NUR 211 Final (Latest
Update) Questions and 100% Correct
Verified Answers
A nurse assesses a client recovering from a cerebral angiography via the clients
femoral artery. Which assessment should the nurse complete?
A. Palpate bilateral lower extremity pulses
B. Obtain orthostatic blood pressure readings
C. Perform a funduscopic examination
D. Assess the gag reflex prior to eating - correct answer A. Palpate bilateral lower
extremity pulses
Cerebral angiography is performed by threading a catheter through the femoral or
brachial artery. The extremity is kept immobilized after the procedure. The nurse
checks the extremity for adequate circulation by noting skin color and temperature,
presences and quality of pulses distal to the injection site, and capillary refill. Clients
usually are on bedrest; therefore, orthostatic blood pressure readings cannot be
performed. The funduscopic examination would be affected by cerebral angiography.
The client is given analgesics but not conscious sedation; therefore, the clients gag
reflex would not be compormised.
A nurse obtained a focused health history for a client who is scheduled for magnetic
resonance angiography. Which priority question should the nurse ask before the test?
A. Have you had a recent blood transfusion?
B. Do you have allergies to iodine or shellfish?
C. Are you taking any cardiac medications?
D. Do you currently use oral contraceptives? - correct answer B. Do you have allergies
to iodine or shellfish?
Allergies to iodine and/or shellfish need to be explored because the client may have a
similar reaction t the dye used in the procedure. In some cases, the client ay need to
be medicated with antihistamines or steroid before the test is given. A recent blood
transfusion or current use of cardiac medications or oral contraceptives would not
affect the angiography
A nurse obtained a focused health history for a client who is scheduled for an MRI.
Which condition should alert the nurse to contact the provider and cancel the
procedure?
A. Creatine phosphokinase of 100
B. Atriventricular graft
,NUR 211 Final (Latest
Update) Questions and 100% Correct
Verified Answers
C. BUN of 50
D. Internal insulin pump - correct answer D. Internal insulin pump
Metal devices such as internal pumps, pacemakers, and prostheses interfere with
accuracy of the image and can become displaced by the magnetic force generated by
an MRI procedure. An artioventricular graft does not contain any metal. CPK and BUN
levels have no impact on an MRI procedure
A nurse teaches a client who is scheduled for a positron emission tomography scan of
their brain. Which statement should the nurse include in this clients teaching?
A. Avoid caffeine-containing substances for 12 hours before the test
B. Drink at least 3 liters of fluid during the 24 hours after the test
C. Do not take your cardiac medication the morning of the test
D. Remove your dentures and any metal before the test begins - correct answer A.
Avoid caffeine-containing substances for 12 hours before the test
Caffeine-containing liquids and foods are central nervous system stimulants ad may
alter the test results. No contrast is used; therefore, the client does not need to
increase fluid intake. Th client should take cardiac medications as prescribed. Metal
does not have to be removed; this is done for MRI.
A nurse cares for a client who is experiencing deteriorating neurologic functions. The
client states, I am worried I will not be able to care for my young children. How should
the nurse respond?
A. Caring for your young children is a priority. You may not want to ask for help, but
you have too.
B. Our community has resources that may help you with some household tasks so you
have energy to care for your children.
C. You seem distressed. Would you like to talk to a psychologist about adjusting to your
changing status?
D. Give me more information about what worries you, so we can see if we can do
something to make adjustments. - correct answer D. Give me some more information
about what worries you, so we can see if we can do something to make adjustments
Investigate specific concerns about situational or role changes before providing
additional information. The nurse should not tell the client what is or is not a priority
for him or her. Although community resources may be available, they may not be
,NUR 211 Final (Latest
Update) Questions and 100% Correct
Verified Answers
appropriate for the client. Consulting a psychologist would not be appropriate without
obtaining further information from the client related to current concerns.
A nurse performs an assessment of pain discrimination on an older adult client. The
client correctly identifies, with eyes closed, a sharp sensation on the right hand when
touched with a pin. Which action should the nurse take next?
A. Touch the pin on the same area of the left hand
B. Contact the provider with the assessment results
C.Ask the client about current medications
D. Continue the assessment on the clients feet. - correct answer A. Touch the pin on
the same area of the left hand
If testing is begun on the right hand and the client correctly identifies the pain
stimulus, the nurse should continue the assessment on the left hand. This is a normal
finding and does not need to be reported to the provider, but instead documented in the
client's chart. Medication do not need to be assessed in response to this finding. The
nurse should assess the hand prior to assessing the feet.
A nurse is teaching a client with cerebellar function impairment. Which statement
should the nurse include in this clients discharge teaching?
