Ati test 4
A nurse is caring for a client who displays signs of stage 3 Parkinson's disease. Which of the following
actions should the nurse include in the plan of care?
A. Recommend a community support group.
B. Integrate a daily exercise routine.
C. Provide a walker for ambulation.
D. Consultation with a dietitian. - C. Provide a walker for ambulation
A nurse is developing a plan of care for the nutritional needs of a client who has stage 4 Parkinson's
disease. Which actions should the nurse include in the plan of care? (Select all that apply.)
A. Provide three large balanced meals daily.
B. Record diet and fluid intake daily.
C. Document weight every other week.
D. Add thickener to liquids.
E. Offer nutritional supplements between meals. - B. Record diet and fluid intake daily
D. Add thickener to liquids
E. Offer nutritional supplements between meals
A nurse is reinforcing teaching with a client who has Parkinson's disease and has received a prescription
for bromocriptine (Parlodel). Which of the following instructions should the nurse include in the
teaching?
A. Rise slowly when standing.
B. Increase carbohydrate intake.
C. Limit exposure to heat.
D. Report any skin discoloration. - A. Rise slowly when standing
A nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are
expected findings? (Select all that apply.)
A. Decreased vision
,B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
E. Bilateral ankle edema
F. Lack of facial expressions - B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
F. Lack of facial expressions
A nurse is caring for a client who has Parkinson's disease and displays signs of bradykinesia. Which of
the following is an appropriate action by the nurse?
A. Allow client extra time for verbal responses to questions.
B. Complete passive range-of-motion exercises.
C. Provide an alternate form of communication.
D. Assist with hygiene as needed. - D. Assist with hygiene as needed
A nurse is caring for a client post-lumbar puncture who reports a throbbing headache when sitting
upright for meals. Which of the following are appropriate actions by the nurse? (Select all that apply.)
A. Use the Glasgow Coma Scale when assessing the client.
B. Assist client to eat meals while lying flat in bed.
C. Administer an opioid medication.
D. Encourage client to increase fluid intake.
E. Place client in a "cannonball" position. - B. Assist client to eat meals while lying flat in bed
C. Administer an opioid medication
D. Encourage client to increase fluid intake
A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular
catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy?
, A. Headache
B. Infection
C. Aphasia
D. Hypertension - B. Infection
A nurse is assessing a client for changes in the level of consciousness using the Glasgow Coma Scale.
The client opens his eyes when spoken to, speaks incoherently, and moves his extremities when pain is
applied. Which of the following is the correct scoring by the nurse using the Scale that indicates the
client
has a moderate head injury?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8 - B. E3+V4+M4=11
A nurse is developing a plan of care for a client who is scheduled for a cerebral angiogram with contrast
dye. Which of the following statements by the client should the nurse report to the provider? (Select all
that apply.)
A. "I think I may be pregnant."
B. "I take Coumadin."
C. "I take antihypertensive medication."
D. "I am allergic to shrimp."
E. "I am allergic to latex." - A: I think I may be pregnant
B. I take Coumadin
D. I am allergic to shrimp
A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the next
day. Which of the following information should the nurse include in the teaching?
A. "Do not wash your hair the morning of the procedure."
A nurse is caring for a client who displays signs of stage 3 Parkinson's disease. Which of the following
actions should the nurse include in the plan of care?
A. Recommend a community support group.
B. Integrate a daily exercise routine.
C. Provide a walker for ambulation.
D. Consultation with a dietitian. - C. Provide a walker for ambulation
A nurse is developing a plan of care for the nutritional needs of a client who has stage 4 Parkinson's
disease. Which actions should the nurse include in the plan of care? (Select all that apply.)
A. Provide three large balanced meals daily.
B. Record diet and fluid intake daily.
C. Document weight every other week.
D. Add thickener to liquids.
E. Offer nutritional supplements between meals. - B. Record diet and fluid intake daily
D. Add thickener to liquids
E. Offer nutritional supplements between meals
A nurse is reinforcing teaching with a client who has Parkinson's disease and has received a prescription
for bromocriptine (Parlodel). Which of the following instructions should the nurse include in the
teaching?
A. Rise slowly when standing.
B. Increase carbohydrate intake.
C. Limit exposure to heat.
D. Report any skin discoloration. - A. Rise slowly when standing
A nurse is assessing a client for manifestations of Parkinson's disease. Which of the following are
expected findings? (Select all that apply.)
A. Decreased vision
,B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
E. Bilateral ankle edema
F. Lack of facial expressions - B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
F. Lack of facial expressions
A nurse is caring for a client who has Parkinson's disease and displays signs of bradykinesia. Which of
the following is an appropriate action by the nurse?
A. Allow client extra time for verbal responses to questions.
B. Complete passive range-of-motion exercises.
C. Provide an alternate form of communication.
D. Assist with hygiene as needed. - D. Assist with hygiene as needed
A nurse is caring for a client post-lumbar puncture who reports a throbbing headache when sitting
upright for meals. Which of the following are appropriate actions by the nurse? (Select all that apply.)
A. Use the Glasgow Coma Scale when assessing the client.
B. Assist client to eat meals while lying flat in bed.
C. Administer an opioid medication.
D. Encourage client to increase fluid intake.
E. Place client in a "cannonball" position. - B. Assist client to eat meals while lying flat in bed
C. Administer an opioid medication
D. Encourage client to increase fluid intake
A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular
catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the
following complications related to the ventriculostomy?
, A. Headache
B. Infection
C. Aphasia
D. Hypertension - B. Infection
A nurse is assessing a client for changes in the level of consciousness using the Glasgow Coma Scale.
The client opens his eyes when spoken to, speaks incoherently, and moves his extremities when pain is
applied. Which of the following is the correct scoring by the nurse using the Scale that indicates the
client
has a moderate head injury?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8 - B. E3+V4+M4=11
A nurse is developing a plan of care for a client who is scheduled for a cerebral angiogram with contrast
dye. Which of the following statements by the client should the nurse report to the provider? (Select all
that apply.)
A. "I think I may be pregnant."
B. "I take Coumadin."
C. "I take antihypertensive medication."
D. "I am allergic to shrimp."
E. "I am allergic to latex." - A: I think I may be pregnant
B. I take Coumadin
D. I am allergic to shrimp
A nurse is providing education to a client who is to undergo an electroencephalogram (EEG) the next
day. Which of the following information should the nurse include in the teaching?
A. "Do not wash your hair the morning of the procedure."
