NURS 315 Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
1. A client is diagnosed with Bell's palsy. What informa- a, d
tion should the nurse teach the client about Bell's
palsy (select all that apply)?
a. Bell's palsy affects the motor branches of the facial
nerve.
b. Antiseizure drugs are the drugs of choice for treat-
ment of Bell's palsy.
c. Nutrition and avoidance of hot foods or beverages
are special needs for this client.
d. Herpes simplex virus I is strongly associated as a
precipitating factor in the development of Bell's palsy.
2. When planning care for a client who is experiencing a
acute attack of trigeminal neuralgia, the nurse sets
the highest priority on the client outcome of
a. Relief of pain
b. Relief of anxiety
c. Maintenance of oral hygiene
d. Maintenance of positive body image
3. When caring for a client who has Guillain-Barré syn- b
drome, which assessment data obtained by the nurse
will require the most immediate action?
a. The client is incontinent.
b. The client has continuous drooling saliva.
c. The client's blood pressure is 152/82 mm Hg.
d. The client complains of severe pain in the feet.
4. Which manifestations is the nurse likely to document a, b, d, f
when performing a physical assessment on a patient
with dementia with Lewy bodies? Select all that apply.
a. Rigidity
, NURS 315 Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
b. Dementia
c. Physical growth delays
d. Bradykinesia
e. Postural instability
f. Mild to moderate intellectual disability
5. A 62-year-old client is brought to the clinic by a family c
member who is concerned about the client's inability
to solve common problems. To identify whether the
client's current mental status indicates an early stage
in dementia, which question should the nurse ask the
client?
a. "Where were you were born?"
b. "How positive is your self-image?"
c. "What did you have for breakfast?"
d. "Do you have any feelings of sadness?"
6. The nurse in the long-term care facility cares for a c
70-yr-old man with late-stage dementia who is under-
nourished and has problems chewing and swallowing.
What should the nurse include in the plan of care for
this patient?
a. Limit fluid intake during mealtimes to prevent aspi-
ration.
b. Turn on the television to provide a distraction dur-
ing meals.
c. Provide thickened fluids and moist foods in bite-size
pieces.
d. Allow the patient to select favorite foods from the
menu choices.
7. d
, NURS 315 Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
The home care nurse is visiting patients in the com-
munity. Which patient is exhibiting an early warning
sign of Alzheimer's disease (AD)?
a. A 65-yr-old male patient does not recognize his
family members and close friends
b. A 59-yr-old female patient misplaces her purse and
jokes about having memory loss
c. .A 79-yr-old male patient is incontinent and not able
to perform hygiene independently.
d. A 72-yr-old female patient is unable to locate the
address where she has lived for 10 years.
8. Which intervention will the nurse include in the plan b
of care for a client who has late stage Alzheimer's
disease?
a. Encourage the client to discuss events from the
past
b. Maintain a consistent daily routine for the client's
care
c. Reorient the client to the date and time every 2 to 3
hours
d. Provide the client with current newspapers and
magazines
9. A client with Alzheimer's disease is wandering the b
halls very agitated, asking for her "mommy" and cry-
ing. What is the best response by the nurse?
a. Ask the client, "Why are you behaving this way?"
b. Tell the client, "Let's go get a snack in the kitchen."
c. Ask the client, "Wouldn't you like to lie down now?"
d. Tell the client, "Just take some deep breaths and
calm down."
, NURS 315 Exam 3
Study online at https://quizlet.com/_hkobon
10. You administer the Confusion Assessment Method a
(CAM) tool to K.P. to differentiate among various cog-
nitive disorders, primarily because:
a. delirium can be reversed by treating the underlying
causes.
b. depression is a common cause of dementia in older
adults.
c. nursing care should be based on the cause of the
cognitive impairment.
d. drug therapy with antipsychotic agents is indicated
in the treatment of dementia.
11. The nurse is performing preoperative teaching for a, c, d, e, f
the older adult client who will be having a cataract
removed. Which instructions does the nurse include?
Select all that apply.
a. "Cataracts are an opacity of the lens that can be
caused by aging, sunlight, or trauma."
b. "You will need to wear a patch on your eye for
several weeks after the surgery."
c. "Several different types of eyedrops are requested
after surgery, and they have to be taken several times
a day for up to 4 weeks."
d. "You will receive a medication to help you relax.
Then you will receive some different eyedrops to dilate
your pupils and paralyze the lens."
e. "Bring sunglasses with you on the day of your pro-
cedure."
f. "Can you show me how to put tear drops in your
eyes?"
g. "You might experience bruising and swelling
around the eye."
