CORRECT UPDATED ANSWERS
A nurse is collecting data from a client who has meningitis. When
passively flexing the client's neck, the nurse notes an involuntary flexion
of both legs. Which of the following conditions is the client displaying?
1. Kernig's sign
2. Nuchal rigidity
3. Brudzinski's sign
4. Bradykinesia - CORRECT ANSWER- Brudzinski's sign
manifested by hips and knees flexing when neck is flexed, which is a
common sign of meningitis.
A nurse is reinforcing teaching with a client who is diagnosed with
myasthenia gravis and is to start taking neostigmine. Which of the
following instructions should the nurse include in the teaching?
1. take medication 45 minutes before eating
2. expect diaphoresis as side effect
3. if dose is missed, wait until next scheduled dose to take medication
4. treat nasal rhinitis with OTC antihistamine - CORRECT ANSWER-
Take medication 45 minutes before eating
allows medication to work and limit difficulty chewing and swallowing.
Diapheresis is a cholinergic crisis and is an emergency. Should have
strict medication schedule. Contact provider before taking any OTC
medication. Antihistamines may worsen symptoms.
A nurse is collecting data from a client who has Bell's palsy. Which of
the following findings should the nurse expect? (SATA)
,- Muscle distortion
- Pain behind ear
- Hearing loss
- Facial twitching
- Impaired taste - CORRECT ANSWER- Muscle distortion
Pain behind the ear
Impaired taste.
A nurse is collecting data from an adult client who has meningococcal
meningitis. Which of the following findings should the nurse expect?
1. petechial rash on chest and extremities
2. tachycardia
3. negative kernig's sign
4. mild headache - CORRECT ANSWER- Petechial rash on the
chest and extremities
other manifestations are bradycardia r/t increased ICP, positive Kernig's
sign, severe and persistent headache made worse by moving client's
head and neck.
A nurse is reinforcing teaching with a client who is taking Benztropine to
treat Parkinson's. The nurse should instruct the client to report which of
the following findings as an adverse effect?
1. excessive salvation
2. difficulty voiding
3. diarrhea
4. slow pulse - CORRECT ANSWER- Difficulty voiding
indicates urinary retention
A nurse is assisting with the care of a client who has myasthenia gravis
and is in crisis. The nurse should identify that which of the following
factors can cause a myasthenic crisis?
1. developing a respiratory infection
2. taking too much prescribed medication
, 3. insufficient sleep
4. insufficient exercise - CORRECT ANSWER- Developing a
respiratory infection
r/t not taking or taking too little of the prescribed medication. Surgery and
pregnancy are also triggers.
A nurse is providing teaching to a client who has a new diagnosis of
Parkinson's disease. On which of the following medications should the
nurse prepare to instruct the client?
-Piperacillin/tazobactam
-Levothyroxine
-Levodopa/carbidopa
-Carbamazepine - CORRECT ANSWER- Levodopa/carbidopa
A nurse is caring for a client who has a new diagnosis of myasthenia
gravis. For which of the following manifestations should the nurse
monitor?
-Confusion
-Weakness
-Increased intracranial pressure
-Increased urinary output - CORRECT ANSWER- -Weakness
A nurse is providing teaching to the family of a client who has
Parkinson's disease. Which of the following information should the nurse
include in the teaching?
-Provide client supervision.
-Limit client physical activity.
-Speak loudly to the client.
-Leave the television on continuously. - CORRECT ANSWER- -
Provide client supervision.
A nurse is assessing a client who has Parkinson's disease. Which of the
following manifestations should the nurse expect?