NUR2214 Module 4 EAQs Exam Questions
With Correct Answers
A |nurse |observes |dorsiflexion |of |the |big |toe |and |fanning |of |other |toes |when |the |lateral |side |of
|a |client's |foot |is |stroked |with |an |applicator |stick |during |a |neurologic |examination. |What |
should |the |nurse |document |in |the |client's |medical |record? |- |CORRECT |ANSWER✔✔-"Exhibits |a
|positive |Babinski |sign"
A |client |has |a |tonic-clonic |seizure |at |work |and |is |admitted |to |the |emergency |department. |
Which |question |is |most |useful |when |planning |nursing |care |related |to |the |client's |seizure? |- |
CORRECT |ANSWER✔✔-"Were |you |aware |of |anything |different |or |unusual |just |before |your |
seizure |began?"
On |the |day |after |surgery |for |insertion |of |a |ventriculoperitoneal |shunt |to |treat |hydrocephalus, |
an |infant's |temperature |increases |to |103.0° |F |(39.4° |C). |The |nurse |immediately |notifies |the |
practitioner. |What |is |the |next |nursing |action? |- |CORRECT |ANSWER✔✔-Removing |excess |
clothing |from |the |infant
A |client |experiences |a |cerebral |vascular |accident |(CVA) |and |is |admitted |to |the |hospital |in |a |
coma. |What |is |the |priority |nursing |care |for |this |client? |- |CORRECT |ANSWER✔✔-Maintain |an |
open |airway.
A |50-year-old |male |client |has |difficulty |communicating |because |of |expressive |aphasia |after |a |
cerebrovascular |accident |(CVA, |also |known |as |a |"brain |attack"). |When |the |nurse |asks |the |
client |how |he |is |feeling, |his |wife |answers |for |him. |How |should |the |nurse |address |this |
behavior? |- |CORRECT |ANSWER✔✔-Acknowledge |the |wife |but |look |at |the |client |for |a |
response.
,A |child |sitting |on |a |chair |in |a |playroom |starts |to |have |a |tonic-clonic |seizure |with |a |clenched |
jaw. |What |is |the |best |initial |action |by |the |nurse? |- |CORRECT |ANSWER✔✔-Placing |the |child |on |
the |floor
A |client |has |inflammation |of |the |facial |nerve, |causing |facial |paralysis |on |one |side. |Which |
diagnosis |will |the |nurse |most |likely |observe |written |in |the |medical |record? |- |CORRECT |
ANSWER✔✔-Bell |palsy
Which |antiepileptic |drug |is |used |as |the |first-line |treatment |for |absence |seizures? |- |CORRECT |
ANSWER✔✔-valproic |acid
During |an |annual |physical |assessment |a |client |reports |not |being |able |to |smell |coffee |and |most
|foods. |Which |cranial |nerve |function |should |the |nurse |assess? |- |CORRECT |ANSWER✔✔-I
Which |statement |indicates |a |nurse |has |a |correct |understanding |about |trigeminal |autonomic |
cephalalgia |(cluster |headaches)? |- |CORRECT |ANSWER✔✔-It |is |caused |by |an |overactive |
hypothalamus.
