the center of my vision field.
pg. 2
,3|Page
Which instruction would the nurse give to a client with reduced sensory
perception? - ANSWER - Use a bath thermometer
A client on antidepressant therapy develops hyperthermia, seizures, and
a heart rate of 200 beats per minute. Which medication would the nurse
suspect is responsible for the condition? - ANSWER - Sertraline
A 7-year-old child who is taking medication to prevent seizures has been
seizure free for 2 years. The child's parents ask the nurse, "How much
longer will my child need to take the medication?" Which answer will
the nurse provide? - ANSWER - "This is usually attempted after 2 years,
but medications must be gradually decreased."
The registered nurse (RN) is delegating tasks to the health care team.
Which team member is most likely to achieve an effective outcome in
the care of a client who is bedridden for long periods with seizures? -
ANSWER - Licensed practical nurse (LPN)
During a home visit, the nurse discovers that a child in the household
who has a disability has been experiencing seizures. The child's parent
appears indifferent to the child's physical, emotional, or medical needs
and seems to provoke seizure episodes by harsh verbal exchanges with
the child. Where would the nurse direct a referral? - ANSWER - Child
Protective Services
During a seizure, a client had sudden loss of muscle tone that lasted for a
few seconds followed by confusion. Which statement about this type of
seizures is true? Select all that apply. One, some, or all responses may be
pg. 3
, 4|Page
correct - ANSWER - These seizures increase the risk for injuries from a
fall. These seizures are most resistant to medication therapy
A client who has a history of seizures is scheduled for an arteriogram at
10:00 AM and is to have nothing by mouth before the test. The client is
scheduled to receive an anticonvulsant medication at 9:00 AM. Which
action would the nurse take? - ANSWER - Ask the health care provider
to prescribe an alternative
A client is admitted to the hospital with a tonic-clonic seizure after his
seizures had been well controlled by phenytoin for 6 months. The client
says to the nurse, "I am so upset. I didn't think I was going to have more
seizures." Which response would the nurse make? - ANSWER - You are
worried about having more seizures
A client with severe abdominal pain is on meperidine treatment and later
develops seizures. Which intervention is given highest priority? -
ANSWER - Stop administration of meperidine
Which action would the nurse perform immediately according to priority
of care for a client with tonic-clonic seizures? - ANSWER - Ensuring a
patent airway.
According to priority, in which order would the nurse perform care
activities for a client with complete partial seizures? - ANSWER - 1.
Maintain airway. 2. Record time and duration of seizure. 3. Assess vital
signs. 4. Perform neurological checks
pg. 4
