NURSING SURGICAL N MEDSURG EXAM 1.
• Question 1
The nurse recognizes that causes of acquired seizures include what? Select all that apply
Selected Answers:
a. Drug and alcohol withdrawal
b. Brain tumor
c. Hyponatremia
d. Metabolic and toxic conditions
e. Cerebrovascular disease
Answers:
a. Drug and alcohol withdrawal
b. Brain tumor
c. Hyponatremia
,NURSING SURGICAL N MEDSURG EXAM 1.
d. Metabolic and toxic conditions
e. Cerebrovascular disease
• Question 2
The patient with a cervical compressed vertebral fracture has been placed in skeletal traction.
When caring for this patient the nurse performs which of the following? Select all that apply.
Selected Answers:
a. Checks the patient’s skin for pressure form the device.
b. Observe the halo insertion sites for signs of infection.
e. Assess the patient’s neurologic and neurovascular status for
changes. Answers:
a. Checks the patient’s skin for pressure form the device.
b. Observe the halo insertion sites for signs of infection.
c. Ensures that the skeletal weights are safely on the bed
d. Uses the skeletal traction to move the patient during care
e. Assess the patient’s neurologic and neurovascular status for changes.
• Question 3
All of these nursing activities are included in the care plan for a 78-year-old man with
Parkinson’s disease who has been referred to your home health agency. Which ones will you
delegate to a nursing assistant (NA)? Select all that apply.
Selected Answers:
a. Take and record the orthostatic changes in pulse and blood pressure.
, NURSING SURGICAL N MEDSURG EXAM 1.
c. Remind the patient to allow adequate time in between bites at
feedings. Answers:
a. Take and record the orthostatic changes in pulse and blood pressure.
b. Monitor for improvement in tremor after levodopa (L-dopa) is given.
c. Remind the patient to allow adequate time in between bites at feedings.
d. Monitor for abnormal involuntary jerky movements of extremities.
e. Teach the patient the prescribed strengthening exercises.
• Question 4
A patient hit her head in a motor vehicle accident and refused treatment at the time. 2 days
later, the patient feels worse and presents to the Emergency room. The patient is diagnosed
with a concussion (mild TBI). Which details noted by the nurse suggest that the patient is
deteriorating? Select all that apply
Selected
Answers:
a. The patient has numbness and weakness in the arms and legs
d. The patient had a brief loss of consciousness at the time of injury with a
return to baseline
e. The patient has had worsening headaches and dizziness since the injury
Answers
:
a. The patient has numbness and weakness in the arms and legs
b. The CT scan shows no structural signs of injury
c. The patient has had vomiting on and off since the injury
d. The patient had a brief loss of consciousness at the time of injury with
a return to baseline
• Question 1
The nurse recognizes that causes of acquired seizures include what? Select all that apply
Selected Answers:
a. Drug and alcohol withdrawal
b. Brain tumor
c. Hyponatremia
d. Metabolic and toxic conditions
e. Cerebrovascular disease
Answers:
a. Drug and alcohol withdrawal
b. Brain tumor
c. Hyponatremia
,NURSING SURGICAL N MEDSURG EXAM 1.
d. Metabolic and toxic conditions
e. Cerebrovascular disease
• Question 2
The patient with a cervical compressed vertebral fracture has been placed in skeletal traction.
When caring for this patient the nurse performs which of the following? Select all that apply.
Selected Answers:
a. Checks the patient’s skin for pressure form the device.
b. Observe the halo insertion sites for signs of infection.
e. Assess the patient’s neurologic and neurovascular status for
changes. Answers:
a. Checks the patient’s skin for pressure form the device.
b. Observe the halo insertion sites for signs of infection.
c. Ensures that the skeletal weights are safely on the bed
d. Uses the skeletal traction to move the patient during care
e. Assess the patient’s neurologic and neurovascular status for changes.
• Question 3
All of these nursing activities are included in the care plan for a 78-year-old man with
Parkinson’s disease who has been referred to your home health agency. Which ones will you
delegate to a nursing assistant (NA)? Select all that apply.
Selected Answers:
a. Take and record the orthostatic changes in pulse and blood pressure.
, NURSING SURGICAL N MEDSURG EXAM 1.
c. Remind the patient to allow adequate time in between bites at
feedings. Answers:
a. Take and record the orthostatic changes in pulse and blood pressure.
b. Monitor for improvement in tremor after levodopa (L-dopa) is given.
c. Remind the patient to allow adequate time in between bites at feedings.
d. Monitor for abnormal involuntary jerky movements of extremities.
e. Teach the patient the prescribed strengthening exercises.
• Question 4
A patient hit her head in a motor vehicle accident and refused treatment at the time. 2 days
later, the patient feels worse and presents to the Emergency room. The patient is diagnosed
with a concussion (mild TBI). Which details noted by the nurse suggest that the patient is
deteriorating? Select all that apply
Selected
Answers:
a. The patient has numbness and weakness in the arms and legs
d. The patient had a brief loss of consciousness at the time of injury with a
return to baseline
e. The patient has had worsening headaches and dizziness since the injury
Answers
:
a. The patient has numbness and weakness in the arms and legs
b. The CT scan shows no structural signs of injury
c. The patient has had vomiting on and off since the injury
d. The patient had a brief loss of consciousness at the time of injury with
a return to baseline
