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NURSING NU278/NUR21PN 3 FINAL(1)
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NURSING NU278/NUR21PN 3 FINAL(1)
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1PN 3 FINAL(1).NUR2790 STUDY GUIDE EXAM 4
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
6. 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
7. 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.
,1PN 3 FINAL(1).
C. Administer antibiotics as prescribed.
D. Administer corticosteroids and osmotic diuretics as prescribed.
8. The nurse, caring for a client recovering from a traumatic brain injury, knows the client and
the family are eligible for specific federal programs because of the:
A. Associated Brain Act.
B. Traumatic Brain Injury Act of 2008.
C. Brain Protection Act.
D. Health Brain Act.
9. Which of the following should be avoided when caring for a client diagnosed with
increased intracranial pressure?
A. Placing the client on bed rest
B. Placing the bed in Trendelenburg
C. Starting an intravenous access line
D. Administering oxygen
10. A client is being instructed on treatments available for a newly diagnosed brain tumor. The
nurse realizes that this client's treatment could include all of the following EXCEPT:
A. photo DNA therapy.
B. radiation.
C. surgery.
D. chemotherapy.
11. 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?
A. Intravenous fluid therapy
B. Carotid endarterectomy
C. Carotid stenting
D. Antiarrhythmic medication
12. The nurse is caring for a patient with increased intracranial pressure. Which action is
considered unsafe?
A. Clustering many nursing activities
B. Aligning the neck with the body
C. Elevating the head of the bed 30 degrees
D. Providing stool softeners or laxatives as ordered
13. 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.
, 1PN 3 FINAL(1).
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.
D. Blood pressure
Liver
15. 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
16. 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.
17. A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess
for is:
A. Bleeding.
B. Nausea and vomiting.
C. infection.
D. Pain.
18. The nurse realizes that the organ which is a major site for metastases, harboring and
growing cancerous cells that originated in some other part of the body, is the:
A. gallbladder
B. spleen.
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