Ortho/Neuro Exam 2 with Accurate
Solutions
A client with Bell's palsy tells the nurse that she is very depressed about having the
disease. The most informative response from the nurse would be
a. "Bell's palsy can be treated successfully with medication."
b. "I understand how you feel; it is difficult to live with a chronic disease."
c. "Surgery has been very successful in improving the problem."
d. "The symptoms are likely to disappear or get better within a few weeks." - ANSWER-
d. "The symptoms are likely to disappear or get better within a few weeks."
The nurse would question a client with suspected trigeminal neuralgia about facial pain
that is
a. characterized by intermittent episodes of severe pain with gradual onset.
b. characterized by intermittent episodes of severe pain with sudden onset.
c. constant and aching or burning in nature.
d. constant, severe, and sharp in nature. - ANSWER-b. characterized by intermittent
episodes of severe pain with sudden onset.
When the spouse of a client who has had a CVA as a result of a cerebral hemorrhage
asks the nurse about the client's chances for recovery, the nurse should base a reply on
knowledge that with this type of CVA
a. improvement generally occurs over several days.
b. rapid improvement often occurs.
c. recovery is slow and less complete.
d. there is no way to know for sure. - ANSWER-c. recovery is slow and less complete.
The nurse assesses agnosia in a client who had a CVA. An example of this disturbance
would be an inability to
a. read and comprehend writing.
b. recognize eating utensils.
c. see past the midline.
d. use the limbs purposefully. - ANSWER-b. recognize eating utensils.
A client has a history of experiencing focal neurologic deficits, such as slurred speech
and facial weakness, that last for a few hours at a time. The nurse then assesses this
client for other possible manifestations of
a. embolic stroke.
b. encephalopathy.
c. intracranial hemorrhage.
d. transient ischemic attacks (TIAs) - ANSWER-d. transient ischemic attacks (TIAs)
,To best help the client who has the nursing diagnosis Ineffective Coping after a stroke,
the nurse would
a. break a long-term goal into smaller pieces.
b. listen to the client carefully and try to understand.
c. place familiar items, such as photos, near the bed.
d. redirect the client when inappropriate behavior occurs. - ANSWER-a. break a long-
term goal into smaller pieces.
The assessment the nurse documents that supports the finding of apraxia would be the
client's inability to
a. get dressed independently.
b. recognize a pencil.
c. see far objects.
d. understand the spoken word. - ANSWER-a. get dressed independently.
Safety precautions the nurse instructs the client with homonymous hemianopsia to use
include
a. getting evaluated for prescription lenses.
b. turning the head to scan the visual field.
c. using artificial tears to keep the eyes moist.
d. wearing an eye patch on alternating eyes. - ANSWER-b. turning the head to scan the
visual field.
A client who experienced a stroke that left residual left hemiplegia will not wash the left
side or use her good limbs on the right to move or adjust the limbs on the left. The most
appropriate diagnosis for this client is
a. Altered Physical Mobility.
b. Ineffective Coping.
c. Self-Care Deficit.
d. Unilateral Neglect - ANSWER-d. Unilateral Neglect
A client had a stroke. A nurse has arranged a consultation with an occupational
therapist in order to enhance the client's ability to
a. acquire job skills.
b. feed himself.
c. swallow.
d. use a walker. - ANSWER-b. feed himself.
A client who has left hemiparesis as a result of stroke is getting out of bed to the chair
for the first time. The nurse should position the chair a. at a right angle to the client's left
side.
b. at a right angle to the client's right side.
c. facing away from the side of the bed.
d. facing the side of the bed but within 1 foot. - ANSWER-b. at a right angle to the
client's right side.
, The nurse is caring for a client who had a stroke several years ago. The client has
indicators of being malnourished. The nurse would assess the client for which of the
following?
a. Ability to throw the head back to propel the food
b. Embarrassment and frustration over trouble eating
c. Inability of the bowel to absorb nutrients
d. Positioning the head with a sideways' tilt - ANSWER-b. Embarrassment and
frustration over trouble eating
A client with stroke has a nursing diagnosis of Impaired Verbal Communication and has
specific difficulty in verbal expression. The most helpful strategy by the nurse would be
to
a. give the client practice in repeating words after the nurse.
b. point to objects and state their names.
c. repeat directions until they are understood.
d. try to do all the speaking for the client. - ANSWER-a. give the client practice in
repeating words after the nurse.
When the client complains about having to perform quadricep-setting exercises, the
nurse reminds him that the exercises will enhance ambulation by
a. combating footdrop.
b. diminishing the effects of proprioception.
c. improving balance.
d. strengthening the knee. - ANSWER-d. strengthening the knee.
The nurse would assess the client with a history of TIAs for
a. ataxia and dysarthria.
b. bouts of hypertension.
c. nausea and vomiting.
d. tingling in the extremities. - ANSWER-a. ataxia and dysarthria.
A client has had two TIAs. Priority nursing actions focus on
a. helping the client reduce risk factors for stroke.
b. providing emotional support during this stressful time.
c. teaching the client's family about rehabilitation.
d. working with a speech therapist on speech problems. - ANSWER-a. helping the client
reduce risk factors for stroke.
The nurse reminds a group of students about the major component of pathophysiology
in multiple sclerosis (MS), which is
a. damage occurs primarily to the dendrites and oligodendrites.
b. once damaged, myelin cannot regenerate at all.
c. plaques occur anywhere in the white matter of the central nervous system (CNS).
d. Schwann cells are destroyed slowly but relentlessly. - ANSWER-c. plaques occur
anywhere in the white matter of the central nervous system (CNS).
