Name:____Maylin Cuevas Pelegrin______________
1. The nurse is administering the intake assessment for a newly admitted client with a history of
seizures. The client suddenly begins to seize. What does the nurse do next?
a) Documents the length and time of the seizure.
b) Forces a tongue blade in the mouth.
c) Restrains the client.
d) Positions the client on the side.
2. A client is admitted into the emergency department with frontal-temporal pain, preceded by a
visual disturbance. The client is upset and thinks it is a stroke. What does the nurse suspect may
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be occurring?
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a) Stroke
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b) Tension headache
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c) Classic migraine
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d) Cluster headache
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3. Which change in the cerebrospinal fluid (CSF) indicates to the nurse that a client may have
bacterial meningitis?
a) Cloudy, turbid CSF
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b) Decreased white blood cells
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c) Decreased protein
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d) Increased glucose
4. A female client with newly diagnosed migraines is being discharged with a prescription for
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sumatriptan (Imitrex). Which comment by the client indicates an understanding of the nurse’s
discharge instructions?
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a) “Sumatriptan should be taken as a last resort.”
b) “I must report any chest pain right away.”
c) “Birth control is not needed while taking sumatriptan.”
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d) “St. John’s wort can also be taken to help my symptoms.”
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5. A client newly diagnosed with Parkinson disease is being discharged. Which instruction is best
for the nurse to provide to the client’s spouse?
a) Administer medications promptly on schedule to maintain therapeutic drug levels.
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b) Complete activities of daily living for the client.
c) Speak loudly for better understanding.
d) Provide high-calorie, high-carbohydrate foods to maintain the client’s weight.
6. In the emergency department (ED), which is the nursing priority in assessing the client with a
spinal cord injury?
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