31. To prepare Barbara for EEG, the nurse should explain that
A. During the test she will experience small electrical shocks
that feel like pin pricks
B. The test measures mental status as well as electrical brain
waves
C. During the hyperventilation portion of the test, she may
experience dizziness
D. She will be unconscious during the test
32. Situation: Barbara is a 23-year-old woman who lives with her
mother, sister, and brother in a private residence. She is attending
the neurological out-patient clinic for the first time. Her health
history includes two grand mal seizures./ A diagnosis of idiopathic
epilepsy has been made. The physician has ordered an
electroencephalogram (EEG) and phenytoin sodium (Dilantin),
300 mg/day. While doing a nursing history on Barbara, the nurse
should recognize that
A. Persons with idiopathic epilepsy have a lower intelligence
level
B. Grand mal seizures do not cause mental deterioration
C. A common characteristic of idiopathic epilepsy is committing
acts of violence
D. Idiopathic epilepsy is a form of mental illness
33. A cli ent has been hospitalized after an automobile accident. A full
leg cast was applied while inside the emergency room. The most
important reason for the nurse to elevate the casted leg is to
A. Reduce the drying time
B. Decrease irritation to the skin
C. Improve venous return
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 05:39:03 GMT -06:00
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, D. Promote the client’s comfort
34. The nurse is reviewing with a client how to collect a clean catch
urine specimen. What is the appropriate sequence to teach the
client?
A. Clean the meatus, begin voiding, and then catch the urine
stream
B. Void a little, clean the meatus, then collect specimen
C. Clean the meatus, then urinate into container
D. Void continuously and catch some of the urine
35. The client is admitted to the telemetry unit diagnosed with acute
exacerbation of congestive heart failure (CHF). Which
signs/symptoms would the nurse expect to find when assessing this
client?
A. Apical pulse rate of 110 and 4+ pitting edema of feet
B. Thick white sputum and crackles that clear with cough
C. The client sleeping with no pillow and eupnea
D. Radial pulse rate of 90 and capillary refill time less than 3
seconds
36. The nurse is assessing the client diagnosed with congestive heart
failure. Which signs and symptoms would indicate that the medical
treatment has been effective?
A. The client’s peripheral pitting edema has gone from 3+ to 4+
B. The client is able to take the radial pulse accurately
C. The client is able to perform activities of daily living
without dyspnea
D. The client has minimal jugular vein distention
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 05:39:03 GMT -06:00
https://www.coursehero.com/file/85695958/Past-Nclex-Questions-2docx/
A. During the test she will experience small electrical shocks
that feel like pin pricks
B. The test measures mental status as well as electrical brain
waves
C. During the hyperventilation portion of the test, she may
experience dizziness
D. She will be unconscious during the test
32. Situation: Barbara is a 23-year-old woman who lives with her
mother, sister, and brother in a private residence. She is attending
the neurological out-patient clinic for the first time. Her health
history includes two grand mal seizures./ A diagnosis of idiopathic
epilepsy has been made. The physician has ordered an
electroencephalogram (EEG) and phenytoin sodium (Dilantin),
300 mg/day. While doing a nursing history on Barbara, the nurse
should recognize that
A. Persons with idiopathic epilepsy have a lower intelligence
level
B. Grand mal seizures do not cause mental deterioration
C. A common characteristic of idiopathic epilepsy is committing
acts of violence
D. Idiopathic epilepsy is a form of mental illness
33. A cli ent has been hospitalized after an automobile accident. A full
leg cast was applied while inside the emergency room. The most
important reason for the nurse to elevate the casted leg is to
A. Reduce the drying time
B. Decrease irritation to the skin
C. Improve venous return
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 05:39:03 GMT -06:00
https://www.coursehero.com/file/85695958/Past-Nclex-Questions-2docx/
, D. Promote the client’s comfort
34. The nurse is reviewing with a client how to collect a clean catch
urine specimen. What is the appropriate sequence to teach the
client?
A. Clean the meatus, begin voiding, and then catch the urine
stream
B. Void a little, clean the meatus, then collect specimen
C. Clean the meatus, then urinate into container
D. Void continuously and catch some of the urine
35. The client is admitted to the telemetry unit diagnosed with acute
exacerbation of congestive heart failure (CHF). Which
signs/symptoms would the nurse expect to find when assessing this
client?
A. Apical pulse rate of 110 and 4+ pitting edema of feet
B. Thick white sputum and crackles that clear with cough
C. The client sleeping with no pillow and eupnea
D. Radial pulse rate of 90 and capillary refill time less than 3
seconds
36. The nurse is assessing the client diagnosed with congestive heart
failure. Which signs and symptoms would indicate that the medical
treatment has been effective?
A. The client’s peripheral pitting edema has gone from 3+ to 4+
B. The client is able to take the radial pulse accurately
C. The client is able to perform activities of daily living
without dyspnea
D. The client has minimal jugular vein distention
This study source was downloaded by 100000817935606 from CourseHero.com on 02-10-2022 05:39:03 GMT -06:00
https://www.coursehero.com/file/85695958/Past-Nclex-Questions-2docx/
