N153: CH 43-44, 47 EXAM QUESTIONS AND
ANSWERS 100% CORRECT
The nurse is about to administer a contrast medium to the client undergoing diagnostic
testing. Which question will the nurse first ask the client?
A. "Are you allergic to iodine or shellfish?"
B. "Are you in pain?"
C. "Are you wearing any metal?"
D. "Do you know what this test is for?" - ANSWER A. The client should be asked about
allergies to contrast agents, shellfish, or iodine before contrast medium is administered
because iodine is an allergen that is frequently found in shellfish.
The client has just returned from a cerebral angiography. Which symptom does the
client display that causes the nurse to act immediately?
A. Bleeding
B. Increased temperature
C. Severe headache
D. Urge to void - ANSWER A. If bleeding is present in the client who has had a cerebral
angiography, maintain manual pressure on the site and notify the physician immediately.
The client has received contrast medium. Which teaching will the nurse provide to avoid
any neurologic health problems after the procedure?
A. "Practice memory drills this afternoon."
B. "Drink at least 1000 to 1500 mL of water today."
C. "Avoid sunlight."
D. "Rest in bed for 24 hours." - ANSWER B. Drinking an adequate amount of water helps
flush the contrast out of the body.
The client has undergone single-photon emission computed tomography (SPECT).
Which instruction does the nurse give the client?
,A. "Continue to use the ice pack."
B. "Call me if you have any itching."
C. "Keep the head of the bed flat."
D. "Return to your usual activity." - ANSWER D. Clients who have undergone SPECT can
return to their usual activities immediately after the test.
The nurse understands that which client diagnosed with neurologic injury is typically at
highest risk for depression?
A. Young man with a spinal cord injury
B. Young woman with a spinal cord injury
C. Older man with a mild stroke
D. Older woman with a mild stroke - ANSWER A. Young males who experience a
significant life-changing event are typically at higher depression risk.
The nurse is aware that which cranial nerve allows a person to feel a light breeze on the
face?
A. I (olfactory)
B. III (oculomotor)
C. V (trigeminal)
D. VII (facial) - ANSWER C. Cranial nerve V (trigeminal) is responsible for sensation from
the skin of the face and scalp and the mucous membranes of the mouth and nose.
The nurse is performing a neurologic assessment on an 81-year-old client. Which
physiologic change does the nurse expect to find because of the client's age?
A. Decreased coordination
B. Increased sleeping during the night
C. Increased touch sensation
D. Stability in pain perception - ANSWER A. Older adults experience decreased
coordination as a result of the aging process.
, The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which
equipment will the nurse need to perform this assessment?
A. Glucometer
B. Hammer
C. Nothing; the client is asked to walk
D. Paper clip - ANSWER D. Pain sensation is assessed with any sharp or dull object,
such as a cotton-tipped applicator or a paper clip. The client indicates whether the
touch is sharp or dull. The sharp and dull ends should be interchanged at random, so
that the client does not anticipate the next type of sensation.
The nurse is performing a rapid neurologic assessment on a trauma client. Which
assessment finding is normal?
A. Decerebrate posturing
B. Increased lethargy
C. Minimal response to stimulation
D. Constriction of pupils - ANSWER D. Pupil constriction is a function of cranial nerve III.
Pupils should be equal in size and round and regular in shape, and should react to light
and accommodation (PERRLA).
Which client will the neurologic unit charge nurse assign to a registered nurse who has
floated from the labor/delivery unit for the shift?
A. An older adult client who was just admitted with a stroke and needs an admission
assessment
B. A young adult client who has had a lumbar puncture and reports, "Light hurts my
eyes."
C. An adult client who has just returned from having a cerebral arteriogram and needs
vital sign checks every 15 minutes.
D. A middle-aged client who has a possible brain tumor and has questions about the
scheduled magnetic resonance imaging. - ANSWER C. An RN with experience in labor
and delivery would be able to check vital signs and limbs for this client and would
recognize signs of bleeding.
