NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
Question 1 of 17
The nurse is assessing a military veteran who reports frequent headaches. For which neurologic health
problem is the client most at risk?
Brain cancer
Bell palsy
Traumatic brain injury
Stroke - ANSWER C- Traumatic brain injury
Military veterans are most at risk for traumatic brain injury (TBI) due to explosions that many
experienced during wars. Signs and symptoms of TBI can be mild such as headache or memory loss or
more severe.
Question 2 of 17
A client has just returned from having cerebral angiography. Which assessment finding would lead the
nurse to act immediately?
Severe headache
Bleeding
,NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
Urge to void
Increased temperature - ANSWER B- Bleeding
After a cerebral angiography, the nurse would immediately react if the client had any bleeding. If
bleeding is present at the puncture site, manual pressure on the site is maintained along with immediate
notification of the primary health care provider.
Increased temperature or the urge to void is not typical complications of cerebral angiography. Severe
headache is a typical complication of a lumbar puncture, but not of cerebral angiography.
Question 3 of 17
The nurse is assessing a client who is drowsy but easily awakened. What level of consciousness (LOC)
would the nurse document for this client?
Lethargic
Stuporous
Alert
Comatose - ANSWER A- Lethargic
The client is not alert and awake but can easily be awakened, which is referred to as
lethargy. Clients who are stuporous can only be aroused with painful stimuli. Comatose clients cannot
be aroused.
Question 4 of 17
A client is scheduled for an electroencephalogram (EEG). Which instruction does the nurse give the
client before the test?
,NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
"You may bring some music to listen to for distraction."
"Please do not have anything to eat or drink after midnight."
"Do not take any sedatives 12 to 24 hours before the test."
"You will need to have someone to drive you home." - ANSWER C- "Do not take any sedatives 12 to 24
hours before the test."
Before an EEG, the client needs to be instructed not to use sedatives or stimulants for 12 to 24 hours
prior to the test.
A client would not fast prior to an EEG as hypoglycemia may alter results. Testing takes place in a quiet
room, so music for distraction is not appropriate. Unless the EEG is for sleep disorder diagnosis, the
client will not need to be driven home.
Question 5 of 17
Which client diagnosed with neurologic injury is typically at highest risk for depression?
Older man with a mild stroke
Young man with a spinal cord injury
Older woman with a seizure
Young woman with a minor closed head injury - ANSWER B- Young man with a spinal cord injury
A young man with a spinal cord injury is at highest risk for depression. Although each individual
responds differently, young adults who experience a spinal cord injury and loss of independent
movement are more likely to experience depression.
, NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
Keeping in mind people's differences in personal experiences, the client with a mild stroke without long-
term deficits, the client who had a seizure or the young woman who sustained a minor head injury are
generally at a lower risk of depression.
Question 6 of 17
The nurse is caring for a client with impaired vision. The nurse knows the cranial nerve that controls
visual acuity is which of the following?
Cranial nerve V (trigeminal)
Cranial nerve II (optic)
Cranial nerve III (oculomotor)
Cranial nerve VII (facial) - ANSWER B- Cranial nerve II (optic)
Cranial nerve II (optic) is responsible for vision and cranial nerve III (oculomotor) is responsible for eye
movement. Cranial nerve V (trigeminal) allows an individual to feel a light breeze on the face. This nerve
is responsible for sensation from the skin of the face and scalp and the mucous membranes of the
mouth and nose.
Cranial nerve VII (facial) is responsible for pain and temperature from the ear area, deep sensations
from the face, and taste from the anterior two-thirds of the tongue.
Question 7 of 17
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?
Decreased coordination
answered solutions rated and approved!
NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
Question 1 of 17
The nurse is assessing a military veteran who reports frequent headaches. For which neurologic health
problem is the client most at risk?
Brain cancer
Bell palsy
Traumatic brain injury
Stroke - ANSWER C- Traumatic brain injury
Military veterans are most at risk for traumatic brain injury (TBI) due to explosions that many
experienced during wars. Signs and symptoms of TBI can be mild such as headache or memory loss or
more severe.
Question 2 of 17
A client has just returned from having cerebral angiography. Which assessment finding would lead the
nurse to act immediately?
Severe headache
Bleeding
,NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
Urge to void
Increased temperature - ANSWER B- Bleeding
After a cerebral angiography, the nurse would immediately react if the client had any bleeding. If
bleeding is present at the puncture site, manual pressure on the site is maintained along with immediate
notification of the primary health care provider.
Increased temperature or the urge to void is not typical complications of cerebral angiography. Severe
headache is a typical complication of a lumbar puncture, but not of cerebral angiography.
Question 3 of 17
The nurse is assessing a client who is drowsy but easily awakened. What level of consciousness (LOC)
would the nurse document for this client?
Lethargic
Stuporous
Alert
Comatose - ANSWER A- Lethargic
The client is not alert and awake but can easily be awakened, which is referred to as
lethargy. Clients who are stuporous can only be aroused with painful stimuli. Comatose clients cannot
be aroused.
Question 4 of 17
A client is scheduled for an electroencephalogram (EEG). Which instruction does the nurse give the
client before the test?
,NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
"You may bring some music to listen to for distraction."
"Please do not have anything to eat or drink after midnight."
"Do not take any sedatives 12 to 24 hours before the test."
"You will need to have someone to drive you home." - ANSWER C- "Do not take any sedatives 12 to 24
hours before the test."
Before an EEG, the client needs to be instructed not to use sedatives or stimulants for 12 to 24 hours
prior to the test.
A client would not fast prior to an EEG as hypoglycemia may alter results. Testing takes place in a quiet
room, so music for distraction is not appropriate. Unless the EEG is for sleep disorder diagnosis, the
client will not need to be driven home.
Question 5 of 17
Which client diagnosed with neurologic injury is typically at highest risk for depression?
Older man with a mild stroke
Young man with a spinal cord injury
Older woman with a seizure
Young woman with a minor closed head injury - ANSWER B- Young man with a spinal cord injury
A young man with a spinal cord injury is at highest risk for depression. Although each individual
responds differently, young adults who experience a spinal cord injury and loss of independent
movement are more likely to experience depression.
, NUR 211 exam 4 with 125 correctly
answered solutions rated and approved!
Keeping in mind people's differences in personal experiences, the client with a mild stroke without long-
term deficits, the client who had a seizure or the young woman who sustained a minor head injury are
generally at a lower risk of depression.
Question 6 of 17
The nurse is caring for a client with impaired vision. The nurse knows the cranial nerve that controls
visual acuity is which of the following?
Cranial nerve V (trigeminal)
Cranial nerve II (optic)
Cranial nerve III (oculomotor)
Cranial nerve VII (facial) - ANSWER B- Cranial nerve II (optic)
Cranial nerve II (optic) is responsible for vision and cranial nerve III (oculomotor) is responsible for eye
movement. Cranial nerve V (trigeminal) allows an individual to feel a light breeze on the face. This nerve
is responsible for sensation from the skin of the face and scalp and the mucous membranes of the
mouth and nose.
Cranial nerve VII (facial) is responsible for pain and temperature from the ear area, deep sensations
from the face, and taste from the anterior two-thirds of the tongue.
Question 7 of 17
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?
Decreased coordination
