Davis Advantage for Understanding Medical-Surgical Nursing
7th Edition Linda S. Williams Test Bank Chapter 1-57 |
9781719644587 | All Chapters with Answers and Rationals
The nurse is about to administer a contrast medium to the client undergoing diagnostic testing. Which
question will the nurse first ask the client?
A. "Are you allergic to iodine or shellfish?"
B. "Are you in pain?"
C. "Are you wearing any metal?"
D. "Do you know what this test is for?" - ANSWER: A. The client should be asked about allergies to
contrast agents, shellfish, or iodine before contrast medium is administered because iodine is an
allergen that is frequently found in shellfish.
The client has just returned from a cerebral angiography. Which symptom does the client display that
causes the nurse to act immediately?
A. Bleeding
B. Increased temperature
C. Severe headache
D. Urge to void - ANSWER: A. If bleeding is present in the client who has had a cerebral angiography,
maintain manual pressure on the site and notify the physician immediately.
The client has received contrast medium. Which teaching will the nurse provide to avoid any
neurologic health problems after the procedure?
A. "Practice memory drills this afternoon."
B. "Drink at least 1000 to 1500 mL of water today."
C. "Avoid sunlight."
D. "Rest in bed for 24 hours." - ANSWER: B. Drinking an adequate amount of water helps flush the
contrast out of the body.
The client has undergone single-photon emission computed tomography (SPECT). Which instruction
does the nurse give the client?
A. "Continue to use the ice pack."
B. "Call me if you have any itching."
C. "Keep the head of the bed flat."
D. "Return to your usual activity." - ANSWER: D. Clients who have undergone SPECT can return to
their usual activities immediately after the test.
The nurse understands that which client diagnosed with neurologic injury is typically at highest risk
for depression?
A. Young man with a spinal cord injury
B. Young woman with a spinal cord injury
C. Older man with a mild stroke
D. Older woman with a mild stroke - ANSWER: A. Young males who experience a significant life-
changing event are typically at higher depression risk.
The nurse is aware that 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) - ANSWER: C. Cranial nerve V (trigeminal) is responsible for sensation from the skin of
the face and scalp and the mucous membranes of the mouth and nose.
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. Stability in pain perception - ANSWER: A. Older adults experience decreased coordination as a
result of the aging process.
The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which equipment will
the nurse need to perform this assessment?
A. Glucometer
B. Hammer
C. Nothing; the client is asked to walk
D. Paper clip - ANSWER: D. Pain sensation is assessed with any sharp or dull object, such as a cotton-
tipped applicator or a paper clip. The client indicates whether the touch is sharp or dull. The sharp
and dull ends should be interchanged at random, so that the client does not anticipate the next type
of sensation.
The nurse is performing a rapid neurologic assessment on a trauma client. Which assessment finding
is normal?
A. Decerebrate posturing
B. Increased lethargy
C. Minimal response to stimulation
D. Constriction of pupils - ANSWER: D. Pupil constriction is a function of cranial nerve III. Pupils should
be equal in size and round and regular in shape, and should react to light and accommodation
(PERRLA).
Which client will the neurologic unit charge nurse assign to a registered nurse who has floated from
the labor/delivery unit for the shift?
A. An older adult client who was just admitted with a stroke and needs an admission assessment
B. A young adult client who has had a lumbar puncture and reports, "Light hurts my eyes."
C. An adult client who has just returned from having a cerebral arteriogram and needs vital sign
checks every 15 minutes.
D. A middle-aged client who has a possible brain tumor and has questions about the scheduled
magnetic resonance imaging. - ANSWER: C. An RN with experience in labor and delivery would be able
to check vital signs and limbs for this client and would recognize signs of bleeding.
The nurse team leader is working with a nursing assistant in caring for a group of clients. Which task
will the nurse plan to delegate to the nursing assistant?
A. Prepare a client who is going to radiology for a cerebral arteriogram.
B. Attend to the care needs of a client who has had a transcranial Doppler study.
C. Assist the physician in performing a lumbar puncture on a confused client.
D. Educate a client about what to expect during an electroencephalogram (EEG). - ANSWER: B.
Transcranial Doppler studies are noninvasive and do not require any postprocedure monitoring or
care.
The nurse has just received change-of-shift report about a group of clients on the neurosurgical unit.
Which client will the nurse attend to first?
A. Young adult post-motor vehicle accident client who is yelling obscenities at the nursing staff
B. Adult postoperative left craniotomy client whose hand grips are weaker on the right
C. Middle-aged adult post-cerebral aneurysm clipping client who is increasingly stuporous
D. Older adult-old post-carotid endarterectomy client who is unable to state the day of the week -
ANSWER: C. A change in level of consciousness (LOC) is the first indication that central neurologic
function has declined; the neurologic status of this client should be assessed and the physician
notified about the change in status.
The nurse has just received report on a group of clients on the neurosurgical unit. Which client will be
the nurse's first priority?
