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NURS2790 STUDY GUIDE EXAM 4 QUESTIONS WITH ANNALISED ANSWER 2023.ASSURED SUCCESS A+. T, Exams of Nursing

Saint Francis Medical Center College of NursingNursing

NURS2790 STUDY GUIDE EXAM 4 QUESTIONS WITH ANNALISED ANSWER 2023.ASSURED SUCCESS A+. Top Ranked Solutions

Typology: Exams

2022/2023

Available from 11/30/2023

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NURS2790 STUDY GUIDE EXAM 4
QUESTIONS WITH ANNALISED ANSWER
2023.ASSURED SUCCESS A+. Top Ranked
Solutions
Neuro
1. For the client who is at risk for stroke, the most important guideline
the nurse should teach is to:
A. monitor weight and activity.
B. increase drinks with caffeine.
C. increase amounts of sodium in the diet.
D. monitor blood pressure.
2. A client is being evaluated for a stroke. The nurse knows that
one of the easiest and most common diagnostic tests used to
differentiate between strokes is:
A. magnetic resonance imaging (MRI).
B. positron emission tomography (PET).
C. electrocardiography (EEG).
D. computed tomography (CT).
3. While instructing a client on stroke prevention, the nurse mentions
medications that are useful in stroke prevention. The following
medications are effective in preventing a stroke, EXCEPT:
A. anticholinergics.
B. antiplatelets.
C. anticoagulants.
D. neuroprotective agents.
4. A client is being seen in the emergency department experiencing
symptoms of a stroke. The nurse realizes that the administration of
a medication to break clots, such as tPA, should be administered
within how many minutes of the client presenting to the
emergency department?
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Download NURS2790 STUDY GUIDE EXAM 4 QUESTIONS WITH ANNALISED ANSWER 2023.ASSURED SUCCESS A+. T and more Exams Nursing in PDF only on Docsity!

NURS2790 STUDY GUIDE EXAM 4

QUESTIONS WITH ANNALISED ANSWER

2023.ASSURED SUCCESS A+. Top Ranked

Solutions

Neuro

  1. For the client who is at risk for stroke, the most important guideline the nurse should teach is to: A. monitor weight and activity. B. increase drinks with caffeine. C. increase amounts of sodium in the diet. D. monitor blood pressure.
  2. A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is: A. magnetic resonance imaging (MRI). B. positron emission tomography (PET). C. electrocardiography (EEG). D. computed tomography (CT).
  3. While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: A. anticholinergics. B. antiplatelets. C. anticoagulants. D. neuroprotective agents.
  4. A client is being seen in the emergency department experiencing symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department?

A. 120 minutes B. 90 minutes C. 30 minutes D. 60 minutes

5. What is the major cause of traumatic brain injuries? MVC

  1. A client is diagnosed with a mild brain injury. Which of the following is an example of a mild injury? A. A. Vegetative state B. Coma C. Locked-in syndrome D. Concussion
  2. The nurse is planning care for a client diagnosed with increased intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure? A. Perform range-of-motion exercises every hour. B. Keep the head of the bed in the flat position.
  1. The earliest and most sensitive assessment finding that would indicate an alteration in intracranial regulation would be? A, inability to focus visually B. loss of primitive reflexes. C. unequal pupil size.

D. change in level of consciousness.

14. Components of the GCS the nurse would use to assess a patient after a

head injury include: A. head circumference. B. verbal responsiveness. C. cranial nerve function. Liv er D. Blood pressure

  1. A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? A. Hepatitis A B. Hepatitis D C. Hepatitis C D. Hepatitis B
  2. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is: A. drinking excessive alcohol. B. eating bad food. C. traveling to a foreign country. D. being in the military.
  3. A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: A. Bleeding.

D. stomach.

  1. A school age child is placed on a waiting list for a liver transplant. The nurse knows that the most common reason for children to need this type of transplant is because of: A. cirrhosis due to hepatitis C B. diabetes. C. Crohn's disease. D. biliary atresia.
  2. Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers: A. drink bottled water only. B. become vaccinated. C. wash their hands often. D. avoid foreign travel.
  3. A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis? A. Recovery B. Icteric C. Preicteric D. Posticteric
  4. A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? A. "I would ask the doctor if he's sure about the diagnosis." B. "All women have the disorder but not the symptoms." C. "Females often do not experience the effects of the disease until menopause." D. "It doesn't affect people until they are in their 50s."
  5. A client is diagnosed with liver disease. Which of the following is one impact of this disorder on a client's fluid and electrolyte status? A. Hyponatremia C. liver.

B. Hypernatremia C. Hypercalcemia D. Hyperkalemia

  1. The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? A. Pulmonary edema B. Pulmonary emboli C. Myocardial infarction D. Decreased peripheral pulses

Hemorrhoid s E. Gastritis F. Gallstone formation Musculoskeletal

  1. A client tells the nurse that he has pain, swelling, fatigue, and numbness of his hands. The nurse should assess the client for which of the following occupations? A. Retail store clerk B. Bus driver

C. Lifeguard D. Computer keyboard operator 31, A client who plays baseball on the weekends is experiencing an arm injury. The nurse realizes this client needs to be evaluated for: A. lateral epicondylitis. B. a rotator cuff tear. C. dislocation of the shoulder. D. patellar tendinopathy.

