NUR 211 Exam 4 Practice Questions and Correct Answers
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Course
NUR 211
Institution
NUR 211
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 C- Traumatic brain injury Military veterans are most at risk for traumatic brain inju...
NUR 211 Exam 4 Practice Questions and
Correct Answers
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 ✅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
Urge to void
Increased temperature ✅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 ✅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?
"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." ✅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 ✅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.
,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) ✅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
Increased touch sensation
Nightly confusion
Increased sleeping during the night ✅A- Decreased coordination
When performing a neurologic assessment on an elderly client, the nurse expects to
find decreased coordination. Older adults experience decreased coordination as a result
of the aging process.
Older adults frequently go to bed earlier and arise earlier than younger adults.
Sensation to touch is decreased, not increased. Nightly confusion, sometimes referred
to as "sundowning," is not an expected change with all older adults.
Question 8 of 17
, A diabetic client is scheduled to have a computed tomography-positron emission
tomography scan to rule out a brain tumor. What health teaching would the nurse
include?
"Take your antidiabetic medications as usual before the test."
"This test will only take about 20 to 30 minutes to complete."
"You'll need to let you doctor know if you have seafood allergies."
"You may drink liquids up until an hour before the test." ✅A- "Take your antidiabetic
medications as usual before the test."
The test requires the client to be NPO for at least 4 hours before the test, but the client
should take any prescribed antidiabetic drugs as usual. The test takes between 2 and 3
hours after the client receives an isotope. This contrast medium is safe for clients who
have allergies to seafood
Question 9 of 17
The nurse is caring for a client who had a lumbar puncture. What priority action would
the nurse perform to ensure client safety?
Monitor for increased intracranial pressure, such as decreased level of consciousness
(LOC).
Observe the needle insertion site for cerebrospinal fluid (CSF) leakage or infection.
Give an analgesic for client report of a headache if it is moderate or severe.
Take vital signs every hour after the procedure until the client is stable. ✅A- Monitor for
increased intracranial pressure, such as decreased level of consciousness (LOC).
After a lumbar puncture, the client has less CSF which can cause an expected mild to
moderate headache. However, the client may experience increased intracranial
pressure which is manifested by decreasing LOC, severe headache, nausea, and
vomiting. The nurse monitors for these potentially life-threatening changes. The nurse
also monitors for CSF leakage, takes vital signs as per agency protocol, and provides
analgesia as needed. However, these actions are not the priority for the nurse at this
time.
Question 10 of 17
The nurse has just received report on a group of clients on the neurosurgical unit.
Which client is the nurse's first priority?
Client who consistently demonstrates decortication when stimulated.
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