The nurse team leader is working with a nursing assistant in caring for a group of
ANSWERS 100% CORRECT
The nurse is about to administer a contrast medium to the client undergoing diagnostic
testing. Which question will the nurse first ask the client?
A. "Are you allergic to iodine or shellfish?"
B. "Are you in pain?"
C. "Are you wearing any metal?"
D. "Do you know what this test is for?" - ANSWER A. The client should be asked about
allergies to contrast agents, shellfish, or iodine before contrast medium is administered
because iodine is an allergen that is frequently found in shellfish.
The client has just returned from a cerebral angiography. Which symptom does the
client display that causes the nurse to act immediately?
A. Bleeding
B. Increased temperature
C. Severe headache
D. Urge to void - ANSWER A. If bleeding is present in the client who has had a cerebral
angiography, maintain manual pressure on the site and notify the physician immediately.
The client has received contrast medium. Which teaching will the nurse provide to avoid
any neurologic health problems after the procedure?
A. "Practice memory drills this afternoon."
B. "Drink at least 1000 to 1500 mL of water today."
C. "Avoid sunlight."
D. "Rest in bed for 24 hours." - ANSWER B. Drinking an adequate amount of water helps
flush the contrast out of the body.
The client has undergone single-photon emission computed tomography (SPECT).
Which instruction does the nurse give the client?
,A. "Continue to use the ice pack."
B. "Call me if you have any itching."
C. "Keep the head of the bed flat."
D. "Return to your usual activity." - ANSWER D. Clients who have undergone SPECT can
return to their usual activities immediately after the test.
The nurse understands that which client diagnosed with neurologic injury is typically at
highest risk for depression?
A. Young man with a spinal cord injury
B. Young woman with a spinal cord injury
C. Older man with a mild stroke
D. Older woman with a mild stroke - ANSWER A. Young males who experience a
significant life-changing event are typically at higher depression risk.
The nurse is aware that which cranial nerve allows a person to feel a light breeze on the
face?
A. I (olfactory)
B. III (oculomotor)
C. V (trigeminal)
D. VII (facial) - ANSWER C. Cranial nerve V (trigeminal) is responsible for sensation from
the skin of the face and scalp and the mucous membranes of the mouth and nose.
The nurse is performing a neurologic assessment on an 81-year-old client. Which
physiologic change does the nurse expect to find because of the client's age?
A. Decreased coordination
B. Increased sleeping during the night
C. Increased touch sensation
D. Stability in pain perception - ANSWER A. Older adults experience decreased
coordination as a result of the aging process.
, The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which
equipment will the nurse need to perform this assessment?
A. Glucometer
B. Hammer
C. Nothing; the client is asked to walk
D. Paper clip - ANSWER D. Pain sensation is assessed with any sharp or dull object,
such as a cotton-tipped applicator or a paper clip. The client indicates whether the
touch is sharp or dull. The sharp and dull ends should be interchanged at random, so
that the client does not anticipate the next type of sensation.
The nurse is performing a rapid neurologic assessment on a trauma client. Which
assessment finding is normal?
A. Decerebrate posturing
B. Increased lethargy
C. Minimal response to stimulation
D. Constriction of pupils - ANSWER D. Pupil constriction is a function of cranial nerve III.
Pupils should be equal in size and round and regular in shape, and should react to light
and accommodation (PERRLA).
Which client will the neurologic unit charge nurse assign to a registered nurse who has
floated from the labor/delivery unit for the shift?
A. An older adult client who was just admitted with a stroke and needs an admission
assessment
B. A young adult client who has had a lumbar puncture and reports, "Light hurts my
eyes."
C. An adult client who has just returned from having a cerebral arteriogram and needs
vital sign checks every 15 minutes.
D. A middle-aged client who has a possible brain tumor and has questions about the
scheduled magnetic resonance imaging. - ANSWER C. An RN with experience in labor
and delivery would be able to check vital signs and limbs for this client and would
recognize signs of bleeding.
The nurse team leader is working with a nursing assistant in caring for a group of
