SOLVED QUESTIONS GRADED A+
● A client has surgery for the creation of burr holes after sustaining head
trauma. Which early clinical manifestation of meningeal irritation does
the nurse assess in the client?
A. Sunset eyes
B. Kernig sign
C. Plantar reflex
D. Homans sign. Answer: B. Kernig sign
● Haloperidol 100 mg intramuscularly (IM) stat has been prescribed for
a client who is battered and agitated after a street brawl. What does the
nurse conclude after reviewing the prescription?
A. The medication is appropriate and should be given as prescribed.
B. The medication is inappropriate because it takes one week for
antidepressants to be effective.
C. The dose is more than recommended.
D. The route of administration is incorrect.. Answer: C. The dose is more
than recommended.
,● A client who is recuperating from a spinal cord injury at the T4 level
wants to use a wheelchair. What should the nurse teach the client to do
in preparation for this activity?
A. Push-ups to strengthen arm muscles
B. Leg lifts to prevent hip contractures
C. Balancing exercises to promote equilibrium
D. Quadriceps-setting exercises to maintain muscle tone. Answer: A.
Push-ups to strengthen arm muscles
● A client who is receiving medication for an eye disorder reports
bleeding in the eye. Which drug will the nurse most likely observe
written in the medication administration record?
A. Ketorolac
B. Trifluridine
C. Natamycin
D. Ciprofloxacin. Answer: A. Ketorolac
● A client's relative asks the nurse what a cataract is. Which explanation
should the nurse provide?
A. An opacity of the lens
B. A thin film over the cornea
, C. A crystallization of the pupil
D. An increase in the density of the conjunctiva. Answer: A. An opacity
of the lens
● A client who sustained a closed head injury is being monitored for
increased intracranial pressure. Arterial blood gases are obtained, and the
results include a PCO2 of 33 mm Hg. What action is most important for
the nurse to take?
A. Encourage the client to slow the breathing rate.
B. Auscultate the client's lungs and suction if indicated.
C. Advise the healthcare provider that the client needs supplemental
oxygen.
D. Inform the healthcare provider of the results and continue to monitor
for signs of increasing intracranial pressure.. Answer: D. Inform the
healthcare provider of the results and continue to monitor for signs of
increasing intracranial pressure.
● A client with Guillain-Barré syndrome has been hospitalized for three
days. Which assessment finding would the nurse expect and need to
monitor frequently in this client?
A. Localized seizures
B. Skin desquamation
C. Hyperactive reflexes