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The nurse is about to administer a contrast medium to the client undergoing diagnostic
testing. Which question does the nurse first ask the client?
A. "Are you in pain?"
B. "Are you taking ibuprofen daily
C. "Are you wearing any metal?"
D. "Do you know what this test is for?" - CORRECT ANSWER-B
Which task does the nurse plan to delegate to the unlicensed assistive personnel (UAP)
caring for a group of clients in the neurosurgical unit?
A. Assist the health care provider in performing a lumbar puncture on a confused client
B. Attend to the care needs of a client who has had a transcranial Doppler study
C. Educate a client about what to expect during an electroencephalogram (EEG)
D. Prepare a client who is going to radiology for a cerebral arteriogram - CORRECT
ANSWER-B
Which information is most important for the nurse to communicate to the primary care
provider (PCP) about a client who is scheduled for CT angiography?
A. Allergy to penicillin
B. History of bacterial meningitis
C. Poor skin turgor and dry mucous membranes
,D. The client's dose of metformin (Glucophage) held today - CORRECT ANSWER-C
The nurse is caring for a client who is scheduled to have a transcranial Doppler (TCD).
What does this diagnostic test evaluate?
A. Cerebral vasospasm
B. Cerebrospinal fluid
C. Evoked potentials
D. Intracranial pressure - CORRECT ANSWER-A
The nurse has just received report on a group of clients on the neurosurgical unit.
Which client is the nurse's first priority?
A. Client whose deep tendon reflexes have become hyperactive
B. Client who displays plantar flexion when the bottom of the foot is stroked
C. Client who consistently demonstrates decortication when stimulated
D. Client whose Glasgow Coma Scale (GCS) has changed from 15 to 13. - CORRECT
ANSWER-D
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. Nightly confusion - CORRECT ANSWER-A
,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) - CORRECT ANSWER-C
The nurse has just received report on a group of clients. Which client does the nurse
assess first?
A. Client who was in a car accident and has a Glasgow Coma Scale score of 14
B. Client who had a cerebral arteriogram and has a cool, pale leg
C. Client who has a headache after undergoing a lumbar puncture
D. Client who has expressive aphasia after a left-sided stroke - CORRECT ANSWER-B
The nurse has just received change-of-shift report about a group of clients on the
neurosurgical unit. Which client does the nurse attend to first?
A. Adult postoperative left craniotomy client whose hand grip is weaker on the right
B. Middle-aged adult client who had a cerebral aneurysm clipping and is becoming
increasingly confused
C. Older adult client who had a carotid endarterectomy and is unable to state the day of
the week
D. Young adult client involved in a motor vehicle crash (MVC) who is yelling obscenities
at the nursing staff - CORRECT ANSWER-B
An older client presents to the clinic after a ground level fall at home. What statement by
the client indicates the need for more injury prevention education?
, A. "I always take my medicine as directed."
B. "I only eat little snacks so I don't gain weight."
C. "I will make sure I drink enough water."
D. "I make sure to get as much sleep as I used to." - CORRECT ANSWER-B
A client is scheduled for an electroencephalogram (EEG) in the morning. Which
instruction does the nurse give the client?
A. "Do not take any sedatives 12-24 hours before the test."
B. "Please do not have anything to eat or drink after midnight."
C. "You may bring some music to listen to for distraction."
D. "You will need to have someone to drive you home." - CORRECT ANSWER-A
The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which
equipment is the best choice for the nurse use to perform this assessment?
A. Cotton-tipped applicator
B. Glucometer
C. Hammer
D. Safety pin - CORRECT ANSWER-A
The nurse is assessing a client with a neurologic condition who is reporting difficulty
chewing when eating. The nurse suspects that which cranial nerve has been affected?
A. Abducens (CN VI)
B. Facial (CN VII)