Galen Med Surg Exam 2 Questions with
Complete Solutions
A .male .client .has .been .experiencing .seizures .and .is .in .the .hospital .for .tests. .While .in .the .hospital
.setting, .the .client .experiences .a .seizure. .Which .of .the .following .should .the .nurse .do?
a. .Restrain .the .client's .arms .and .legs.
b. .Take .measures .to .prevent .injury.
c. .Place .a .tongue .blade .in .the .client's .mouth.
d. .Elevate .the .head .of .the .bed. .- .(correct .answer) .-b. .Take .measures .to .prevent .injury.
The .nurse .is .managing .a .client .with .new-onset .seizure .activity .and .is .to .provide .phenytoin. .The
.nurse .should .be .aware .that .Phenytoin
a. .causes .tissue .vesication .if .infiltrated
b. .has .the .most .rapid .onset .of .action .of .seizure .medications
c. .must .be .administered .in .dextrose
d. .administration .can .result .in .hypertension .- .(correct .answer) .-a. .causes .tissue .vesication .if
.infiltrated
The .nurse .is .performing .patient .education .regarding .medications .used .to .prevent .migraines. .Which
.of .the .following .medications .should .the .nurse .explain .as .potential .treatments?
,a. .Anti-seizure .drugs
b. .Anti-depressant .drugs
c. .Beta-blockers
d. .All .of .these .- .(correct .answer) .-d. .All .of .these
A .nurse .is .in .a .client's .room .when .the .client .begins .having .a .tonic-clonic .seizure. .Which .of .the
.following .actions .should .the .nurse .take .first?
a. .Turn .the .client's .head .to .the .side.
b. .Check .the .client's .motor .strength.
c. .Loosen .the .clothing .around .the .client's .waist.
d. .Document .the .time .the .seizure .began. .- .(correct .answer) .-a. .Turn .the .client's .head .to .the .side.
A .nurse .is .caring .for .a .client .who .has .Parkinson's .disease .and .is .taking .diphenhydramine .25 .mg .PO
.TID. .Which .of .the .following .therapeutic .outcomes .should .the .nurse .expect .to .see?
a. .Delay .in .disease .progression
b. .Improved .bladder .function
c. .Relief .of .depression
d. .Decreased .tremors .- .(correct .answer) .-d. .Decreased .tremors
A .nurse .is .caring .for .a .client .who .who .has .had .a .stroke .involving .the .right .hemisphere. .Which .of
.the .following .alterations .in .function .should .the .nurse .expect?
a. .Difficulty .reading
b. .Inability .to .recognize .his .family .members
c. .Right .hemiparesis
d. .Aphasia .- .(correct .answer) .-b. .Inability .to .recognize .his .family .members
The .right .hemisphere .is .involved .with .visual .and .spatial .awareness.
A .white .lipid .covering .of .axons .- .(correct .answer) .-myelin .sheath
, As .the .nurse .you .are .providing .care .for .a .client .who .has .a .diagnosis .of .macular .degeneration.
.Which .of .the .following .foods .should .the .nurse .recommend .for .this .client? .Select .all .that .apply. .
a. .Sweet .potatoes
b. .red .meat
c. .chicken
d. .broccoli .- .(correct .answer) .-a. .Sweet .potatoes
d. .broccoli
This .is .the .area .in .the .brain .which .controls .speech .- .(correct .answer) .-Broca's .area
This .is .the .area .in .the .brain .which .controls .language .processing .- .(correct .answer) .-Wernicke's .area
Area .at .the .base .of .the .brain .where .the .anterior, .middle, .and .posterior .cerebral .arteries .join
.together .- .(correct .answer) .-Circle .of .Willis
Involves .altered .LOC. .Patient .may .have .amnesia .after .the .seizure. .Hard .to .diagnose .because .it .can
.resemble .dementia .- .(correct .answer) .-Complex .epilepsy
Affects .entire .brain .- .(correct .answer) .-Generalized .epilepsy
Generalized .seizure .involving .sudden, .brief .LOC, .usually .in .children. .Appears .that .they .are .staring .off
.into .space .- .(correct .answer) .-Absence .epilepsy
Brief .muscle .jerks, .lasts .seconds .- .(correct .answer) .-Myoclonic
Involves .brief .loss .of .tone. .Can .be .confused .with .fainting .- .(correct .answer) .-Atonic
A .patient .has .a .history .of .chronic .obstructive .pulmonary .disease. .The .patient's .oxygen .flow .rate
.should .be .set .to .no .more .than ._____ .L/min. .- .(correct .answer) .-2-4
The .client .is .prescribed .to .have .80% .oxygen .administered .continuously .in .a .noninvasive .manner.
.Which .type .of .delivery .system .should .you .select .to .meet .these .criteria? .- .(correct .answer) .-Nasal
.cannula
Which .nursing .intervention .would .you .use .to .prevent .injury .in .the .client .receiving .oxygen .therapy
.by .continuous .nasal .cannula? .- .(correct .answer) .-Providing .mouth .care .every .8 .hours
When .teaching .a .patient .who .will .be .receiving .antihistamines, .the .nurse .will .include .which
.instructions? .(Select .all .that .apply.)
