Brunner & Suddarth Medical-Surgical Nursing 15th
Edition Test Bank – Complete Exam Questions and
Answers
1.A nurse is caring for a client who is experiencing autonomic dysreflexia due to a C5 spinal cord
injury. After checking the client's vital signs, which of the following actions should the nurse
perform next?
A. Administer nifedipine
B. Place the client in a high-Fowler's position
C. Check for urinary retention
D. Check for a fecal impaction - Correct answer B. Place the client in a high-Fowler's position
2.A nurse is caring for a client who begins to have a generalized tonic-clonic seizure while lying
in bed. Which of the following actions should the nurse take?
A. Insert an oral airway
B. Turn the client onto a side
C. Restrict movement of the client's limbs
D. Place a pillow under the client's head - Correct answer B. Turn the client onto a side
,3.A nurse is providing teaching to a client who has a new diagnosis of myasthenia gravis (MG).
Which of the following pieces of information should the nurse include?
A. Use enemas to treat constipation caused by daily medications
B. Take a hot bath when muscles ache
C. Eat a low-calorie diet
D. Set an alarm to ensure medication dosages are taken on time - Correct answer D. Set an
alarm to ensure medication dosages are taken on time
4.A nurse is assessing a client who is unconscious. The client has a rhythmical breathing pattern
of rapid deep respirations followed by rapid shallow respirations, alternating with periods of
apnea. The nurse should document that the client is experiencing which of the following types
of respirations?
A. Orthopnea
B. Cheyne-Stokes
C. Paradoxical
D. Kussmaul - Correct answer B. Cheyne-Stokes
5.A nurse is providing teaching to a class about transient ischemic attacks (TIAS). Which of the
following pieces of information should the nurse include in the teaching?
A. A TIA can cause irreversible hemiparesis
B. A TIA can be the result of cerebral bleeding
C. A TIA can cause cerebral edema
D. A TIA can precede an ischemic stroke - Correct answer D. A TIA can precede an ischemic
stroke
6.A nurse is assessing a client who sustained a recent head injury. Which of the following
findings should the nurse recognize as a manifestation of increased intracranial pressure?
A. Widened pulse pressure
B. Tachycardia
C. Periorbital edema
D. Decrease in urine output - Correct answer A. Widened pulse pressure
, 7.A nurse in an emergency department is assessing a client who sustained a fall off a roof.
Which of the following findings should the nurse identify as an indication of a basilar skull
fracture?
A. Depressed fracture of the forehead
B. Clear fluid coming from the nares
C. Motor loss on one side of the body
D. Bleeding from the top of the scalp - Correct answer B. Clear fluid coming from the nares
8.A nurse is assessing a client who has Guillain-Barre Syndrome. Which of the following findings
should the nurse expect?
A. Tonic-clonic seizures
B. Report of a severe headache
C. Weakness of the lower extremities
D. Decreased level of consciousness - Correct answer C. Weakness of the lower extremities
9.A nurse is reviewing the laboratory results of a lumbar puncture (LP) for a client who has
manifestations of bacterial meningitis. Which of the following findings should the nurse expect?
A. Elevated glucose
B. Elevated protein
C. Presence of RBCs
D. Presence of D-dimer - Correct answer B. Elevated protein
10.A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis (MS).
The client asks the nurse about the usual cause of MS. Which of the following responses should
the nurse make?
A. "Each client is different; we cannot predict what will happen."
B. I can see that you are worried, but it's too soon to predict what will happen."
C. "Acute episodes are usually followed by remissions, which can vary in duration."
D. "It's too early to think about the future; let's focus on the present and take each day as it
comes." - Correct answer C. "Acute episodes are usually followed by remissions, which can vary
in duration."
Edition Test Bank – Complete Exam Questions and
Answers
1.A nurse is caring for a client who is experiencing autonomic dysreflexia due to a C5 spinal cord
injury. After checking the client's vital signs, which of the following actions should the nurse
perform next?
A. Administer nifedipine
B. Place the client in a high-Fowler's position
C. Check for urinary retention
D. Check for a fecal impaction - Correct answer B. Place the client in a high-Fowler's position
2.A nurse is caring for a client who begins to have a generalized tonic-clonic seizure while lying
in bed. Which of the following actions should the nurse take?
A. Insert an oral airway
B. Turn the client onto a side
C. Restrict movement of the client's limbs
D. Place a pillow under the client's head - Correct answer B. Turn the client onto a side
,3.A nurse is providing teaching to a client who has a new diagnosis of myasthenia gravis (MG).
Which of the following pieces of information should the nurse include?
A. Use enemas to treat constipation caused by daily medications
B. Take a hot bath when muscles ache
C. Eat a low-calorie diet
D. Set an alarm to ensure medication dosages are taken on time - Correct answer D. Set an
alarm to ensure medication dosages are taken on time
4.A nurse is assessing a client who is unconscious. The client has a rhythmical breathing pattern
of rapid deep respirations followed by rapid shallow respirations, alternating with periods of
apnea. The nurse should document that the client is experiencing which of the following types
of respirations?
A. Orthopnea
B. Cheyne-Stokes
C. Paradoxical
D. Kussmaul - Correct answer B. Cheyne-Stokes
5.A nurse is providing teaching to a class about transient ischemic attacks (TIAS). Which of the
following pieces of information should the nurse include in the teaching?
A. A TIA can cause irreversible hemiparesis
B. A TIA can be the result of cerebral bleeding
C. A TIA can cause cerebral edema
D. A TIA can precede an ischemic stroke - Correct answer D. A TIA can precede an ischemic
stroke
6.A nurse is assessing a client who sustained a recent head injury. Which of the following
findings should the nurse recognize as a manifestation of increased intracranial pressure?
A. Widened pulse pressure
B. Tachycardia
C. Periorbital edema
D. Decrease in urine output - Correct answer A. Widened pulse pressure
, 7.A nurse in an emergency department is assessing a client who sustained a fall off a roof.
Which of the following findings should the nurse identify as an indication of a basilar skull
fracture?
A. Depressed fracture of the forehead
B. Clear fluid coming from the nares
C. Motor loss on one side of the body
D. Bleeding from the top of the scalp - Correct answer B. Clear fluid coming from the nares
8.A nurse is assessing a client who has Guillain-Barre Syndrome. Which of the following findings
should the nurse expect?
A. Tonic-clonic seizures
B. Report of a severe headache
C. Weakness of the lower extremities
D. Decreased level of consciousness - Correct answer C. Weakness of the lower extremities
9.A nurse is reviewing the laboratory results of a lumbar puncture (LP) for a client who has
manifestations of bacterial meningitis. Which of the following findings should the nurse expect?
A. Elevated glucose
B. Elevated protein
C. Presence of RBCs
D. Presence of D-dimer - Correct answer B. Elevated protein
10.A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis (MS).
The client asks the nurse about the usual cause of MS. Which of the following responses should
the nurse make?
A. "Each client is different; we cannot predict what will happen."
B. I can see that you are worried, but it's too soon to predict what will happen."
C. "Acute episodes are usually followed by remissions, which can vary in duration."
D. "It's too early to think about the future; let's focus on the present and take each day as it
comes." - Correct answer C. "Acute episodes are usually followed by remissions, which can vary
in duration."