A |client |who |takes |four |325-mg |tablets |of |buffered |aspirin |four |times |a |day |for |severe |arthritis
|complains |of |dizziness |and |ringing |in |the |ears. |Which |complication |does |the |nurse |conclude |
that |the |client |probably |is |experiencing? |- |CORRECT |ANSWER✔✔-Salicylate |toxicity
Which |cranial |nerve |damage |may |lead |to |a |decrease |in |the |client's |olfactory |acuity? |- |
CORRECT |ANSWER✔✔-Cranial |nerve |I
A |nurse |uses |the |Glasgow |Coma |Scale |to |assess |a |client's |status |after |a |head |injury. |When |the |
nurse |applies |pressure |to |the |nail |bed |of |a |finger, |which |movement |of |the |client's |upper |arm |
should |cause |the |most |concern? |- |CORRECT |ANSWER✔✔-extending
, The |nurse |caring |for |a |3-year-old |child |with |meningitis |should |be |alert |for |which |signs |and |
symptoms |of |increased |intracranial |pressure? |Select |all |that |apply. |- |CORRECT |ANSWER✔✔-
vomiting
headache
irritability
A |nurse |should |plan |to |maintain |a |client |who |has |experienced |a |subarachnoid |hemorrhage |in |
what |position? |- |CORRECT |ANSWER✔✔-In |bed |with |the |head |of |the |bed |elevated
During |a |seizure, |a |client |had |sudden |loss |of |muscle |tone |that |lasted |for |a |few |seconds |
followed |by |confusion. |Which |statement |about |this |type |of |seizures |is |true? |Select |all |that |
apply. |- |CORRECT |ANSWER✔✔-These |seizures |increase |the |risk |of |injuries |due |to |fall.
These |seizures |are |most |resistant |to |drug |therapy.
A |client |has |a |tonic-clonic |seizure |that |involves |all |extremities. |The |nurse |anticipates |that |the |
healthcare |provider |will |prescribe |the |intravenous |administration |of |which |drug? |- |CORRECT |
ANSWER✔✔-Diazepam
A |primary |healthcare |provider |diagnoses |late-stage |(tertiary) |syphilis |in |a |client. |Which |
statement |made |by |the |client |supports |this |diagnosis? |- |CORRECT |ANSWER✔✔-"I'm |having |
trouble |keeping |my |balance."
A |client |is |taking |phenytoin |to |treat |clonic-tonic |seizures. |The |client's |phenytoin |level |is |16 |
mg/L. |Which |action |should |the |nurse |take? |- |CORRECT |ANSWER✔✔-Administer |the |next |dose |
of |the |medication |as |prescribed.
The |nurse |is |teaching |a |client |with |multiple |sclerosis |methods |to |reduce |fatigue. |Which |
statement |indicates |an |understanding |of |the |education? |- |CORRECT |ANSWER✔✔-Rest |in |an |
air-conditioned |room.
With Correct Answers
A |nurse |observes |dorsiflexion |of |the |big |toe |and |fanning |of |other |toes |when |the |lateral |side |of
|a |client's |foot |is |stroked |with |an |applicator |stick |during |a |neurologic |examination. |What |
should |the |nurse |document |in |the |client's |medical |record? |- |CORRECT |ANSWER✔✔-"Exhibits |a
|positive |Babinski |sign"
A |client |has |a |tonic-clonic |seizure |at |work |and |is |admitted |to |the |emergency |department. |
Which |question |is |most |useful |when |planning |nursing |care |related |to |the |client's |seizure? |- |
CORRECT |ANSWER✔✔-"Were |you |aware |of |anything |different |or |unusual |just |before |your |
seizure |began?"
On |the |day |after |surgery |for |insertion |of |a |ventriculoperitoneal |shunt |to |treat |hydrocephalus, |
an |infant's |temperature |increases |to |103.0° |F |(39.4° |C). |The |nurse |immediately |notifies |the |
practitioner. |What |is |the |next |nursing |action? |- |CORRECT |ANSWER✔✔-Removing |excess |
clothing |from |the |infant
A |client |experiences |a |cerebral |vascular |accident |(CVA) |and |is |admitted |to |the |hospital |in |a |
coma. |What |is |the |priority |nursing |care |for |this |client? |- |CORRECT |ANSWER✔✔-Maintain |an |
open |airway.
A |50-year-old |male |client |has |difficulty |communicating |because |of |expressive |aphasia |after |a |
cerebrovascular |accident |(CVA, |also |known |as |a |"brain |attack"). |When |the |nurse |asks |the |
client |how |he |is |feeling, |his |wife |answers |for |him. |How |should |the |nurse |address |this |
behavior? |- |CORRECT |ANSWER✔✔-Acknowledge |the |wife |but |look |at |the |client |for |a |
response.
