MED SURG NEURO ACTUAL
EXAM WITH COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS
ALREADY GRADED A+
Which of the following is inappropriate for the nurse to include in the discharge plan for a client
with MS who has an impaired peripheral sensation?
A. carefully test the temperature of bath water
B. avoid kitchen activities because of the risk of injury
C. avoid hot water bottles and heating pads
D. inspect the skin daily for injury or pressure points
B. avoid kitchen activities because of the risk of injury
Which intervention should the nurse suggest to help a client with MS avoid episodes of urinary
incontinence?
A. limit fluid intake to 1,000 mL/day
B. insert an indwelling urinary catheter
C. establish a regular voiding schedule
D. administer prophylactic antibiotics, as ordered
C. establish a regular voiding schedule
A client with MS lives with her daughter and 3 year old granddaughter. the daughter asks the
nurse what she can do at home to help her mother. which of the following measures would be
most beneicial?
A. psychotherapy
B. regular exercise
C. day care for the granddaughter
D. weekly visits by another person with MS
,B. regular exercise
The client diagnosed with PD is being admitted with a fever and patchy infiltrates in the lung fields
on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?
A. masklike facies and shuffling gait
B. difficulty swallowing and immobility
C. pill rolling of fingers and flat affect
D. lack of arm swing and bradykinesia
B. difficulty swallowing and immobility
The client diagnosed with PD is being discharged on carbidopa/levodopa (sinemet). Which
statement is the scientific rationale for combining these medications?
A. there will be fewer side effects with this combination than with carbidopa alone
B. Dopamine D requires the presence of both of these medication to work
C. carbidopa makes more levodopa available to the brain
D. carbidopa crosses the blood-brain barrier to treat PD
C. carbidopa makes more levodopa available to the brain
The nurse is caring for a client with PD writes a problem of "impaired nutrition". which nursing
intervention would be included in the plan of care?
A. consult the occupational therapist for adaptive appliances for eating
B. request a low-fat, low-sodium diet from the dietary department
C. provide three meals per day that include nuts and whole-grain breads.
D. offer six meals per day with a soft consistency
D. offer six meals per day with a soft consistency
The nurse and the UAP are caring for clients on the med-surg unit. Which task should not be
assigned to the UAP?
A. feed the 69 year old client diagnosed PD who is having difficulty swallowing
B. turn and position the 89 year old client with a pressure ulcer secondary to PD
C. assist the 54 year old client diagnosed with PD with toilet-training activities
D. obtain vital signs on a 72 year old client diagnosed with pneumonia secondary to PD
feed the 69 year old client diagnosed PD who is having difficulty swallowing
The charge nurse is making assignments. Which client should be assigned to the new graduate
nurse?
A. the client diagnosed with aseptic meningitis who is complaining of a headache and light
bothering his eyes
B. the client diagnosed with PD who fell during the night and is complaining of difficulty walking
, C. the client diagnosed with a cerebrovascular accident whose vital signs are P60, R14, and BP
198/68
D. the client diagnosed with a brain tumor who has a new compliant of seeing spots before the
eyes
the client diagnosed with aseptic meningitis who is complaining of a headache and light
bothering his eyes
The nurse is planning the care for a client diagnosed with PD. which would be a therapeutic goal
of treatment for the disease process?
A. the client will experience periods of akinesia throughout the day
B. the client will take the prescribed medications correctly
C. the client will be able to enjoy a family outing with the spouse
D. the client will be able to carry out activities of daily living
D. the client will be able to carry out activities of daily living
The nurse researcher is working with client diagnosed with PD. which is an example of an
experimental therapy?
A. sterotactic pallidotomy/thalamotomy
B. dopamine receptor agonist medication
C. physical therapy for muscle strengthening
D. fetal tissue transplantation
D. fetal tissue transplantation
The client diagnosed with PD is being discharged. which statement made by the significant other
indicates an understanding of the discharge instructions?
A. "all of my spouse's emotions will slow down now just like his body movements"
B. "my spouse may experience hallucinations until the medication starts working"
C. "i will schedule appointment late in the morning after his morning bath"
D. "is is fine if we dont follow a strict medication schedule on weekends"
C. "i will schedule appointment late in the morning after his morning bath"
The nurse is admitting a new client diagnosed with PD. which assessment data support this
diagnosis?
A. crackles in the upper lung fields and jugular vein distention
B. muscle weakness in the upper extremities and ptosis
C. exaggerated arm swinging and scanning speech
D. masklike facies and shuffling gait
D. masklike facies and shuffling gait
EXAM WITH COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS
ALREADY GRADED A+
Which of the following is inappropriate for the nurse to include in the discharge plan for a client
with MS who has an impaired peripheral sensation?
