AND ANSWERS LATEST UPDATE 2026/2027
(GRADED A+)
AT GALEN COLLEGE OF NURSING
NSG 3250 Exam 3 a
Version a
Questions and answers
Latest update 2026/2027
1. The nurse is planning discharge education for a client who has
trigeminal neuralgia. Which of the following should the nurse
include as something that will precipitate an attack?
a. Eating food at room temperature
b. Drinking large amounts of fluids
c. Chewing on the affected side
d. Exposing the skin to sunlight
,Answer: c. Chewing on the affected side
Rationale: Trigeminal neuralgia causes severe facial pain triggered by stimulation of
the affected nerve. Chewing on the affected side can precipitate an attack. Clients are
encouraged to chew on the unaffected side and avoid triggers.
2. The nurse is assessing a client who had a left hemispheric stroke.
Which of the following findings should the nurse anticipate?
a. Inability to recognize loved ones
b. Lack of awareness of neurological deficits
c. Loss of visual depth perception
d. An understanding of what is said but cannot communicate verbally
Answer: d. An understanding of what is said but cannot communicate verbally
Rationale: Left hemispheric strokes typically affect language, resulting in expressive
aphasia. Clients understand language but have difficulty with verbal communication.
Right hemispheric strokes are more likely to cause spatial-perceptual deficits and lack
of awareness.
3. The nurse is caring for a client who has aphasia following a
stroke. Which nursing actions should the nurse take to assist the
client with effective communication?
1. Providing a board with commonly used needs and phrases
2. Having the client speak to loved ones on the phone daily
3. Reducing distracting noises in the surrounding environment
4. Facing the client and establishing eye contact
5. Helping the client complete their sentences
6. Avoiding gestures, pictures, and pointing at objects
, a. 1, 5, 6
b. 1, 3, 6
c. 1, 3, 4
d. 1, 4, 5
Answer: c. 1, 3, 4
Rationale: Providing communication boards, reducing distractions, and maintaining
eye contact help clients with aphasia express themselves. Completing sentences or
avoiding gestures may impede communication.
4. The nurse has provided health teaching to a client who was
recently diagnosed with Parkinson’s disease. Which statement
indicates correct understanding?
a. “I should take my prescribed levodopa-carbidopa medication on an empty
stomach.”
b. “I should consume a diet high in carbohydrates and low in protein and fats.”
c. “I should avoid exercises such as Tai Chi, since it requires balance.”
d. “I should schedule my activities when my medication helps me the most.”
Answer: d. “I should schedule my activities when my medication helps me the most.”
Rationale: Parkinson’s medication timing is essential for optimal mobility. Patients
are encouraged to schedule activities during periods of maximum medication effect.
Exercise like Tai Chi is beneficial, and diet should be balanced with protein
consideration.
5. The nurse is caring for a client with Parkinson's disease who has
developed adventitious lung sounds. The client is waiting for a
swallowing test. Which should the nurse expect the PHCP to
prescribe?