• A nurse is monitoring a patient with a suspected stroke. The
physician orders a CT brain scan.
• A patient with a suspected aneurysm is scheduled for a CT
Angiography (CTA). What is the purpose of this test?
▪ To assess blood vessels for blockages, aneurysms, or
vascular malformations
• A nurse is preparing a patient for an MRI brain scan. What is the most
appropriate explanation for why this test is ordered
▪ It provides detailed imaging to detect brain tumors,
multiple sclerosis, or neurodegenerative diseases
• A patient has a history of Afib is being evaluated for a possible stroke.
The physician orders an Echocardiogram (TTE). What is the purpose
of this test?
▪ To assess the heart for emboli sources that could lead to a
stroke
• A patient is suspected meningitis is scheduled for a Lumbar Puncture.
What is the primary reason this test is ordered?
▪ To diagnose infections like meningitis or encephalitis or
evaluated subarachnoid
• A blood coagulation panel is ordered for suspected stroke. What is the
purpose for this test?
▪ To assess bleeding disorders or stroke risk
• Which substance accounts for 90% of plasma?
▪ Water
• A client is prescribed prednisone for treatment of a type 1 reaction.
The nurse plans to monitor the client for which adverse effects?
(Select all that apply.)
▪ Infection
▪ Fluid retention
▪ Osteoporosis
▪ Gastric distress
• During the assessment of an 80-year-old patient, the nurse notices
that his hands show tremors when he reaches for something and his
head is always nodding. No associated rigidity is observed with
movement. Which of these statements is most accurate?
▪ These findings are normal, resulting from aging
• The barbiturate phenobarbital is prescribed for a patient with
epilepsy. While assessing the patient’s current medications, the nurse
recognizes that interactions may occur with which drugs? (Select all
that apply.)
, ▪ Anticoagulants
▪ Antihistamines
▪ Opioids
▪ Oral contraceptives
• PNS causes the eyes to dry out, heart rate to decrease, and stomach
to increase secretions.
• The nurse is reviewing the medications for a patient recently
diagnosed with ADHD and prescribed methylphenidate. Which
previous medical condition in the patient’s history should the nurse
report to the prescriber?
▪ Seizure disorder
• A nurse is reviewing discharge instructions with a client following a
right cataract extraction. Which of the following instructions should
the nurse include?
▪ Avoid lifting anything heavier than 4.5kg (10 lb) for 1
week
• A 21-year-old patient has had a head injury resulting from trauma and
is unconscious. There are no other injuries. During the assessment
what would the nurse expect to find when testing the patient’s deep
tendon reflexes?
▪ Reflexes will be normal
• The PNS causes the pupils to constrict, respiratory rate to decrease,
digestive system to speed up.
• A nurse is in a client’s room when the client begins having a tonic-
clinic seizure. Which of the following actions should the nurse take
first?
▪ Turn the client’s head to the side, then loosen clothing
• Tonic = Stiffening
• Clinic = Jerking
• Myoclonic = Brief muscle jerks, lasts seconds
• Generalized = Affects entire brain
• Tonic-Clonic (Grand-mal) = Stereotypical body convulsions. Lasts
minutes, involves muscle rigidity and convulsions
• Atonic = Involves brief loss of tone. Can be confused with fainting.
• The nurse is testing the hearing of a 78-year-old man and is reminded
of the changes in hearing that occur with aging that include which of
the following? (Select all that apply.)
▪ Progression of hearing loss is slow
▪ Sounds may be garbled and difficult to localize