NURS 480 ACTUAL EXAM 3 | COMPLETE QUESTIONS AND ANSWERS | 2026 LATEST
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In planning for discharge planning for a client with bacterial meningitis, the nurse will be sure to
include which instruction?
1. Keep all family and visitors from visiting your room for protective isolation.
2. Make sure you eat high protein diet with plenty of fluids
3. Take all of the antibiotics until gone.
4. Incorporate regular exercise with an active range of motion. - (Answer)3. Take all of the
antibiotics until gone.
The client should be instructed to complete all antibiotics until they are completely gone. Failure to
complete antibiotics may lead to re-infection and may spread causing endocarditis and other
infections in the body, especially if the bacteria were from streptococci. While the client may be in
isolation while in the hospital, family may not need to quarantine the client when at home. Some
family members receive prophylactic antibiotics, but will be ordered according to the bacterial strain
and health care provider (HCP) recommendations. It is important to eat a good diet, but the most
important will be taking prescribed antibiotics. While returning to exercise is important, gradual
increase should be performed, and the answer selection for exercise was not as important as
prescribed antibiotics.
,The nurse is assessing the central stimulus function of an unconscious client in the intensive care
unit. The nurse should plan to use which technique to test the client's central response to stimuli?
1. Supraorbital ridge pressure.
2. Sternal rub.
3. Pressure on the nail bed.
4. Calling out loudly close to the client's ear. - (Answer)1. Supraorbital ridge pressure.
Central stimulus is applied to cranial nerves not peripheral nerves. Supraorbital ridge pressure by
applying pressure on the orbital rim is indicated for central stimulus assessment. Sternal rub is
usually not indicated via best practices. Pressure on the nail bed represents testing painful stimuli for
motor testing on peripheral nerves. Calling out loudly is not an assessment technique for central
stimulus function. There are two anatomic locations for pain stimulus: centrally and peripherally.
Central involves trapezious pinch or supraorbital pressure whereas peripheral stimuli are applied to
extremities. Responses may infer damage to the brain or specific brain areas.
A client is admitted for observation following a motor vehicle accident that occurred on the way to
the client's daughter's wedding. The next morning, instead of asking about the wedding, the client
,tells the nurse "I have to leave now since the wedding is in a few minutes." The client then becomes
agitated when the nurse re-orients and states the actual date (which is the day following the
wedding). What should the nurse do next?
1. Change the date on the hospital room whiteboard to yesterday's date.
2. Perform neurological assessment and assess pupillary response.
3. Administer Valium 40 mg IV since the client is about to have a seizure.
4. Call the family to see if the wedding can be repeated - (Answer)2. Perform neurological
assessment and assess pupillary response.
The nurse needs to perform a neuro assessment to determine pupillary response, ask if a headache is
present, take vital signs, and contact the health care provider. The client may be exhibiting subtle
signs of increased intracranial pressure which includes restlessness, agitation, headache, and pupil
changes.
A client is taking felbamate (Felbatol) for seizures and displays symptoms of pancytopenia based on
which assessment findings? (Select all that apply)
1. Sore throat
, 2. Epistaxis
3. Skin rash
4. Gingival hyperplasia - (Answer)1. Sore throat
2. Epistaxis
Pancytopenia symptoms while taking felbamate include fever, sore throat, flu-like feeling, and may
exhibit increased bleeding with reduced platelet count (epitaxis). Skin rash may not indicate
pancytopenia. Gingival hyperplasia is an adverse affect of anticonvulsants like phenytoin, but is not
a symptom of pancytopenia. Pancytopenia affects red cells, white cells, and platelets and represents
bone marrow's response to on-hematologic conditions such as drugs.
A client is being discharged with a new prescription of phenytoin sodium (dilantin). Which
instruction by the nurse is most important to include?
1. If stopped abruptly, status epilepticus may occur.
2. Sulfonamides like Bactrim will decrease phenytoin levels in the blood.
3. Take the medication with antacids to reduce gastric upset.
4. Dilantin will not affect contraceptive effectiveness. - (Answer)1. If stopped abruptly, status
epilepticus may occur.