A. carefully test the temperature of bath water
B. avoid kitchen activities because of the risk of injury
C. avoid hot water bottles and heating pads
D. inspect the skin daily for injury or pressure points
B. avoid kitchen activities because of the risk of injury
Which intervention should the nurse suggest to help a client with MS avoid episodes of urinary
incontinence?
A. limit fluid intake to 1,000 mL/day
B. insert an indwelling urinary catheter
C. establish a regular voiding schedule
D. administer prophylactic antibiotics, as ordered
C. establish a regular voiding schedule
A client with MS lives with her daughter and 3 year old granddaughter. the daughter asks the
nurse what she can do at home to help her mother. which of the following measures would be
most beneicial?
A. psychotherapy
B. regular exercise
C. day care for the granddaughter
D. weekly visits by another person with MS
,B. regular exercise
The client diagnosed with PD is being admitted with a fever and patchy infiltrates in the lung fields
on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?
A. masklike facies and shuffling gait
B. difficulty swallowing and immobility
C. pill rolling of fingers and flat affect
D. lack of arm swing and bradykinesia
B. difficulty swallowing and immobility
The client diagnosed with PD is being discharged on carbidopa/levodopa (sinemet). Which
statement is the scientific rationale for combining these medications?
A. there will be fewer side effects with this combination than with carbidopa alone
B. Dopamine D requires the presence of both of these medication to work
C. carbidopa makes more levodopa available to the brain
D. carbidopa crosses the blood-brain barrier to treat PD
C. carbidopa makes more levodopa available to the brain
The nurse is caring for a client with PD writes a problem of "impaired nutrition". which nursing
intervention would be included in the plan of care?
A. consult the occupational therapist for adaptive appliances for eating
B. request a low-fat, low-sodium diet from the dietary department
C. provide three meals per day that include nuts and whole-grain breads.
D. offer six meals per day with a soft consistency
D. offer six meals per day with a soft consistency
The nurse and the UAP are caring for clients on the med-surg unit. Which task should not be
assigned to the UAP?
A. feed the 69 year old client diagnosed PD who is having difficulty swallowing
B. turn and position the 89 year old client with a pressure ulcer secondary to PD
C. assist the 54 year old client diagnosed with PD with toilet-training activities
D. obtain vital signs on a 72 year old client diagnosed with pneumonia secondary to PD
feed the 69 year old client diagnosed PD who is having difficulty swallowing
The charge nurse is making assignments. Which client should be assigned to the new graduate
nurse?
A. the client diagnosed with aseptic meningitis who is complaining of a headache and light
bothering his eyes
B. the client diagnosed with PD who fell during the night and is complaining of difficulty walking
, C. the client diagnosed with a cerebrovascular accident whose vital signs are P60, R14, and BP
198/68
D. the client diagnosed with a brain tumor who has a new compliant of seeing spots before the
eyes
the client diagnosed with aseptic meningitis who is complaining of a headache and light
bothering his eyes
The nurse is planning the care for a client diagnosed with PD. which would be a therapeutic goal
of treatment for the disease process?
A. the client will experience periods of akinesia throughout the day
B. the client will take the prescribed medications correctly
C. the client will be able to enjoy a family outing with the spouse
D. the client will be able to carry out activities of daily living
D. the client will be able to carry out activities of daily living
The nurse researcher is working with client diagnosed with PD. which is an example of an
experimental therapy?
A. sterotactic pallidotomy/thalamotomy
B. dopamine receptor agonist medication
C. physical therapy for muscle strengthening
D. fetal tissue transplantation
D. fetal tissue transplantation
The client diagnosed with PD is being discharged. which statement made by the significant other
indicates an understanding of the discharge instructions?
A. "all of my spouse's emotions will slow down now just like his body movements"
B. "my spouse may experience hallucinations until the medication starts working"
C. "i will schedule appointment late in the morning after his morning bath"
D. "is is fine if we dont follow a strict medication schedule on weekends"
C. "i will schedule appointment late in the morning after his morning bath"
The nurse is admitting a new client diagnosed with PD. which assessment data support this
diagnosis?
A. crackles in the upper lung fields and jugular vein distention
B. muscle weakness in the upper extremities and ptosis
C. exaggerated arm swinging and scanning speech
D. masklike facies and shuffling gait
D. masklike facies and shuffling gait
