NRS 3025 Exam 2 – Questions With Accurate
Solutions
Save
Terms in this set (192)
Why is a CT scan necessary a
when a stroke is
suspected?
a. To differentiate between
a hemorrhagic and
ischemic stroke.
b. To determine the dose of
thrombotic therapy.
c. To plan the staffing levels
on the unit.
d. To estimate the date to
start rehabilitation.
A patient with hepatic b
encephalopathy develops
diarrhea. The nurse
interprets this as:
a. A sign of worsening liver
function
b. A side effect of the
necessary treatment for
encephaloptathy
c. Likely a c-diff infection.
d. An indication that the
total bilirubin levels are
decreasing.
,A patient with a spinal cord d
injury at T1 develops a HR
of 46, BP of 190/94, and is
diaphoretic. The nurse's
next action is to:
a. elevate the head of the
bed to 35 degrees.
b. call the neurosurgeon.
c. remind the patient to
take deep breaths.
d. perform a bladder scan.
Which of the following is a a
key difference between
dementia and delirium?
a. There is always an
underlying cause for
delirium.
b. Dementia is an acute
problem, but delirium is
not.
c. Patients with delirium
often experience
sundowning.
d. Delirium is unavoidable,
but dementia is not.
Which of the following a
describes akathisia?
a. Restlessness, an urgent
need to move around, and
agitation
b. Very slow voluntary
movements and speech
c. Impaired ability to
execute voluntary
movements
d. A sensation of numbness
or tingling or a "pins and
needles" sensation
,A nurse is assessing a client a
who has an acoustic
neuroma. Which of the
following client
manifestations should the
nurse expect?
a. Vertigo
b. Dysphagia
c. Diplopia
d. Apraxia
A nurse is receiving a d
transfer report for a client
who has a head injury. The
client has a Glasgow Coma
Scale (GCS) score of 3 for
eye opening, 5 for best
verbal response, and 5 for
best motor response.
Which of the following is an
appropriate conclusion
based on this data?
a. The client can follow
simple motor commands.
b. The client is unable to
make a vocal sound.
c. The client is unconscious.
d. The client opens his eyes
when spoken to.
, A patient in atrial fibrillation b
suddenly develops left-
sided weakness, slurred
speech, and trouble
swallowing. The nurse
suspects which
pharmacologic
intervention?
a. IV lorazepam
b. Alteplase
c. Warfarin
d. Carbidopa-levodopa
A nurse is preparing to a
administer an osmotic
diuretic IV to a client with
increased intracranial
pressure. Which of the
following should the nurse
identify as the purpose of
the medication?
a. Reduce edema of the
brain
b. Provide fluid hydration
c. Increase cell size in the
brain
d. Expand extracellular
fluid volume.
Solutions
Save
Terms in this set (192)
Why is a CT scan necessary a
when a stroke is
suspected?
a. To differentiate between
a hemorrhagic and
ischemic stroke.
b. To determine the dose of
thrombotic therapy.
c. To plan the staffing levels
on the unit.
d. To estimate the date to
start rehabilitation.
A patient with hepatic b
encephalopathy develops
diarrhea. The nurse
interprets this as:
a. A sign of worsening liver
function
b. A side effect of the
necessary treatment for
encephaloptathy
c. Likely a c-diff infection.
d. An indication that the
total bilirubin levels are
decreasing.
,A patient with a spinal cord d
injury at T1 develops a HR
of 46, BP of 190/94, and is
diaphoretic. The nurse's
next action is to:
a. elevate the head of the
bed to 35 degrees.
b. call the neurosurgeon.
c. remind the patient to
take deep breaths.
d. perform a bladder scan.
Which of the following is a a
key difference between
dementia and delirium?
a. There is always an
underlying cause for
delirium.
b. Dementia is an acute
problem, but delirium is
not.
c. Patients with delirium
often experience
sundowning.
d. Delirium is unavoidable,
but dementia is not.
Which of the following a
describes akathisia?
a. Restlessness, an urgent
need to move around, and
agitation
b. Very slow voluntary
movements and speech
c. Impaired ability to
execute voluntary
movements
d. A sensation of numbness
or tingling or a "pins and
needles" sensation
,A nurse is assessing a client a
who has an acoustic
neuroma. Which of the
following client
manifestations should the
nurse expect?
a. Vertigo
b. Dysphagia
c. Diplopia
d. Apraxia
A nurse is receiving a d
transfer report for a client
who has a head injury. The
client has a Glasgow Coma
Scale (GCS) score of 3 for
eye opening, 5 for best
verbal response, and 5 for
best motor response.
Which of the following is an
appropriate conclusion
based on this data?
a. The client can follow
simple motor commands.
b. The client is unable to
make a vocal sound.
c. The client is unconscious.
d. The client opens his eyes
when spoken to.
, A patient in atrial fibrillation b
suddenly develops left-
sided weakness, slurred
speech, and trouble
swallowing. The nurse
suspects which
pharmacologic
intervention?
a. IV lorazepam
b. Alteplase
c. Warfarin
d. Carbidopa-levodopa
A nurse is preparing to a
administer an osmotic
diuretic IV to a client with
increased intracranial
pressure. Which of the
following should the nurse
identify as the purpose of
the medication?
a. Reduce edema of the
brain
b. Provide fluid hydration
c. Increase cell size in the
brain
d. Expand extracellular
fluid volume.
