GI/Neuro Med Surg
1. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in
supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next
container arrives?
$'H[WURVH5% in water
B.
sodium chloride
&'H[WURVH10% in water
'/DFWDWHG5LQJHU¶VVROXWLRQ
2. A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following
statements by the nurse is appropriate?
$³<RXVKRXOGGHFUHDVH\RXUFDORULFLQWDNHZKHQDEGRPLQDOSDLQLVSUHVHQW´
%³<RXVKRXOGLQFUHDVH\RXUGDLO\LQWDNHRISURWHLQ´
&³<RXVKRXOGLQFUHDVHIDWLQWDNHZKHQH[SHULHQFLQJORRVHVWRROV´
'³<RXVKRXOGOLPLWDOFRKROLQWDNHWR2-3 drinks per week.”
3. A nurse monitors for increased intracranial pressure (ICP) on a client who has a leaking cerebral aneurysm. If
the client manifests increased intracranial pressure, which of the following findings should the nurse expect?
(Select all that apply)
$9LROHQWKHDGDFKH
%1HFNSDLQDQGVWLIIQHVV
&6OXUUHGVSHHFK
'3URMHFWLOHYRPLWLQJ
(5DSLGORVVRIFRQVFLRXVQHVV
CAA_PrintAssessment created 10/07/2015 page 1 of 25
, GI/Neuro Med Surg
4. A nurse is assessing an adult who has meningococcal meningitis. Which of the following is an appropriate
finding by the nurse?
$6HYHUHKHDGDFKH
%%UDG\FDUGLD
&,QFUHDVHGPXVFOHWRQH
'2ULHQWHGWRWLPHSHUVRQSODFH
5. A nurse admits a client who has a concussion for overnight observation. Alert and oriented on admission, the
client reports a headache along with neck pain and generalized muscle aches. The nurse knows that a
manifestation considered an early indication of increased intracranial pressure (ICP) is
A. bradycardia.
B. ipsilateral pupil dilation.
C. widening pulse pressure.
D. lethargy.
6. A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The
nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?
$132XQWLOG\VSKDJLDVXEVLGHV
%6XSSOHPHQWVYLDQDVRJDVWULFWXEH
&,QLWLDWLRQRIWRWDOSDUHQWHUDOQXWULWLRQ
'6RIWUHVLGXHGLHW
CAA_PrintAssessment created 10/07/2015 page 2 of 25
, GI/Neuro Med Surg
7. A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she
should communicate with the client. Which of the following is an appropriate response by the nurse?
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%$VNPXOWLSOHFKRLFHTXHVWLRQVDVSDUWRIWKHFRQYHUVDWLRQ
&8VHDKLJKHUSLWFKHGWRQHRIYRLFHZKHQVSHDNLQJ
'8VHVLPSOHFKLOGOLNHVWDWHPHQWVZKHQVSHDNLQJ
8. A nurse is caring for a client in liver failure with ascites who is receiving spironolactone (Aldactone). Which of
the following outcomes should the nurse expect from this client’s medication therapy?
$,QFUHDVHGVRGLXPH[FUHWLRQ
%'HFUHDVHGXULQDU\RXWSXW
&,QFUHDVHGSRWDVVLXPH[FUHWLRQ
''HFUHDVHGFKORULGHH[FUHWLRQ
9. A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F), and is prescribed a
hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be
observed for which of the following complications?
A. Dehydration
B. Seizures
C. Burns
D. Shivering
CAA_PrintAssessment created 10/07/2015 page 3 of 25
1. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in
supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next
container arrives?
$'H[WURVH5% in water
B.
sodium chloride
&'H[WURVH10% in water
'/DFWDWHG5LQJHU¶VVROXWLRQ
2. A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following
statements by the nurse is appropriate?
$³<RXVKRXOGGHFUHDVH\RXUFDORULFLQWDNHZKHQDEGRPLQDOSDLQLVSUHVHQW´
%³<RXVKRXOGLQFUHDVH\RXUGDLO\LQWDNHRISURWHLQ´
&³<RXVKRXOGLQFUHDVHIDWLQWDNHZKHQH[SHULHQFLQJORRVHVWRROV´
'³<RXVKRXOGOLPLWDOFRKROLQWDNHWR2-3 drinks per week.”
3. A nurse monitors for increased intracranial pressure (ICP) on a client who has a leaking cerebral aneurysm. If
the client manifests increased intracranial pressure, which of the following findings should the nurse expect?
(Select all that apply)
$9LROHQWKHDGDFKH
%1HFNSDLQDQGVWLIIQHVV
&6OXUUHGVSHHFK
'3URMHFWLOHYRPLWLQJ
(5DSLGORVVRIFRQVFLRXVQHVV
CAA_PrintAssessment created 10/07/2015 page 1 of 25
, GI/Neuro Med Surg
4. A nurse is assessing an adult who has meningococcal meningitis. Which of the following is an appropriate
finding by the nurse?
$6HYHUHKHDGDFKH
%%UDG\FDUGLD
&,QFUHDVHGPXVFOHWRQH
'2ULHQWHGWRWLPHSHUVRQSODFH
5. A nurse admits a client who has a concussion for overnight observation. Alert and oriented on admission, the
client reports a headache along with neck pain and generalized muscle aches. The nurse knows that a
manifestation considered an early indication of increased intracranial pressure (ICP) is
A. bradycardia.
B. ipsilateral pupil dilation.
C. widening pulse pressure.
D. lethargy.
6. A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The
nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?
$132XQWLOG\VSKDJLDVXEVLGHV
%6XSSOHPHQWVYLDQDVRJDVWULFWXEH
&,QLWLDWLRQRIWRWDOSDUHQWHUDOQXWULWLRQ
'6RIWUHVLGXHGLHW
CAA_PrintAssessment created 10/07/2015 page 2 of 25
, GI/Neuro Med Surg
7. A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she
should communicate with the client. Which of the following is an appropriate response by the nurse?
$,QFRUSRUDWHQRQYHUEDOFXHVLQWKHFRQYHUVDWLRQ
%$VNPXOWLSOHFKRLFHTXHVWLRQVDVSDUWRIWKHFRQYHUVDWLRQ
&8VHDKLJKHUSLWFKHGWRQHRIYRLFHZKHQVSHDNLQJ
'8VHVLPSOHFKLOGOLNHVWDWHPHQWVZKHQVSHDNLQJ
8. A nurse is caring for a client in liver failure with ascites who is receiving spironolactone (Aldactone). Which of
the following outcomes should the nurse expect from this client’s medication therapy?
$,QFUHDVHGVRGLXPH[FUHWLRQ
%'HFUHDVHGXULQDU\RXWSXW
&,QFUHDVHGSRWDVVLXPH[FUHWLRQ
''HFUHDVHGFKORULGHH[FUHWLRQ
9. A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F), and is prescribed a
hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be
observed for which of the following complications?
A. Dehydration
B. Seizures
C. Burns
D. Shivering
CAA_PrintAssessment created 10/07/2015 page 3 of 25
