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DUNPHY EXAM 2 - PRIMARY CARE TEST QUESTIONS
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DUNPHY EXAM 2 - PRIMARY CARE TEST QUESTIONS
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DUNPHY EXAM 2 - PRIMARY CARE: TEST QUESTIONSA client is diagnosed with seizures occurring because of hepatic encephalopathy. The
nurse realizes that the cause for this clients seizures would be:
1. physiological
2. iatrogenic.
3. idiopathic.
4. psychokinetic - Answers- 1. Physiological
A client tells the nurse that he sees flashing lights that occur prior to the onset of a
seizure. Which of the following phases of a seizure is this client describing to the nurse?
1. Prodromal phase
2. Aural phase
3. Ictal phase
4. Postictal phase - Answers- 2. Aura
A client is experiencing a grand mal seizure. Which of the following should the nurse do
during this seizure?
1. Protect the clients head.
2. Leave the client alone.
3. Give water to the client to avoid dehydration.
4. Place a finger in the clients mouth to avoid swallowing the tongue. - Answers- 1.
Protect the clients head
A client is prescribed phenytoin (Dilantin) for a seizure disorder. Which of the following
would indicate that the client is adhering to the medication schedule?
1. The client is sleepy.
2. The client is not experiencing seizures.
3. The client no longer has headaches.
4. The client is eating more food - Answers- 2. The client is not experiencing seizures.
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?
1. 30 minutes
2. 60 minutes
3. 90 minutes
4. 120 minutes - Answers-
,A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes
that the client might be eligible for which of the following forms of treatment?
1. Carotid stenting
2. Antiarrhythmic medication
3. Intravenous fluid therapy
4. Carotid endarterectomy - Answers- 1. Carotid stenting
A patient with a temporary loss of motor function is diagnosed with a transient ischemic
attack (TIA). What should the nurse include when assisting in the teaching about this
health problem?
1. You had a small hemorrhage in your brain.
2. Your brain was temporarily deprived of oxygen.
3. The neurons in your brain are tangled, so messages get mixed up.
4. You have a vessel that is occluded, blocking the blood supply to your brain. -
Answers- 2. Your brain was temporarily deprived of oxygen.
The nurse is assisting with teaching a patient who has had a transient ischemic attack
(TIA). On which understanding should the nurse base teaching?
1. TIAs are not serious, and the patient should have no further problems.
2. A TIA is predictive that the patient will have a heart attack within 1 year.
3. A TIA is a medical emergency that requires immediate surgical intervention.
4. A TIA is a forewarning that the patient is at risk for a cerebrovascular accident
(stroke). - Answers- 4. A TIA is a forewarning that the patient is at risk for a
cerebrovascular accident (stroke).
The nurse is planning care for a client with right-sided weakness and aphasia from a
transient ischemic attack (TIA). Which area of the brain should the nurse realize was
affected in this client?
1. Medulla
2. Occipital lobe
3. Left hemisphere
4. Right hemisphere - Answers- 3. Left hemisphere
A patient with a cerebrovascular accident (stroke) has left-sided flaccidity and is unable
to speak but seems to understand everything the nurse says. Which term should the
nurse use to document the patients communication impairment?
1. Sensory aphasia
2. Motor dysphagia
3. Expressive aphasia
4. Receptive dysphagia - Answers- 3. Expressive aphasia
, 5. The nurse is documenting care provided to a patient with left-sided flaccidity caused
by a stroke. Which term should the nurse use to document this patients motor status?
1. Ipsilateral paraplegia
2. Ipsilateral hemiparesis
3. Contralateral hemiplegia
4. Contralateral quadriparesis - Answers- 3. Contralateral hemiplegia
A patient comes into the emergency department with symptoms of a stroke. Which
medication should the nurse expect may be given to the patient if diagnostic testing
confirms an ischemic stroke?
1. Heparin
2. Clopidogrel (Plavix)
3. Warfarin (Coumadin)
4. Tissue-type plasminogen activator (tPA) - Answers- 4. Tissue-type plasminogen
activator (tPA)
A patient is prescribed an antiplatelet agent to prevent strokes. Which agent was this
patient most likely prescribed?
1. Aspirin
2. Warfarin (Coumadin)
3. Acetaminophen (Tylenol)
4. Tissue-type plasminogen activator (tPA) - Answers- 1. Aspirin
A patient with symptoms of impending stroke is scheduled to have a cerebral
angiogram. Which statement should the nurse include when assisting with patient
teaching?
1. This test is designed to detect vascular lesions in the brain.
2. The angiogram is done to help identify swelling in the brain.
3. We need to do this to evaluate electrical function of the brain.
4. This test is done to examine cerebrospinal fluid for signs of bleeding. - Answers- 1.
This test is designed to detect vascular lesions in the brain.
The nurse is unable to insert an intravenous access line into a client who is currently
experiencing a seizure. Which of the following routes can the nurse use to provide
medication to the client at this time?
1. Oral
2. Intranasal
3. Rectal
4. Intramuscular - Answers- 2. intranasal
One of the most important things a nurse can teach a client about seizure control is to:
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