Galen Med Surg Exam 2
1. A male client has been experiencing seizures and is in the hospital for
tests. While in the hospital setting, the client experiences a seizure. Which
of the following should the nurse do?
a. Restrain the client's arms and legs.
b. Take measures to prevent injury.
c. Place a tongue blade in the client's mouth.
d. Elevate the head of the bed.: b. Take measures to prevent injury.
2. The nurse is managing a client with new-onset seizure activity and is to
provide phenytoin. The nurse should be aware that Phenytoin
a. causes tissue vesication if infiltrated
b. has the most rapid onset of action of seizure medications
c. must be administered in dextrose
d. administration can result in hypertension: a. causes tissue vesication if
infiltrated
3. The nurse is performing patient education regarding medications used
to prevent migraines. Which of the following medications should the nurse
explain as potential treatments?
a. Anti-seizure drugs
b. Anti-depressant drugs
c. Beta-blockers
d. All of these: d. All of these
4. A nurse is in a client's room when the client begins having a tonic-
clonic seizure. Which of the following actions should the nurse take first?
a. Turn the client's head to the side.
b. Check the client's motor strength.
c. Loosen the clothing around the client's waist.
d. Document the time the seizure began.: a. Turn the client's head to the side.
5. A nurse is caring for a client who has Parkinson's disease and is taking
diphenhydramine 25 mg PO TID. Which of the following therapeutic
outcomes should the nurse expect to see?
a. Delay in disease progression
b. Improved bladder function
, Galen Med Surg Exam 2
c. Relief of depression
d. Decreased tremors: d. Decreased tremors
6. A nurse is caring for a client who who has had a stroke involving the right
hemisphere. Which of the following alterations in function should the nurse
expect?
a. Difficulty reading
b. Inability to recognize his family members
c. Right hemiparesis
d. Aphasia: b. Inability to recognize his family members
The right hemisphere is involved with visual and spatial awareness.
7. A white lipid covering of axons: myelin sheath
8. As the nurse you are providing care for a client who has a diagnosis of
macular degeneration. Which of the following foods should the nurse
recommend for this client? Select all that apply.
a. Sweet potatoes
b. red meat
c. chicken
d. broccoli: a. Sweet potatoes
d. broccoli
9. This is the area in the brain which controls speech: Broca's area
10. This is the area in the brain which controls language processing:
Wernicke's area
11. Area at the base of the brain where the anterior, middle, and posterior
cerebral arteries join together: Circle of Willis
12. Involves altered LOC. Patient may have amnesia after the seizure. Hard
to diagnose because it can resemble dementia: Complex epilepsy
13. Affects entire brain: Generalized epilepsy
14. Generalized seizure involving sudden, brief LOC, usually in children.
Appears that they are staring off into space: Absence epilepsy
15. Brief muscle jerks, lasts seconds: Myoclonic
16. Involves brief loss of tone. Can be confused with fainting: Atonic
, Galen Med Surg Exam 2
17. A patient has a history of chronic obstructive pulmonary disease. The
patient's oxygen flow rate should be set to no more than _____ L/min.: 2-
4 18. The client is prescribed to have 80% oxygen administered
continuously in a noninvasive manner. Which type of delivery system
should you select to meet these criteria?: Nasal cannula
19. Which nursing intervention would you use to prevent injury in the client
receiving oxygen therapy by continuous nasal cannula?: Providing mouth
care every 8 hours
20. When teaching a patient who will be receiving antihistamines, the nurse
will include which instructions? (Select all that apply.)
a. "Avoid activities that require alertness until you know how adverse effects
are tolerated."
b. "Drink extra fluids if possible."
c. "Take the medication with food to minimize gastrointestinal distress."
d. "Antihistamines are generally safe to take with over-the-counter medica-
tions."
e. "Antihistamines may cause restlessness and disturbed sleep."
f. "Take the medication on an empty stomach to maximize absorption of the
drug.": a. "Avoid activities that require alertness until you know how adverse
effects are tolerated."
b. "Drink extra fluids if possible."
c. "Take the medication with food to minimize gastrointestinal distress."
21. Chronic disorder with 2 or more seizures experienced by the patient:
Epilepsy
22. The nurse is teaching the daughter of a client who has middle-stage
Alzheimer disease. The daughter asks, "Will the sertraline my mother is
taking improve her dementia?" How would the nurse respond about the
purpose of the drug?
a."It will allow your mother to live independently for several more years."
b."It is used to halt the advancement of Alzheimer disease but will not cure
it."
c."It will not improve her dementia but can help control emotional
responses."
