PN3 FINAL EXAM QUESTIONS [88] WITH 100% CORRECT ANSWERS (NEW!)

PN3 FINAL EXAM QUESTIONS [88] WITH 100% CORRECT ANSWERS (NEW!) 1. For the client who is at risk for stroke, the most important guideline the nurse should teach is to: - monitor blood pressure. 2. A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between strokes is: - computed tomography (CT). 3. While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: - anticholinergics 4. A client is being seen in the emergency department experiencing symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department? - 60 minutes 5. What is the major cause of traumatic brain injuries? - MVC 6. A client is diagnosed with a mild brain injury. Which of the following is an example of a mild injury? - Concussion 7. The nurse is planning care for a client diagnosed with increased intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure? - Administer corticosteroids and osmotic diuretics as prescribed. 8. The nurse, caring for a client recovering from a traumatic brain injury, knows the client and the family are eligible for specific federal programs because of the: - Traumatic Brain Injury Act of 2008 9. Which of the following should be avoided when caring for a client diagnosed with increased intracranial pressure? - Placing the bed in Trendelenburg 10. A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse realizes that this client's treatment could include all of the following EXCEPT: - photo DNA therapy 11. A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes that the client might be eligible for which of the following forms of treatment? - Carotid stenting 12. The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? - Clustering many nursing activities 13. The earliest and most sensitive assessment finding that would indicate an alteration in intracranial regulation would be? - change in level of consciousness. 14. Components of the GCS the nurse would use to assess a patient after a head injury include: - verbal responsiveness. 15. A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? - Hepatitis A 16. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is: - drinking excessive alcohol 17. A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: - Bleeding 18. The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that originated in some other part of the body, is the: - liver 19. A school age child is placed on a waiting list for a liver transplant. The nurse knows that the most common reason for children to need this type of transplant is because of: - biliary atresia 20. Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers: - become vaccinated 21. A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis? - Preicteric 22. A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? - "Females often do not experience the effects of the disease until menopause." 23. A client is diagnosed with liver disease. Which of the following is one impact of this disorder on a client's fluid and electrolyte status? - Hyponatremia 24. The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? - Pulmonary edema 25. A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client? - Avoid all alcohol 26. A client is demonstrating yellow pigmentation of the skin and sclera. Which of the following can be used to describe this client's symptoms? (Select all that apply.) - Icterus , Jaundice ,Kernicterus