Complete Solutions
A .male .client .has .been .experiencing .seizures .and .is .in .the .hospital .for .tests. .While .in .the .hospital
.setting, .the .client .experiences .a .seizure. .Which .of .the .following .should .the .nurse .do?
a. .Restrain .the .client's .arms .and .legs.
b. .Take .measures .to .prevent .injury.
c. .Place .a .tongue .blade .in .the .client's .mouth.
d. .Elevate .the .head .of .the .bed. .- .(correct .answer) .-b. .Take .measures .to .prevent .injury.
The .nurse .is .managing .a .client .with .new-onset .seizure .activity .and .is .to .provide .phenytoin. .The
.nurse .should .be .aware .that .Phenytoin
a. .causes .tissue .vesication .if .infiltrated
b. .has .the .most .rapid .onset .of .action .of .seizure .medications
c. .must .be .administered .in .dextrose
d. .administration .can .result .in .hypertension .- .(correct .answer) .-a. .causes .tissue .vesication .if
.infiltrated
The .nurse .is .performing .patient .education .regarding .medications .used .to .prevent .migraines. .Which
.of .the .following .medications .should .the .nurse .explain .as .potential .treatments?
,a. .Anti-seizure .drugs
b. .Anti-depressant .drugs
c. .Beta-blockers
d. .All .of .these .- .(correct .answer) .-d. .All .of .these
A .nurse .is .in .a .client's .room .when .the .client .begins .having .a .tonic-clonic .seizure. .Which .of .the
.following .actions .should .the .nurse .take .first?
a. .Turn .the .client's .head .to .the .side.
b. .Check .the .client's .motor .strength.
c. .Loosen .the .clothing .around .the .client's .waist.
d. .Document .the .time .the .seizure .began. .- .(correct .answer) .-a. .Turn .the .client's .head .to .the .side.
A .nurse .is .caring .for .a .client .who .has .Parkinson's .disease .and .is .taking .diphenhydramine .25 .mg .PO
.TID. .Which .of .the .following .therapeutic .outcomes .should .the .nurse .expect .to .see?
a. .Delay .in .disease .progression
b. .Improved .bladder .function
c. .Relief .of .depression
d. .Decreased .tremors .- .(correct .answer) .-d. .Decreased .tremors
A .nurse .is .caring .for .a .client .who .who .has .had .a .stroke .involving .the .right .hemisphere. .Which .of
.the .following .alterations .in .function .should .the .nurse .expect?
a. .Difficulty .reading
b. .Inability .to .recognize .his .family .members
c. .Right .hemiparesis
d. .Aphasia .- .(correct .answer) .-b. .Inability .to .recognize .his .family .members
The .right .hemisphere .is .involved .with .visual .and .spatial .awareness.
A .white .lipid .covering .of .axons .- .(correct .answer) .-myelin .sheath
, As .the .nurse .you .are .providing .care .for .a .client .who .has .a .diagnosis .of .macular .degeneration.
.Which .of .the .following .foods .should .the .nurse .recommend .for .this .client? .Select .all .that .apply. .
a. .Sweet .potatoes
b. .red .meat
c. .chicken
d. .broccoli .- .(correct .answer) .-a. .Sweet .potatoes
d. .broccoli
This .is .the .area .in .the .brain .which .controls .speech .- .(correct .answer) .-Broca's .area
This .is .the .area .in .the .brain .which .controls .language .processing .- .(correct .answer) .-Wernicke's .area
Area .at .the .base .of .the .brain .where .the .anterior, .middle, .and .posterior .cerebral .arteries .join
.together .- .(correct .answer) .-Circle .of .Willis
Involves .altered .LOC. .Patient .may .have .amnesia .after .the .seizure. .Hard .to .diagnose .because .it .can
.resemble .dementia .- .(correct .answer) .-Complex .epilepsy
Affects .entire .brain .- .(correct .answer) .-Generalized .epilepsy
Generalized .seizure .involving .sudden, .brief .LOC, .usually .in .children. .Appears .that .they .are .staring .off
.into .space .- .(correct .answer) .-Absence .epilepsy
Brief .muscle .jerks, .lasts .seconds .- .(correct .answer) .-Myoclonic
Involves .brief .loss .of .tone. .Can .be .confused .with .fainting .- .(correct .answer) .-Atonic
A .patient .has .a .history .of .chronic .obstructive .pulmonary .disease. .The .patient's .oxygen .flow .rate
.should .be .set .to .no .more .than ._____ .L/min. .- .(correct .answer) .-2-4
The .client .is .prescribed .to .have .80% .oxygen .administered .continuously .in .a .noninvasive .manner.
.Which .type .of .delivery .system .should .you .select .to .meet .these .criteria? .- .(correct .answer) .-Nasal
.cannula
Which .nursing .intervention .would .you .use .to .prevent .injury .in .the .client .receiving .oxygen .therapy
.by .continuous .nasal .cannula? .- .(correct .answer) .-Providing .mouth .care .every .8 .hours
When .teaching .a .patient .who .will .be .receiving .antihistamines, .the .nurse .will .include .which
.instructions? .(Select .all .that .apply.)