1. A male client has been experiencing seizures and is in the hospital for
tests. While in the hospital setting, the client experiences a seizure. Which
of the following should the nurse do?
a. Restrain the client's arms and legs.
b. Take measures to prevent injury.
c. Place a tongue blade in the client's mouth.
d. Elevate the head of the bed.: b. Take measures to prevent injury.
2. The nurse is managing a client with new-onset seizure activity and is to
provide phenytoin. The nurse should be aware that Phenytoin
a. causes tissue vesication if infiltrated
b. has the most rapid onset of action of seizure medications
c. must be administered in dextrose
d. administration can result in hypertension: a. causes tissue vesication if
infiltrated
3. The nurse is performing patient education regarding medications used
to prevent migraines. Which of the following medications should the nurse
explain as potential treatments?
a. Anti-seizure drugs
b. Anti-depressant drugs
c. Beta-blockers
d. All of these: d. All of these
4. A nurse is in a client's room when the client begins having a tonic-
clonic seizure. Which of the following actions should the nurse take first?
a. Turn the client's head to the side.
b. Check the client's motor strength.
c. Loosen the clothing around the client's waist.
d. Document the time the seizure began.: a. Turn the client's head to the side.
5. A nurse is caring for a client who has Parkinson's disease and is taking
diphenhydramine 25 mg PO TID. Which of the following therapeutic
outcomes should the nurse expect to see?
a. Delay in disease progression
b. Improved bladder function
, Galen Med Surg Exam 2
c. Relief of depression
d. Decreased tremors: d. Decreased tremors
6. A nurse is caring for a client who who has had a stroke involving the right
hemisphere. Which of the following alterations in function should the nurse
expect?
a. Difficulty reading
b. Inability to recognize his family members
c. Right hemiparesis
d. Aphasia: b. Inability to recognize his family members
The right hemisphere is involved with visual and spatial awareness.
7. A white lipid covering of axons: myelin sheath
8. As the nurse you are providing care for a client who has a diagnosis of
macular degeneration. Which of the following foods should the nurse
recommend for this client? Select all that apply.
a. Sweet potatoes
b. red meat
c. chicken
d. broccoli: a. Sweet potatoes
d. broccoli
9. This is the area in the brain which controls speech: Broca's area
10. This is the area in the brain which controls language processing:
Wernicke's area
11. Area at the base of the brain where the anterior, middle, and posterior
cerebral arteries join together: Circle of Willis
12. Involves altered LOC. Patient may have amnesia after the seizure. Hard
to diagnose because it can resemble dementia: Complex epilepsy
13. Affects entire brain: Generalized epilepsy
14. Generalized seizure involving sudden, brief LOC, usually in children.
Appears that they are staring off into space: Absence epilepsy
15. Brief muscle jerks, lasts seconds: Myoclonic
16. Involves brief loss of tone. Can be confused with fainting: Atonic
, Galen Med Surg Exam 2
17. A patient has a history of chronic obstructive pulmonary disease. The
patient's oxygen flow rate should be set to no more than _____ L/min.: 2-
4 18. The client is prescribed to have 80% oxygen administered
continuously in a noninvasive manner. Which type of delivery system
should you select to meet these criteria?: Nasal cannula
19. Which nursing intervention would you use to prevent injury in the client
receiving oxygen therapy by continuous nasal cannula?: Providing mouth
care every 8 hours
20. When teaching a patient who will be receiving antihistamines, the nurse
will include which instructions? (Select all that apply.)
a. "Avoid activities that require alertness until you know how adverse effects
are tolerated."
b. "Drink extra fluids if possible."
c. "Take the medication with food to minimize gastrointestinal distress."
d. "Antihistamines are generally safe to take with over-the-counter medica-
tions."
e. "Antihistamines may cause restlessness and disturbed sleep."
f. "Take the medication on an empty stomach to maximize absorption of the
drug.": a. "Avoid activities that require alertness until you know how adverse
effects are tolerated."
b. "Drink extra fluids if possible."
c. "Take the medication with food to minimize gastrointestinal distress."
21. Chronic disorder with 2 or more seizures experienced by the patient:
Epilepsy
22. The nurse is teaching the daughter of a client who has middle-stage
Alzheimer disease. The daughter asks, "Will the sertraline my mother is
taking improve her dementia?" How would the nurse respond about the
purpose of the drug?
a."It will allow your mother to live independently for several more years."
b."It is used to halt the advancement of Alzheimer disease but will not cure
it."
c."It will not improve her dementia but can help control emotional
responses."