  1. A client, diagnosed with an ankle sprain, is prescribed ibuprofen to control pain and inflammation. What instruction should the client receive concerning this medication? A. "Take on an empty stomach to maximize its effect." B. "Take with food to minimize gastrointestinal irritation." C. "Wear sunscreen if outside to prevent a burn." D. “Bleeding is not a problem with this medication."
  2. A client, experiencing a fractured arm, asks the nurse why the splint is being applied. Which of the following should the nurse respond to this client? A. "It immobilizes the muscles and joints." B. "It prevents the need for surgery." C. "It reduces the need for a cast." D. "It reduces bleeding, swelling and pain."
  3. A client has had a cast applied to immobilize a right ulnar fracture. Which of the following nursing interventions is most important? A. Giving pain medication B. Starting discharge teaching C. Checking capillary refill time D. Calling physical therapy for a sling
  4. A client with a right arm cast is experiencing signs of a serious
  1. A client has been wearing a splint for carpal tunnel syndrome for 7 weeks. The nurse realizes that which of the following would be the next course of treatment for this client? A. Corticosteroid injection B. Casting C. Exercises D. Surgery
  2. The nurse is planning care for a client recovering from a meniscal injury. Which of the following should be included as strategies to avoid future injuries? A. Avoid skiing. B. Wear similar shoes for all activities. C. Avoid hamstring muscle exercises. D. Stretch before and after exercise.
  3. A client with an ankle sprain is instructed to follow RICE. Which of the following should the nurse instruct the client regarding this process? A. "Apply an elastic bandage to the site." B. "Apply ice to the ankle once a day." C. "Maintain your normal level of activity." D. "Elevate the extremity every day for 20 to 30 minutes."
  4. The nurse is instructing a client on ways to prevent the onset of stress fractures. Which of the following should be included in

these instructions? A. Increase intensity of training 10% each day B. Avoid overtraining C. Limit warm up exercises D. Avoid shock absorbing footwear

  1. The nurse suspects a client, recovering from hip replacement surgery, is experiencing an infection when which of the following is assessed? A. Pain with movement

ogical

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Greens

tick

fractur

e

Comminute

d fracture

Impact

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  1. Pt with #pelvis, dyspnea, and restlessness- what are S/S fat emboli: Sz, upper body petechiae, temp

A client, recovering from a fractured pelvis, begins to have

dyspnea and restlessness. The nurse is concerned that the

client is experiencing a fat emboli when which of the following

are assessed? SATA

Upper body

petechia

Seizures

Temp 102

MISCELLANEOUS

  1. The nurse is admitting an older adult with decompensated congestive heart failure. The nursing assessment reveals adventitious lung sounds, dyspnea, and orthopnea. The nurse should question which doctor's order? A. Oxygen via face mask at 8 L/min B. Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr C. Furosemide (Lasix) 20 mg PO now D. KCl 20 mEq PO two times per day
  2. At change-of-shift report, the nurse learns the medical diagnoses for four patients. Which patient should the nurse assess most carefully for development of hyponatremia? A. Tumor that secretes excessive antidiuretic hormone (ADH) B. Tumor that destroyed the posterior pituitary gland C. Tumor that secretes excessive aldosterone
  1. Nursing interventions for hypoK: fall precautions due to potential postural hypotension and weak l leg muscles.

The client’s laboratory report today indicates severe

hypokalemia and the nurse has notified the practitioner. Nursing

assessment indicates that heart rhythm is regular. What is the

most important nursing intervention for this patient now?

Institute fall precautions due to potential postural hypotension

and weak leg muscles

  1. The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective? A. "My blood became too acid because I lost some base in the diarrhea fluid." B. "I should try to slow my breathing so my acids and bases will be balanced." C. "To prevent another problem, I should eat less sodium during diarrhea." D. "Diarrhea removes fluid from the body, so I should drink more ice water."
  2. The patient has type B chronic obstructive pulmonary disease (COPD) exacerbated by an acute upper respiratory infection. Which blood gas values should the nurse expect to see? A. pH low, PaCO2 high, HCO3- high

B. pH low, PaCO2 high, HCO3- normal C. pH low, PaCO2 low, HCO3- low D. pH high, PaCO2 high, HCO3- high

  1. The nurse has telephone messages from four patients who requested information and assistance. Which one should the nurse refer to a social worker or community agency first? A. "Is there a place that I can dispose of my unused morphine pills?" B. "I ran out of money and am cutting my insulin dose in half." C. "I want to lose at least 20 pounds without getting sick this time." D. "I think I have asthma because I cough when dogs are near."