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1. A nurse is caring for a client who has multiple sclerosis. Which of the following findings
should the nurse expect?
a.) Fluctuations in blood pressure
b.) Loss of cognitive function
c.) Ineffective cough
d.) Drooping eye lids - Correct Answer: b
2. A nurse is beginning a physical assessment of a client who has a new diagnosis of
multiple sclerosis. Which of the following findings should the nurse expect? (Select all
that apply)
a.) Areas of paresthesia
b.) Involuntary eye movements
c.) alopecia
d.) Increased salvation
e.) Ataxia - Correct Answer: a,b,e
3. A nurse is teaching a client who has multiple sclerosis and a new presciption for
baclofen. Which od the following statements should the nurse include in the teaching?
a.) "This medication will help you with your tremors."
b.) "This medication will help you with your bladder function."
c.) "This medication can cause skin to bruise easily."
, d.) "This medication can cause you to experience dizziness." - Correct Answer: d
4. A nurse in a clinic is caring for a client who has frequent migraine headaches. The client
asks about foods that can cause headaches. The nurse recommend that the client avoid
which of the following foods?
a.) Baked salmon
b.) Salted cashews
c.) Frozen strawberries
d.) Fresh asparagus - Correct Answer: b
5. A nurse in a clinic is tecahing a client who has a history of migraine headaches about a
new prescription for zolmitriptan. Which of the following statements by the client
indicates understanding of the teaching?
a.) "This medication will relieve my symptoms by causing my blood vessels to
dilate."
b.) "I should take this medication daily to prevent the headache from occuring."
c.) "I should expect facial flushing when I take this medication."
d.) "This medication will lower my sensitivity to food triggers." - Correct Answer:
c
6. A nurse in a provider's office is obtaining a health history from a client who has cluster
headaches. Which of the following are expected findings? (Select all that apply.)
a.) Pain is bilateral across the posterior occipital area
b.) Client experiences altered sleep-wake cycle
c.) Headache occurs approximately 1 to 8 times daily
d.) Client descibes headache pain as dull and throbbing
e.) Nasal congestion and drainage occur - Correct Answer: b,c,e
7. A nurse is providing discharge instructions to a client who has a new diagnosis of
migraine headaches. Which of the following instructions should the nurse include?
a.) Use music therapy for relaxation with the onset of the headache
b.) Increase physical activity when a headache is present
, c.) Drink beverages that contain artificial sweetners to prevent headaches
d.) Apply a cool cloth to the face during a headache - Correct Answer: d
8. A nurse is obtaining a health history from a client who is being evaluated for the cause of
frequent headaches. Which of the following questions should the nurse ask to identify
the aura type of migraine headaches?
a.) "Do the headaches occur multiple times each day?"
b.) "Is your headache accompanied by profuse facial sweating?"
c.) "Does your headache occur on one side of your head?"
d.) "Do you have the same manifestations each time the headache occurs?" -
Correct Answer: d
9. A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure,
which of the following actions should the nurse take?
a.) Position the client in an upright position, leaning over the bedside
b.) Explain the procedure
c.) Obtain ABGs
d.) Administer benzocaine spray - Correct Answer: a
10. A nurse at a provider's office is reviewing information with a client scheduled for
pulmonary function tests (PFTs). Which of the following information should the nurse
include?
a.) "Do not use inhaler medications for 6 hr following the test."
b.) "Do not smoke tobacco for 6 to 8 hr prior to the test."
c.) "You will be asked to bear down and hold your breath during the test."
d.) "The arterial blood flow to your hand will be evaluated as part of the test." -
Correct Answer: b
11. A nurse is assessing a client following a bronchoscopy. Which of the following findings
should the nurse report to the provider?
a.) Blood-tinged sputum
b.) Dry, nonproductive cough
, c.) Sore throat
d.) Bronchospasms - Correct Answer: d
12. A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following
supplies should the ensure are in the client's room? (Select all that apply)
a.) Oxygen equipment
b.) Incentive spirometer
c.) Pulse oximeter
d.) Sterile dressing
e.) Suture removal kit - Correct Answer: a,c,d
13. A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risk for complications? (Select all that
apply)
a.) Dyspnea
b.) Localized bloody drainage on the dressing
c.) Fever
d.) Hypotension
e.) Report of pain at the puncture site - Correct Answer: a,c,d
14. A nurse is monitoring a group of clients for increased risk for developing pnemonia.
Which of the following clients should the nurse expect to be at risk? (Select all that
apply)
a.) A client with dysphagia
b.) A client with AIDS
c.) Client who was vaccinated for pneumoccocus and influenza 6 months ago
d.) Client who is postoperative and has recieved local anesthesia
e.) Client who has closed head injury and is recieving mechanical ventilation
f.) Client who has myasthenia gravis - Correct Answer: a,b,e,f
15. A nurse is caring for a client who, upon awakening, was disoriented to person, place, and
time. The client reports chills and chest pain that is worse upon inspiration. Which of the
following actions is the nursing priority?