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PRN1725/ PRN 1725 Exam 1 (New 2024/ 2025 Update) Client-Centered Care IV Exam Practice Questions and Verified Answers|100% Correct| A Grade - Rasmussen Q€11,22
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PRN1725/ PRN 1725 Exam 1 (New 2024/ 2025 Update) Client-Centered Care IV Exam Practice Questions and Verified Answers|100% Correct| A Grade - Rasmussen Q
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Vak
PRN1725/ PRN 1725
Instelling
PRN1725/ PRN 1725
QUESTION
a nurse is caring for a client who is experiencing auditory hallucinations. Which of the
following responses should the nurse make first?
Answer:
the nurse needs to recognize that this is something they are experiences so they might say "i do
not hear what you are hearing"
QUESTION
...
PRN1725/ PRN 1725 Exam 1 (New 2024/
2025 Update) Client-Centered Care IV Exam
Practice Questions and Verified
Answers|100% Correct| A Grade -
Rasmussen
QUESTION
a nurse is caring for a client who is experiencing auditory hallucinations. Which of the
following responses should the nurse make first?
Answer:
the nurse needs to recognize that this is something they are experiences so they might say "i do
not hear what you are hearing"
QUESTION
A nurse is caring for a client who just experienced a generalized seizure. Which of the following
actions should the nurse perform first?
Answer:
-make sure they are safe
-LOC
-stay with the person
-DO NOT move them
QUESTION
a nurse is caring for a client who sustained a head injury in an accident. A focused exam reveals
that one pupil is larger than the other. What should the nurse do first?
Answer:
-notify the provider
,QUESTION
which nursing intervention is the priority when caring for a client during the acute phase of
Guillain-Barre?
Answer:
-assessment is the most important part during the acute stage
-monitor the progression of paralysis
-monitor ABGs
-orthostatic hypertension and cardiac dysrhythmia
QUESTION
a nurse is collecting data from an infant who hit her head when she fell off a dressing table. the
nurse should identify which of the following as indicating increased intracranial pressure?
QUESTION
a nurse is modifying the diet of a client who has parkinson's and a prescription for Selegiline, a
MAOI. Which of the following foods should the nurse eliminate from the clients diet.
QUESTION
a nurse is reinforcing teaching with the family of a client who has primary dementia. Which of
the following manifestations of dementia should the nurse include in the teaching?
Answer:
-difficulty performing ADLs
, -memory loss - FORGETFULNESS
-wandering
-confusion
-repeating questions
QUESTION
a nurse is reviewing the health record of a client who has a malignant brain tumor and notes the
client has a positive Romberg sign. Which of the following actions should the nurse take to
assess for this sign?
Answer:
- Have the client stand with eyes closed and feet together - see if they sway
- tests their balance
QUESTION
a nurse visiting a client with Huntington's disease is asked if his offspring will also have this
disease. Which response is appropriate?
Answer:
-the children have a 50% chance of inheriting it
-genetic testing can confirm it
QUESTION
a young adult is hospitalized with a seizure disorder. The client who is in a bed with padded
rails, is found having a tonic-clinic seizure. Which of the following actions by the nurse would
require further teaching?
Answer:
- do not put anything in their mouth
- do not restrain thwm
QUESTION
an alert and oriented client comes to the ED after hitting his head in a motor vehicle accident.
What should the nurse do first?
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