NUR 176 EXAM 1 ACTUAL EXAM 2026
|ANSWERED/RATIONALE.SUMMER
QUARTER HONDROS COLLLEGE OF
NURSING
How many pain assess menus are done for pt with dementia?
2
Interventions for an agitated dementia pt.
Move pt. To a calm environment
Reality orientation for dementia pts
Be honest, call by preferred name, eye contact, set a routine , simple tasks and directions,
familiar objects
Safety interventions in the Alzheimer's pt.
Calm environment, encourage supervision, allow social and physical activity
Med for multiple sclerosis
Copaxone
Generalized tonic-clonic seizures (grand mal)
Most common, stiffening of body for 10-20 sec. then jerking extremities for another 30-40 secs
Absence seizures ( petit mal)
Occurs during childhood, stares off with little to no tonic-clonic movement
Psychomotor (partial seizures)
Occurs at any age, pt. Behaves in a drunk manner, doesn't remember
Jacksonian-focal seizures ( local or partial)
Occur in pts. With structural brain disease, starts in the hands or feet, can turn into tonic-
clonic
, Myoclonic seizures
Sudden jerking of body
Akinetic seizures
Not common, falls in flaccid state, unconscious for 1 or 2 minutes
What med will a pt get with new onset seizures?
Broad spectrum anti-seizure med
Pt education related to seizures
Keep long and recorded time and duration, any drowsiness , nausea and vomiting.
Discharge education for a pt taking Dilantin
Mouth care, avoid alcohol, no driving, use soft tooth brush
Seizure disorder interventions
Stay with them while they seize, lower them to floor, observe and record, keep them safe, don't
force mouth open , turn on side if excessive sputum accumulates
What should be determined when assessing meningitis?
Viral or bacterial, the specific organism that caused it
Bacterial meningitis labs
Increase protein, increase WBC , decrease glucose
Isolation for meningitis
Respiratory droplet, 24 hour isolation after first treatment
Age of onset for type 1 diabetes
30 years or younger
Age of onset for type 2 diabetes
35 years or older but increasing in children
Hyperglycemia Blood glucose levels
Higher than 100-140mg/dl
|ANSWERED/RATIONALE.SUMMER
QUARTER HONDROS COLLLEGE OF
NURSING
How many pain assess menus are done for pt with dementia?
2
Interventions for an agitated dementia pt.
Move pt. To a calm environment
Reality orientation for dementia pts
Be honest, call by preferred name, eye contact, set a routine , simple tasks and directions,
familiar objects
Safety interventions in the Alzheimer's pt.
Calm environment, encourage supervision, allow social and physical activity
Med for multiple sclerosis
Copaxone
Generalized tonic-clonic seizures (grand mal)
Most common, stiffening of body for 10-20 sec. then jerking extremities for another 30-40 secs
Absence seizures ( petit mal)
Occurs during childhood, stares off with little to no tonic-clonic movement
Psychomotor (partial seizures)
Occurs at any age, pt. Behaves in a drunk manner, doesn't remember
Jacksonian-focal seizures ( local or partial)
Occur in pts. With structural brain disease, starts in the hands or feet, can turn into tonic-
clonic
, Myoclonic seizures
Sudden jerking of body
Akinetic seizures
Not common, falls in flaccid state, unconscious for 1 or 2 minutes
What med will a pt get with new onset seizures?
Broad spectrum anti-seizure med
Pt education related to seizures
Keep long and recorded time and duration, any drowsiness , nausea and vomiting.
Discharge education for a pt taking Dilantin
Mouth care, avoid alcohol, no driving, use soft tooth brush
Seizure disorder interventions
Stay with them while they seize, lower them to floor, observe and record, keep them safe, don't
force mouth open , turn on side if excessive sputum accumulates
What should be determined when assessing meningitis?
Viral or bacterial, the specific organism that caused it
Bacterial meningitis labs
Increase protein, increase WBC , decrease glucose
Isolation for meningitis
Respiratory droplet, 24 hour isolation after first treatment
Age of onset for type 1 diabetes
30 years or younger
Age of onset for type 2 diabetes
35 years or older but increasing in children
Hyperglycemia Blood glucose levels
Higher than 100-140mg/dl