A. Connect a light to flash when your doorbell rings
B. Label your faucet knobs with hot and cold signs
C. Ask a friend to drive you to your follow-up appointments
D. Use a natural gas detector with an audible alarm - correct answer C.Ask a friend to
drive you to your follow-up appointments
Cerebellar function enables the client to predict distance or gauge the speed with
which is one approaching an object, control voluntary movement, maintain equilibrium,
and shift from one skilled movement to another in an orderly sequence. A client who
has cerebellar function impairment should not be driving. The client would not have
difficulty hearing, distinguishing between hot and cold, or smelling.
A nurse assesses a client with a brain tumor. The client opens his eyes when the
nurse calls his name, mumbles in response to questions, and follows simple
commands. How should the nurse document the client's assessment using the GCS?
A. 8
B. 10
, NUR 211 Final (Latest
Update) Questions and 100% Correct
Verified Answers
C. 12
D. 14 - correct answer C. 12
The client opens his eyes to speech (Eye opening: to sound = 3), mumbles in response
to questions (Verbal response: Inappropriate words = 3), and follows simple
commands (Motor response: Obey commands = 6). Therefore, the clients GCS is: 3+3+6
= 12
After administering a medication that stimulates the sympathetic division of the
autonomic nervous system, the nurse assesses the client. For which clinical
manifestations should the nurse assess? (Select all that apply)
A. Decreased respiratory rate
B. Increased heart rate
C. Decreased level of consciousness
D. Increased force of contraction
E. Decreased blood pressure - correct answer B,D
Stimulation of the sympathetic nervous system initiates the fight-or-flight response,
increasing heart rate and force of contraction. A medication that stimulates the
sympathetic nervous system would also increase the client's respiratory rate, blood
pressure, and level of consciousness
A nurse assesses a client with a brain tumor. Which newly identified assessment
findings alert the nurse to urgently communicate with the health care provider? (Select
all that apply)
A. GCS of 8
B. Decerebrate posturing
C. Reactive pupils
D. Uninhibited speech
E. Diminished cognition - correct answer A,B,E
The nurse should urgently communicate changes in a clients neurologic status,
including a decrease in the GCS, abnormal flexion or extension, changes in cognition or
speech, and pinpointed, dilated, and nonreactive pupils
A nurse assesses an older client. Which assessment findings should the nurse identify
as normal changes in the nervous system related to aging? (Select all that apply)
Update) Questions and 100% Correct
Verified Answers
A nurse assesses a client recovering from a cerebral angiography via the clients
femoral artery. Which assessment should the nurse complete?
A. Palpate bilateral lower extremity pulses
B. Obtain orthostatic blood pressure readings
C. Perform a funduscopic examination
D. Assess the gag reflex prior to eating - correct answer A. Palpate bilateral lower
extremity pulses
Cerebral angiography is performed by threading a catheter through the femoral or
brachial artery. The extremity is kept immobilized after the procedure. The nurse
checks the extremity for adequate circulation by noting skin color and temperature,
presences and quality of pulses distal to the injection site, and capillary refill. Clients
usually are on bedrest; therefore, orthostatic blood pressure readings cannot be
performed. The funduscopic examination would be affected by cerebral angiography.
The client is given analgesics but not conscious sedation; therefore, the clients gag
reflex would not be compormised.
A nurse obtained a focused health history for a client who is scheduled for magnetic
resonance angiography. Which priority question should the nurse ask before the test?
A. Have you had a recent blood transfusion?
B. Do you have allergies to iodine or shellfish?
C. Are you taking any cardiac medications?
D. Do you currently use oral contraceptives? - correct answer B. Do you have allergies
to iodine or shellfish?
Allergies to iodine and/or shellfish need to be explored because the client may have a
similar reaction t the dye used in the procedure. In some cases, the client ay need to
be medicated with antihistamines or steroid before the test is given. A recent blood
transfusion or current use of cardiac medications or oral contraceptives would not
affect the angiography
A nurse obtained a focused health history for a client who is scheduled for an MRI.
Which condition should alert the nurse to contact the provider and cancel the
procedure?
A. Creatine phosphokinase of 100
B. Atriventricular graft
,NUR 211 Final (Latest
Update) Questions and 100% Correct
Verified Answers
C. BUN of 50
D. Internal insulin pump - correct answer D. Internal insulin pump
Metal devices such as internal pumps, pacemakers, and prostheses interfere with
accuracy of the image and can become displaced by the magnetic force generated by
an MRI procedure. An artioventricular graft does not contain any metal. CPK and BUN
levels have no impact on an MRI procedure
A nurse teaches a client who is scheduled for a positron emission tomography scan of
their brain. Which statement should the nurse include in this clients teaching?
