Exam 3: NUR210 / NUR 210 (Latest
Update ) Transition to
Practice - Capstone | Questions and
Verified Answers | 100% Correct -
Fortis
Question:
The nurse is assessing a client for meningeal irritation and elicits a positive
Brudzinski's sign. Which finding did the nurse observe
Answer:
The client passively flexes the hip and knee in response to neck flexion and
reports pain in the vertebral column.
Question:
The nurse is evaluating the status of a client who had a craniotomy 3 days ago.
Which assessment finding would indicate that the client is developing
meningitis as a complication of surgery?
Answer:
A positive Brudzinski's sign
,Question:
The nurse notes documentation that a child is exhibiting an inability to flex
leg when the thigh is flexed anteriorly at the hip. Which condition does the
nurse suspect?
Answer:
Meningitis
Question:
A lumbar puncture is performed on a child suspected to have bacterial
meningitis, and cerebrospinal fluid is obtained for analysis. The nurse reviews
the results of the CSF analysis and determines which results would verify the
diagnosis
Answer:
Cloudy CSF, elevated protein, and decrease glucose levels
Question:
The home health nurse is visiting a client with a diagnosis of multiple
sclerosis. The client has been taking oxybutynin (Ditropan XL). The nurse
evaluates the effectiveness of the medication by asking the client which
assessment question?
Answer:
"Are you getting up at night to urinate?"
,Question:
The home health nurse visits a client who is taking phenytoin for control of
seizures. During the assessment, the nurse notes that the client is taking birth
control pills. Which information should the nurse include in the teaching
plan?
Answer:
There is the potential of decreased effectiveness of birth control pills while
taking phenytoin
Question:
Client with ADHD, how do you know the prescribed medications have a
therapeutic effect?
Answer:
Fidgets less
Can focus
Able to complete activities started
Can follow instructions
Question:
A child is diagnosed with Reye's syndrome. The nurse assists to develop a
nursing care plan for the child. Which statement would indicate further
teaching?
Answer:
Parents watch TV in the child's room with high volume
, Question:
A child is diagnosed with Reye's syndrome. The nurse assists to develop a
nursing care plan for the child and should include which intervention in the
plan?
Answer:
Providing a quiet atmosphere with dimmed lighting
Question:
When preparing the discharge plans for a patient with chronic anxiety, Nurse
Barbara evaluates the goals that were set for the patient. Nurse Barbara also
evaluates if the patient has achieved the discharge long-term goals. Which
goal would be most\appropriate to be include in the plan of care requiring
evaluation?
Answer:
The patient is able to identify triggers that produce anxiety
Question:
A client is admitted with a recent history of severe anxiety following a home
invasion and robbery. During the initial assessment interview, which
statement by the client should indicate to the nurse the possible diagnosis of
post-traumatic stress disorder? Select all that apply.
Answer:
"I keep reliving the robbery."
"I see his face everywhere I go."
"I might have died over a few dollars in my pocket."
Update ) Transition to
Practice - Capstone | Questions and
Verified Answers | 100% Correct -
Fortis
Question:
The nurse is assessing a client for meningeal irritation and elicits a positive
Brudzinski's sign. Which finding did the nurse observe
Answer:
The client passively flexes the hip and knee in response to neck flexion and
reports pain in the vertebral column.
Question:
The nurse is evaluating the status of a client who had a craniotomy 3 days ago.
Which assessment finding would indicate that the client is developing
meningitis as a complication of surgery?
Answer:
A positive Brudzinski's sign
,Question:
The nurse notes documentation that a child is exhibiting an inability to flex
leg when the thigh is flexed anteriorly at the hip. Which condition does the
nurse suspect?
Answer:
Meningitis
Question:
A lumbar puncture is performed on a child suspected to have bacterial
meningitis, and cerebrospinal fluid is obtained for analysis. The nurse reviews
the results of the CSF analysis and determines which results would verify the
diagnosis
Answer:
Cloudy CSF, elevated protein, and decrease glucose levels
Question:
The home health nurse is visiting a client with a diagnosis of multiple
sclerosis. The client has been taking oxybutynin (Ditropan XL). The nurse
evaluates the effectiveness of the medication by asking the client which
assessment question?
Answer:
"Are you getting up at night to urinate?"
,Question:
The home health nurse visits a client who is taking phenytoin for control of
seizures. During the assessment, the nurse notes that the client is taking birth
control pills. Which information should the nurse include in the teaching
plan?
Answer:
There is the potential of decreased effectiveness of birth control pills while
taking phenytoin
Question:
Client with ADHD, how do you know the prescribed medications have a
therapeutic effect?
Answer:
Fidgets less
Can focus
Able to complete activities started
Can follow instructions
Question:
A child is diagnosed with Reye's syndrome. The nurse assists to develop a
nursing care plan for the child. Which statement would indicate further
teaching?
Answer:
Parents watch TV in the child's room with high volume
, Question:
A child is diagnosed with Reye's syndrome. The nurse assists to develop a
nursing care plan for the child and should include which intervention in the
plan?
Answer:
Providing a quiet atmosphere with dimmed lighting
Question:
When preparing the discharge plans for a patient with chronic anxiety, Nurse
Barbara evaluates the goals that were set for the patient. Nurse Barbara also
evaluates if the patient has achieved the discharge long-term goals. Which
goal would be most\appropriate to be include in the plan of care requiring
evaluation?
Answer:
The patient is able to identify triggers that produce anxiety
Question:
A client is admitted with a recent history of severe anxiety following a home
invasion and robbery. During the initial assessment interview, which
statement by the client should indicate to the nurse the possible diagnosis of
post-traumatic stress disorder? Select all that apply.
Answer:
"I keep reliving the robbery."
"I see his face everywhere I go."
"I might have died over a few dollars in my pocket."