A. Young adult client whose Glasgow Coma Scale (GCS) rating has changed from 15 to 10
B. Adult client whose deep tendon reflexes have become hyperactive
7th Edition Linda S. Williams Test Bank Chapter 1-57 |
9781719644587 | All Chapters with Answers and Rationals
The nurse is about to administer a contrast medium to the client undergoing diagnostic testing. Which
question will the nurse first ask the client?
A. "Are you allergic to iodine or shellfish?"
B. "Are you in pain?"
C. "Are you wearing any metal?"
D. "Do you know what this test is for?" - ANSWER: A. The client should be asked about allergies to
contrast agents, shellfish, or iodine before contrast medium is administered because iodine is an
allergen that is frequently found in shellfish.
The client has just returned from a cerebral angiography. Which symptom does the client display that
causes the nurse to act immediately?
A. Bleeding
B. Increased temperature
C. Severe headache
D. Urge to void - ANSWER: A. If bleeding is present in the client who has had a cerebral angiography,
maintain manual pressure on the site and notify the physician immediately.
The client has received contrast medium. Which teaching will the nurse provide to avoid any
neurologic health problems after the procedure?
A. "Practice memory drills this afternoon."
B. "Drink at least 1000 to 1500 mL of water today."
C. "Avoid sunlight."
D. "Rest in bed for 24 hours." - ANSWER: B. Drinking an adequate amount of water helps flush the
contrast out of the body.
The client has undergone single-photon emission computed tomography (SPECT). Which instruction
does the nurse give the client?
A. "Continue to use the ice pack."
B. "Call me if you have any itching."
C. "Keep the head of the bed flat."
D. "Return to your usual activity." - ANSWER: D. Clients who have undergone SPECT can return to
their usual activities immediately after the test.
The nurse understands that which client diagnosed with neurologic injury is typically at highest risk
for depression?
A. Young man with a spinal cord injury
B. Young woman with a spinal cord injury
C. Older man with a mild stroke
D. Older woman with a mild stroke - ANSWER: A. Young males who experience a significant life-
changing event are typically at higher depression risk.
The nurse is aware that 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) - ANSWER: C. Cranial nerve V (trigeminal) is responsible for sensation from the skin of
the face and scalp and the mucous membranes of the mouth and nose.
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. Stability in pain perception - ANSWER: A. Older adults experience decreased coordination as a
result of the aging process.
The nurse prepares to assess a client with diabetes mellitus for sensory loss. Which equipment will
the nurse need to perform this assessment?
A. Glucometer
B. Hammer
C. Nothing; the client is asked to walk
D. Paper clip - ANSWER: D. Pain sensation is assessed with any sharp or dull object, such as a cotton-
tipped applicator or a paper clip. The client indicates whether the touch is sharp or dull. The sharp
and dull ends should be interchanged at random, so that the client does not anticipate the next type
of sensation.
The nurse is performing a rapid neurologic assessment on a trauma client. Which assessment finding
is normal?
A. Decerebrate posturing
B. Increased lethargy
C. Minimal response to stimulation
D. Constriction of pupils - ANSWER: D. Pupil constriction is a function of cranial nerve III. Pupils should
be equal in size and round and regular in shape, and should react to light and accommodation
(PERRLA).
Which client will the neurologic unit charge nurse assign to a registered nurse who has floated from
the labor/delivery unit for the shift?
A. An older adult client who was just admitted with a stroke and needs an admission assessment
B. A young adult client who has had a lumbar puncture and reports, "Light hurts my eyes."
C. An adult client who has just returned from having a cerebral arteriogram and needs vital sign
checks every 15 minutes.
D. A middle-aged client who has a possible brain tumor and has questions about the scheduled
magnetic resonance imaging. - ANSWER: C. An RN with experience in labor and delivery would be able
to check vital signs and limbs for this client and would recognize signs of bleeding.
The nurse team leader is working with a nursing assistant in caring for a group of clients. Which task
will the nurse plan to delegate to the nursing assistant?
A. Prepare a client who is going to radiology for a cerebral arteriogram.
B. Attend to the care needs of a client who has had a transcranial Doppler study.
C. Assist the physician in performing a lumbar puncture on a confused client.
D. Educate a client about what to expect during an electroencephalogram (EEG). - ANSWER: B.
Transcranial Doppler studies are noninvasive and do not require any postprocedure monitoring or
care.
The nurse has just received change-of-shift report about a group of clients on the neurosurgical unit.
Which client will the nurse attend to first?
A. Young adult post-motor vehicle accident client who is yelling obscenities at the nursing staff
B. Adult postoperative left craniotomy client whose hand grips are weaker on the right
C. Middle-aged adult post-cerebral aneurysm clipping client who is increasingly stuporous
D. Older adult-old post-carotid endarterectomy client who is unable to state the day of the week -
ANSWER: C. A change in level of consciousness (LOC) is the first indication that central neurologic
function has declined; the neurologic status of this client should be assessed and the physician
notified about the change in status.
The nurse has just received report on a group of clients on the neurosurgical unit. Which client will be
the nurse's first priority?
A. Young adult client whose Glasgow Coma Scale (GCS) rating has changed from 15 to 10
B. Adult client whose deep tendon reflexes have become hyperactive