Answers
1. A client is diagnosed with Bell's palsy. What informa- a, d
tion should the nurse teach the client about Bell's
palsy (select all that apply)?
a. Bell's palsy affects the motor branches of the facial
nerve.
b. Antiseizure drugs are the drugs of choice for treat-
ment of Bell's palsy.
c. Nutrition and avoidance of hot foods or beverages
are special needs for this client.
d. Herpes simplex virus I is strongly associated as a
precipitating factor in the development of Bell's palsy.
2. When planning care for a client who is experiencing a
acute attack of trigeminal neuralgia, the nurse sets
the highest priority on the client outcome of
a. Relief of pain
b. Relief of anxiety
c. Maintenance of oral hygiene
d. Maintenance of positive body image
3. When caring for a client who has Guillain-Barré syn- b
drome, which assessment data obtained by the nurse
will require the most immediate action?
a. The client is incontinent.
b. The client has continuous drooling saliva.
c. The client's blood pressure is 152/82 mm Hg.
d. The client complains of severe pain in the feet.
4. Which manifestations is the nurse likely to document a, b, d, f
when performing a physical assessment on a patient
with dementia with Lewy bodies? Select all that apply.
a. Rigidity
, NURS 315 Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
b. Dementia
c. Physical growth delays
d. Bradykinesia
e. Postural instability
f. Mild to moderate intellectual disability
5. A 62-year-old client is brought to the clinic by a family c
member who is concerned about the client's inability
to solve common problems. To identify whether the
client's current mental status indicates an early stage
in dementia, which question should the nurse ask the
client?
a. "Where were you were born?"
b. "How positive is your self-image?"
c. "What did you have for breakfast?"
d. "Do you have any feelings of sadness?"
6. The nurse in the long-term care facility cares for a c
70-yr-old man with late-stage dementia who is under-
nourished and has problems chewing and swallowing.
What should the nurse include in the plan of care for
this patient?
a. Limit fluid intake during mealtimes to prevent aspi-
ration.
b. Turn on the television to provide a distraction dur-
ing meals.
c. Provide thickened fluids and moist foods in bite-size
pieces.
d. Allow the patient to select favorite foods from the
menu choices.
7. d
, NURS 315 Exam 3 UPDATED ACTUAL Questions and CORRECT
Answers
The home care nurse is visiting patients in the com-
munity. Which patient is exhibiting an early warning
sign of Alzheimer's disease (AD)?
a. A 65-yr-old male patient does not recognize his
family members and close friends
b. A 59-yr-old female patient misplaces her purse and
jokes about having memory loss
c. .A 79-yr-old male patient is incontinent and not able
to perform hygiene independently.
d. A 72-yr-old female patient is unable to locate the
address where she has lived for 10 years.
8. Which intervention will the nurse include in the plan b
of care for a client who has late stage Alzheimer's
disease?
a. Encourage the client to discuss events from the
past
b. Maintain a consistent daily routine for the client's
care
c. Reorient the client to the date and time every 2 to 3
hours
d. Provide the client with current newspapers and
magazines
9. A client with Alzheimer's disease is wandering the b
halls very agitated, asking for her "mommy" and cry-
ing. What is the best response by the nurse?
a. Ask the client, "Why are you behaving this way?"
b. Tell the client, "Let's go get a snack in the kitchen."
c. Ask the client, "Wouldn't you like to lie down now?"
d. Tell the client, "Just take some deep breaths and
calm down."
, NURS 315 Exam 3
Study online at https://quizlet.com/_hkobon
10. You administer the Confusion Assessment Method a
(CAM) tool to K.P. to differentiate among various cog-
nitive disorders, primarily because:
a. delirium can be reversed by treating the underlying
causes.
b. depression is a common cause of dementia in older
adults.
c. nursing care should be based on the cause of the
cognitive impairment.
d. drug therapy with antipsychotic agents is indicated
in the treatment of dementia.
11. The nurse is performing preoperative teaching for a, c, d, e, f
the older adult client who will be having a cataract
removed. Which instructions does the nurse include?
Select all that apply.
a. "Cataracts are an opacity of the lens that can be
caused by aging, sunlight, or trauma."
b. "You will need to wear a patch on your eye for
several weeks after the surgery."
c. "Several different types of eyedrops are requested
after surgery, and they have to be taken several times
a day for up to 4 weeks."
d. "You will receive a medication to help you relax.
Then you will receive some different eyedrops to dilate
your pupils and paralyze the lens."
e. "Bring sunglasses with you on the day of your pro-
cedure."
f. "Can you show me how to put tear drops in your
eyes?"
g. "You might experience bruising and swelling
around the eye."