,A |child |sitting |on |a |chair |in |a |playroom |starts |to |have |a |tonic-clonic |seizure |with |a |clenched |
jaw. |What |is |the |best |initial |action |by |the |nurse? |- |CORRECT |ANSWER✔✔-Placing |the |child |on |
the |floor
A |client |has |inflammation |of |the |facial |nerve, |causing |facial |paralysis |on |one |side. |Which |
diagnosis |will |the |nurse |most |likely |observe |written |in |the |medical |record? |- |CORRECT |
ANSWER✔✔-Bell |palsy
Which |antiepileptic |drug |is |used |as |the |first-line |treatment |for |absence |seizures? |- |CORRECT |
ANSWER✔✔-valproic |acid
During |an |annual |physical |assessment |a |client |reports |not |being |able |to |smell |coffee |and |most
|foods. |Which |cranial |nerve |function |should |the |nurse |assess? |- |CORRECT |ANSWER✔✔-I
Which |statement |indicates |a |nurse |has |a |correct |understanding |about |trigeminal |autonomic |
cephalalgia |(cluster |headaches)? |- |CORRECT |ANSWER✔✔-It |is |caused |by |an |overactive |
hypothalamus.
A |client |who |takes |four |325-mg |tablets |of |buffered |aspirin |four |times |a |day |for |severe |arthritis
|complains |of |dizziness |and |ringing |in |the |ears. |Which |complication |does |the |nurse |conclude |
that |the |client |probably |is |experiencing? |- |CORRECT |ANSWER✔✔-Salicylate |toxicity
Which |cranial |nerve |damage |may |lead |to |a |decrease |in |the |client's |olfactory |acuity? |- |
CORRECT |ANSWER✔✔-Cranial |nerve |I
A |nurse |uses |the |Glasgow |Coma |Scale |to |assess |a |client's |status |after |a |head |injury. |When |the |
nurse |applies |pressure |to |the |nail |bed |of |a |finger, |which |movement |of |the |client's |upper |arm |
should |cause |the |most |concern? |- |CORRECT |ANSWER✔✔-extending
, The |nurse |caring |for |a |3-year-old |child |with |meningitis |should |be |alert |for |which |signs |and |
symptoms |of |increased |intracranial |pressure? |Select |all |that |apply. |- |CORRECT |ANSWER✔✔-
vomiting
headache
irritability
A |nurse |should |plan |to |maintain |a |client |who |has |experienced |a |subarachnoid |hemorrhage |in |
what |position? |- |CORRECT |ANSWER✔✔-In |bed |with |the |head |of |the |bed |elevated
During |a |seizure, |a |client |had |sudden |loss |of |muscle |tone |that |lasted |for |a |few |seconds |
followed |by |confusion. |Which |statement |about |this |type |of |seizures |is |true? |Select |all |that |
apply. |- |CORRECT |ANSWER✔✔-These |seizures |increase |the |risk |of |injuries |due |to |fall.
These |seizures |are |most |resistant |to |drug |therapy.
A |client |has |a |tonic-clonic |seizure |that |involves |all |extremities. |The |nurse |anticipates |that |the |
healthcare |provider |will |prescribe |the |intravenous |administration |of |which |drug? |- |CORRECT |
ANSWER✔✔-Diazepam
A |primary |healthcare |provider |diagnoses |late-stage |(tertiary) |syphilis |in |a |client. |Which |
statement |made |by |the |client |supports |this |diagnosis? |- |CORRECT |ANSWER✔✔-"I'm |having |
trouble |keeping |my |balance."
A |client |is |taking |phenytoin |to |treat |clonic-tonic |seizures. |The |client's |phenytoin |level |is |16 |
mg/L. |Which |action |should |the |nurse |take? |- |CORRECT |ANSWER✔✔-Administer |the |next |dose |
of |the |medication |as |prescribed.
The |nurse |is |teaching |a |client |with |multiple |sclerosis |methods |to |reduce |fatigue. |Which |
statement |indicates |an |understanding |of |the |education? |- |CORRECT |ANSWER✔✔-Rest |in |an |
air-conditioned |room.