UPDATED| 100% RATED CORRECT | GET A+!!
In planning for discharge planning for a client with bacterial meningitis, the nurse will be sure to
include which instruction?
1. Keep all family and visitors from visiting your room for protective isolation.
2. Make sure you eat high protein diet with plenty of fluids
3. Take all of the antibiotics until gone.
4. Incorporate regular exercise with an active range of motion. - (Answer)3. Take all of the
antibiotics until gone.
The client should be instructed to complete all antibiotics until they are completely gone. Failure to
complete antibiotics may lead to re-infection and may spread causing endocarditis and other
infections in the body, especially if the bacteria were from streptococci. While the client may be in
isolation while in the hospital, family may not need to quarantine the client when at home. Some
family members receive prophylactic antibiotics, but will be ordered according to the bacterial strain
and health care provider (HCP) recommendations. It is important to eat a good diet, but the most
important will be taking prescribed antibiotics. While returning to exercise is important, gradual
increase should be performed, and the answer selection for exercise was not as important as
prescribed antibiotics.
,The nurse is assessing the central stimulus function of an unconscious client in the intensive care
unit. The nurse should plan to use which technique to test the client's central response to stimuli?
1. Supraorbital ridge pressure.
2. Sternal rub.
3. Pressure on the nail bed.
4. Calling out loudly close to the client's ear. - (Answer)1. Supraorbital ridge pressure.
Central stimulus is applied to cranial nerves not peripheral nerves. Supraorbital ridge pressure by
applying pressure on the orbital rim is indicated for central stimulus assessment. Sternal rub is
usually not indicated via best practices. Pressure on the nail bed represents testing painful stimuli for
motor testing on peripheral nerves. Calling out loudly is not an assessment technique for central
stimulus function. There are two anatomic locations for pain stimulus: centrally and peripherally.
Central involves trapezious pinch or supraorbital pressure whereas peripheral stimuli are applied to
extremities. Responses may infer damage to the brain or specific brain areas.
A client is admitted for observation following a motor vehicle accident that occurred on the way to
the client's daughter's wedding. The next morning, instead of asking about the wedding, the client
,tells the nurse "I have to leave now since the wedding is in a few minutes." The client then becomes
agitated when the nurse re-orients and states the actual date (which is the day following the
wedding). What should the nurse do next?
1. Change the date on the hospital room whiteboard to yesterday's date.
2. Perform neurological assessment and assess pupillary response.
3. Administer Valium 40 mg IV since the client is about to have a seizure.
4. Call the family to see if the wedding can be repeated - (Answer)2. Perform neurological
assessment and assess pupillary response.
The nurse needs to perform a neuro assessment to determine pupillary response, ask if a headache is
present, take vital signs, and contact the health care provider. The client may be exhibiting subtle
signs of increased intracranial pressure which includes restlessness, agitation, headache, and pupil
changes.
A client is taking felbamate (Felbatol) for seizures and displays symptoms of pancytopenia based on
which assessment findings? (Select all that apply)
1. Sore throat
, 2. Epistaxis
3. Skin rash
4. Gingival hyperplasia - (Answer)1. Sore throat
2. Epistaxis
Pancytopenia symptoms while taking felbamate include fever, sore throat, flu-like feeling, and may
exhibit increased bleeding with reduced platelet count (epitaxis). Skin rash may not indicate
pancytopenia. Gingival hyperplasia is an adverse affect of anticonvulsants like phenytoin, but is not
a symptom of pancytopenia. Pancytopenia affects red cells, white cells, and platelets and represents
bone marrow's response to on-hematologic conditions such as drugs.
A client is being discharged with a new prescription of phenytoin sodium (dilantin). Which
instruction by the nurse is most important to include?
1. If stopped abruptly, status epilepticus may occur.
2. Sulfonamides like Bactrim will decrease phenytoin levels in the blood.
3. Take the medication with antacids to reduce gastric upset.
4. Dilantin will not affect contraceptive effectiveness. - (Answer)1. If stopped abruptly, status
epilepticus may occur.