A. Avoid caffeine-containing substances for 12 hours before the test
B. Drink at least 3 liters of fluid during the 24 hours after the test
C. Do not take your cardiac medication the morning of the test
D. Remove your dentures and any metal before the test begins - correct answer A.
Avoid caffeine-containing substances for 12 hours before the test
Caffeine-containing liquids and foods are central nervous system stimulants ad may
alter the test results. No contrast is used; therefore, the client does not need to
increase fluid intake. Th client should take cardiac medications as prescribed. Metal
does not have to be removed; this is done for MRI.
A nurse cares for a client who is experiencing deteriorating neurologic functions. The
client states, I am worried I will not be able to care for my young children. How should
the nurse respond?
A. Caring for your young children is a priority. You may not want to ask for help, but
you have too.
B. Our community has resources that may help you with some household tasks so you
have energy to care for your children.
C. You seem distressed. Would you like to talk to a psychologist about adjusting to your
changing status?
D. Give me more information about what worries you, so we can see if we can do
something to make adjustments. - correct answer D. Give me some more information
about what worries you, so we can see if we can do something to make adjustments
Investigate specific concerns about situational or role changes before providing
additional information. The nurse should not tell the client what is or is not a priority
for him or her. Although community resources may be available, they may not be
,NUR 211 Final (Latest
Update) Questions and 100% Correct
Verified Answers
appropriate for the client. Consulting a psychologist would not be appropriate without
obtaining further information from the client related to current concerns.
A nurse performs an assessment of pain discrimination on an older adult client. The
client correctly identifies, with eyes closed, a sharp sensation on the right hand when
touched with a pin. Which action should the nurse take next?
A. Touch the pin on the same area of the left hand
B. Contact the provider with the assessment results
C.Ask the client about current medications
D. Continue the assessment on the clients feet. - correct answer A. Touch the pin on
the same area of the left hand
If testing is begun on the right hand and the client correctly identifies the pain
stimulus, the nurse should continue the assessment on the left hand. This is a normal
finding and does not need to be reported to the provider, but instead documented in the
client's chart. Medication do not need to be assessed in response to this finding. The
nurse should assess the hand prior to assessing the feet.
A nurse is teaching a client with cerebellar function impairment. Which statement
should the nurse include in this clients discharge teaching?
A. Connect a light to flash when your doorbell rings
B. Label your faucet knobs with hot and cold signs
C. Ask a friend to drive you to your follow-up appointments
D. Use a natural gas detector with an audible alarm - correct answer C.Ask a friend to
drive you to your follow-up appointments
Cerebellar function enables the client to predict distance or gauge the speed with
which is one approaching an object, control voluntary movement, maintain equilibrium,
and shift from one skilled movement to another in an orderly sequence. A client who
has cerebellar function impairment should not be driving. The client would not have
difficulty hearing, distinguishing between hot and cold, or smelling.
A nurse assesses a client with a brain tumor. The client opens his eyes when the
nurse calls his name, mumbles in response to questions, and follows simple
commands. How should the nurse document the client's assessment using the GCS?
A. 8
B. 10
, NUR 211 Final (Latest
Update) Questions and 100% Correct
Verified Answers
C. 12
D. 14 - correct answer C. 12
The client opens his eyes to speech (Eye opening: to sound = 3), mumbles in response
to questions (Verbal response: Inappropriate words = 3), and follows simple
commands (Motor response: Obey commands = 6). Therefore, the clients GCS is: 3+3+6
= 12
After administering a medication that stimulates the sympathetic division of the
autonomic nervous system, the nurse assesses the client. For which clinical
manifestations should the nurse assess? (Select all that apply)
A. Decreased respiratory rate
B. Increased heart rate
C. Decreased level of consciousness
D. Increased force of contraction
E. Decreased blood pressure - correct answer B,D
Stimulation of the sympathetic nervous system initiates the fight-or-flight response,
increasing heart rate and force of contraction. A medication that stimulates the
sympathetic nervous system would also increase the client's respiratory rate, blood
pressure, and level of consciousness
A nurse assesses a client with a brain tumor. Which newly identified assessment
findings alert the nurse to urgently communicate with the health care provider? (Select
all that apply)
A. GCS of 8
B. Decerebrate posturing
C. Reactive pupils
D. Uninhibited speech
E. Diminished cognition - correct answer A,B,E
The nurse should urgently communicate changes in a clients neurologic status,
including a decrease in the GCS, abnormal flexion or extension, changes in cognition or
speech, and pinpointed, dilated, and nonreactive pupils
A nurse assesses an older client. Which assessment findings should the nurse identify
as normal changes in the nervous system related to aging? (Select all that apply)
