NS 233 Exam 2 LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS
A nursing measure that is indicated to reduce the potential for seizures and increased
intracranial pressure in the patient with bacterial meningitis is? - CORRECT ANSWER-controlling
fever with prescribed drugs and cooling techniques
An early sign of increased intracranial pressure that the nurse should assess for is? - CORRECT
ANSWER-decreasing level of consciousness
Why is the Glasgow Coma Scale (GCS) used? - CORRECT ANSWER-to quickly assess the LOC
When assessing the body functions of a patient with increased ICP, what should the nurse
assess first? - CORRECT ANSWER-circulatory and respiratory status
A patient is admitted to the hospital with possible bacterial meningitis. During the initial
assessment, the nurse questions the patient about a recent history of what? - CORRECT
ANSWER-an upper respiratory infection
What are the key manifestations of bacterial meningitis? - CORRECT ANSWER-high fever, nuchal
rigidity, and severe headache
A priority goal of treatment for the patient with Alzheimer's Disease is to? - CORRECT ANSWER-
maintain patient safety
, The early stage of Alzheimer's Disease is characterized by? - CORRECT ANSWER-memory
problems and mild confusion
Dementia is defined as? - CORRECT ANSWER-syndrome characterized by cognitive dysfunction
and loss of memory
A patient with Alzheimer's Disease has manifestations of depression. The nurse knows that
treatment of the patient with antidepressants will most likely do what? - CORRECT ANSWER-
improved cognitive function
The wife of a patient who is manifesting deterioration in memory asks the nurse whether her
husband has Alzheimer's Disease? The nurse explains that a diagnosis of Alzheimer's Disease is
usually made when what happens? - CORRECT ANSWER-all other possible causes of dementia
have been eliminated
A patient with Alzheimer's Disease in a long-term care facility is wandering the halls very
agitated, asking for her "mommy" and crying. What is the best response by the nurse? -
CORRECT ANSWER-"Let's go get a snack in the kitchen."
The sister of a patient with Alzheimer's Disease asks the nurse whether prevention of the
disease is possible. In responding, the nurse explains that there is no known way to prevent
Alzheimer's Disease, but there are ways to keep the brain healthy. What is included in the ways
to keep the brain healthy? - CORRECT ANSWER-avoid trauma to the brain, recognize and treat
depression early, exercise regularly to decrease the risk for cognitive decline
Which of these prescribed interventions will the nurse implement first for a hospitalized patient
who is experiencing continuous tonic-clonic seizures? - CORRECT ANSWER-administer
lorazepam (Ativan) 4mg IV
A patient has a tonic-clonic seizure while the nurse is in the patient's room. Which action should
the nurse take? - CORRECT ANSWER-time and observe and record the details of the seizure and
postictal state
QUESTIONS AND VERIFIED
CORRECT ANSWERS
A nursing measure that is indicated to reduce the potential for seizures and increased
intracranial pressure in the patient with bacterial meningitis is? - CORRECT ANSWER-controlling
fever with prescribed drugs and cooling techniques
An early sign of increased intracranial pressure that the nurse should assess for is? - CORRECT
ANSWER-decreasing level of consciousness
Why is the Glasgow Coma Scale (GCS) used? - CORRECT ANSWER-to quickly assess the LOC
When assessing the body functions of a patient with increased ICP, what should the nurse
assess first? - CORRECT ANSWER-circulatory and respiratory status
A patient is admitted to the hospital with possible bacterial meningitis. During the initial
assessment, the nurse questions the patient about a recent history of what? - CORRECT
ANSWER-an upper respiratory infection
What are the key manifestations of bacterial meningitis? - CORRECT ANSWER-high fever, nuchal
rigidity, and severe headache
A priority goal of treatment for the patient with Alzheimer's Disease is to? - CORRECT ANSWER-
maintain patient safety
, The early stage of Alzheimer's Disease is characterized by? - CORRECT ANSWER-memory
problems and mild confusion
Dementia is defined as? - CORRECT ANSWER-syndrome characterized by cognitive dysfunction
and loss of memory
A patient with Alzheimer's Disease has manifestations of depression. The nurse knows that
treatment of the patient with antidepressants will most likely do what? - CORRECT ANSWER-
improved cognitive function
The wife of a patient who is manifesting deterioration in memory asks the nurse whether her
husband has Alzheimer's Disease? The nurse explains that a diagnosis of Alzheimer's Disease is
usually made when what happens? - CORRECT ANSWER-all other possible causes of dementia
have been eliminated
A patient with Alzheimer's Disease in a long-term care facility is wandering the halls very
agitated, asking for her "mommy" and crying. What is the best response by the nurse? -
CORRECT ANSWER-"Let's go get a snack in the kitchen."
The sister of a patient with Alzheimer's Disease asks the nurse whether prevention of the
disease is possible. In responding, the nurse explains that there is no known way to prevent
Alzheimer's Disease, but there are ways to keep the brain healthy. What is included in the ways
to keep the brain healthy? - CORRECT ANSWER-avoid trauma to the brain, recognize and treat
depression early, exercise regularly to decrease the risk for cognitive decline
Which of these prescribed interventions will the nurse implement first for a hospitalized patient
who is experiencing continuous tonic-clonic seizures? - CORRECT ANSWER-administer
lorazepam (Ativan) 4mg IV
A patient has a tonic-clonic seizure while the nurse is in the patient's room. Which action should
the nurse take? - CORRECT ANSWER-time and observe and record the details of the seizure and
postictal state
