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NUR 209 Neurology Fall Exam 1 Latest Update 2022
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NUR 209 Neurology Fall Exam 1 Latest Update 2022 NUR 209 Neurology Fall Exam 1 Latest Update 2022
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NUR 209 Neurology Fall Exam 1NUR 209 Neurology Fall Exam 1 1NUR 209 Neurology Fall Exam 1
1. The nurse is assessing the motor function of an
unconscious client. The nurse should plan to use which
technique to test the client's peripheral response to
pain?
1. Sternal rub
2. Nail bed pressure
3. Pressure on the orbital rim
4. Squeezing of the sternocleidomastoid muscle
2.Nail bed pressure
2. The nurse is caring for the client with increased
intracranial pressure. The nurse would note which trend in
vital signs if the intracranial pressure is rising?
1. Increasing temperature, increasing pulse,
increasing respirations, decreasing blood pressure
2. Increasing temperature, decreasing pulse,
decreasing respirations, increasing blood pressure
3. Decreasing temperature, decreasing pulse,
increasing respirations, decreasing blood pressure
4. Decreasing temperature, increasing pulse,
decreasing respirations, increasing blood pressure
2. Increasing temperature, decreasing pulse, decreasing respirations,
increasing blood pressure
3. A client recovering from a head injury is participating
in care. The nurse determines that the client understands
measures to prevent elevations in intracranial pressure
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, NUR 209 Neurology Fall Exam 1NUR 209 Neurology Fall Exam 1 2
if the nurse observes the client doing which activity?
1. Blowing the nose
2. Isometric exercises
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, NUR 209 Neurology Fall Exam 1NUR 209 Neurology Fall Exam 1 3
3. Coughing vigorously
4. Exhaling during repositioning
4. Exhaling during repositioning
4. A client has clear fluid leaking from the nose following a
basilar skull fracture. Which finding would alert the
nurse that cerebrospinal fluid is present?
1. Fluid is clear and tests negative for glucose.
2. Fluid is grossly bloody in appearance and has a pH of 6.
3. Fluid clumps together on the dressing and has a pH of 7.
4. Fluid separates into concentric rings and tests
positive for glucose.
4. Fluid separates into concentric rings and tests positive for glucose.
5. A client with a spinal cord injury is prone to
experiencing autonomic dysreflexia. The nurse should
avoid which measure to minimize the risk of occurrence?
1. Strict adherence to a bowel retraining program
2. Keeping the linen wrinkle-free under the client
3. Preventing unnecessary pressure on the lower limbs
4. Limiting bladder catheterization to once every 12 hours
4. Limiting bladder catheterization to once every 12 hours
6. The nurse is evaluating the neurological signs of a client
in spinal shock following spinal cord injury. Which
observation indicates that spinal shock persists?
1. Hyperreflexia
2. Positive reflexes
3. Flaccid paralysis
4. Reflex emptying of the bladder
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, NUR 209 Neurology Fall Exam 1NUR 209 Neurology Fall Exam 1 4
3. Flaccid paralysis
7. The nurse is caring for a client who begins to experience
seizure activity while in bed. Which action by the nurse
is contraindicated?
1. Loosening restrictive clothing
2. Restraining the client's limbs
3. Removing the pillow and raising padded side rails
4. Positioning the client to the side, if possible, with
the head flexed forward
2. Restraining the client's limbs
8. The nurse is assigned to care for a client with
complete right-sided hemiparesis. Which
characteristics are associated with this condition?
Select all that apply.
1. The client is aphasic.
2. The client has weakness in the face and tongue.
3. The client has weakness on the right side of the body.
4. The client has complete bilateral paralysis of the
arms and legs.
5. The client has lost the ability to move the right arm but
is able to walk independently.
6. The client has lost the ability to ambulate
independently but is able to feed and bathe himself or
herself without assistance.
o 1. The client is aphasic.
o 2. The client has weakness in the face and tongue.
o 3. The client has weakness on the right side of the body.
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