Solutions
A client with Bell's palsy tells the nurse that she is very depressed about having the
disease. The most informative response from the nurse would be
a. "Bell's palsy can be treated successfully with medication."
b. "I understand how you feel; it is difficult to live with a chronic disease."
c. "Surgery has been very successful in improving the problem."
d. "The symptoms are likely to disappear or get better within a few weeks." - ANSWER-
d. "The symptoms are likely to disappear or get better within a few weeks."
The nurse would question a client with suspected trigeminal neuralgia about facial pain
that is
a. characterized by intermittent episodes of severe pain with gradual onset.
b. characterized by intermittent episodes of severe pain with sudden onset.
c. constant and aching or burning in nature.
d. constant, severe, and sharp in nature. - ANSWER-b. characterized by intermittent
episodes of severe pain with sudden onset.
When the spouse of a client who has had a CVA as a result of a cerebral hemorrhage
asks the nurse about the client's chances for recovery, the nurse should base a reply on
knowledge that with this type of CVA
a. improvement generally occurs over several days.
b. rapid improvement often occurs.
c. recovery is slow and less complete.
d. there is no way to know for sure. - ANSWER-c. recovery is slow and less complete.
The nurse assesses agnosia in a client who had a CVA. An example of this disturbance
would be an inability to
a. read and comprehend writing.
b. recognize eating utensils.
c. see past the midline.
d. use the limbs purposefully. - ANSWER-b. recognize eating utensils.
A client has a history of experiencing focal neurologic deficits, such as slurred speech
and facial weakness, that last for a few hours at a time. The nurse then assesses this
client for other possible manifestations of
a. embolic stroke.
b. encephalopathy.
c. intracranial hemorrhage.
d. transient ischemic attacks (TIAs) - ANSWER-d. transient ischemic attacks (TIAs)
,To best help the client who has the nursing diagnosis Ineffective Coping after a stroke,
the nurse would
a. break a long-term goal into smaller pieces.
b. listen to the client carefully and try to understand.
c. place familiar items, such as photos, near the bed.
d. redirect the client when inappropriate behavior occurs. - ANSWER-a. break a long-
term goal into smaller pieces.
The assessment the nurse documents that supports the finding of apraxia would be the
client's inability to
a. get dressed independently.
b. recognize a pencil.
c. see far objects.
d. understand the spoken word. - ANSWER-a. get dressed independently.
Safety precautions the nurse instructs the client with homonymous hemianopsia to use
include
a. getting evaluated for prescription lenses.
b. turning the head to scan the visual field.
c. using artificial tears to keep the eyes moist.
d. wearing an eye patch on alternating eyes. - ANSWER-b. turning the head to scan the
visual field.
A client who experienced a stroke that left residual left hemiplegia will not wash the left
side or use her good limbs on the right to move or adjust the limbs on the left. The most
appropriate diagnosis for this client is
a. Altered Physical Mobility.
b. Ineffective Coping.
c. Self-Care Deficit.
d. Unilateral Neglect - ANSWER-d. Unilateral Neglect
A client had a stroke. A nurse has arranged a consultation with an occupational
therapist in order to enhance the client's ability to
a. acquire job skills.
b. feed himself.
c. swallow.
d. use a walker. - ANSWER-b. feed himself.
A client who has left hemiparesis as a result of stroke is getting out of bed to the chair
for the first time. The nurse should position the chair a. at a right angle to the client's left
side.
b. at a right angle to the client's right side.
c. facing away from the side of the bed.
d. facing the side of the bed but within 1 foot. - ANSWER-b. at a right angle to the
client's right side.
, The nurse is caring for a client who had a stroke several years ago. The client has
indicators of being malnourished. The nurse would assess the client for which of the
following?
a. Ability to throw the head back to propel the food
b. Embarrassment and frustration over trouble eating
c. Inability of the bowel to absorb nutrients
d. Positioning the head with a sideways' tilt - ANSWER-b. Embarrassment and
frustration over trouble eating
A client with stroke has a nursing diagnosis of Impaired Verbal Communication and has
specific difficulty in verbal expression. The most helpful strategy by the nurse would be
to
a. give the client practice in repeating words after the nurse.
b. point to objects and state their names.
c. repeat directions until they are understood.
d. try to do all the speaking for the client. - ANSWER-a. give the client practice in
repeating words after the nurse.
When the client complains about having to perform quadricep-setting exercises, the
nurse reminds him that the exercises will enhance ambulation by
a. combating footdrop.
b. diminishing the effects of proprioception.
c. improving balance.
d. strengthening the knee. - ANSWER-d. strengthening the knee.
The nurse would assess the client with a history of TIAs for
a. ataxia and dysarthria.
b. bouts of hypertension.
c. nausea and vomiting.
d. tingling in the extremities. - ANSWER-a. ataxia and dysarthria.
A client has had two TIAs. Priority nursing actions focus on
a. helping the client reduce risk factors for stroke.
b. providing emotional support during this stressful time.
c. teaching the client's family about rehabilitation.
d. working with a speech therapist on speech problems. - ANSWER-a. helping the client
reduce risk factors for stroke.
The nurse reminds a group of students about the major component of pathophysiology
in multiple sclerosis (MS), which is
a. damage occurs primarily to the dendrites and oligodendrites.
b. once damaged, myelin cannot regenerate at all.
c. plaques occur anywhere in the white matter of the central nervous system (CNS).
d. Schwann cells are destroyed slowly but relentlessly. - ANSWER-c. plaques occur
anywhere in the white matter of the central nervous system (CNS).
