GI/ NEUROLOGY- Questions With All Correct
Answers
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) correct answer -Violent headache
Slurred speech
Projectile vomiting
Rapid loss of consciousness
A nurse is assessing an adult who has meningococcal meningitis. Which of the
following is an appropriate finding by the nurse? correct answer -Severe
headache
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
correct answer -lethargy.
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? correct answer -
Supplements via nasogastric tube
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? correct answer -
Incorporate nonverbal cues in the conversation.
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? correct answer -Shivering
An acute care nurse is caring for an adult client who is undergoing evaluation
for a possible brain tumor. When performing a neurological examination,
, which of following is the most reliable indicator of cerebral status? correct
answer -LOC
A nurse is caring for a client at a rehabilitation center 3 weeks after a
cerebrovascular accident (CVA). Because the client's CVA affected the left side
of the brain, which of the following goals should the nurse anticipate including
in the client's rehabilitation program? correct answer -Establish the ability
to communicate effectively.
A nurse is assessing a client who has meningitis and notes when passively
flexing the client's neck there is an involuntary flexion of both legs. Which of
the following conditions is the client displaying? correct answer -
Brudzinski sign
A client has right-sided paralysis from a cerebral vascular accident (CVA).
Which of the following interventions should the nurse implement to prevent
foot-drop? correct answer -Support the right foot in dorsiflexion with a
footboard.
A nurse is collaborating on care for a client following a cerebrovascular
accident (CVA). Which of the following should be addressed by an
occupational therapist? correct answer -Completing self-care
A nurse suspects that a client admitted for treatment of bacterial meningitis is
experiencing increased intracranial pressure (ICP). The nurse should know
that which of the following client findings supports this suspicion? correct
answer -Diplopia.
A nurse is caring for a client following surgical treatment for a brain tumor
near the hypothalamus. For which of the following is the client at risk?
correct answer -Inability to regulate body temperature
A nurse creates a plan of care for a client who has a traumatic head injury to
determine motor function response. Which of the following client responses
to painful stimulus is within normal limits? correct answer -Pushes the
painful stimulus away
An older adult client in a long-term care facility had a cerebrovascular
accident (CVA) 4 weeks ago and has been unable to move independently since
Answers
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) correct answer -Violent headache
Slurred speech
Projectile vomiting
Rapid loss of consciousness
A nurse is assessing an adult who has meningococcal meningitis. Which of the
following is an appropriate finding by the nurse? correct answer -Severe
headache
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
correct answer -lethargy.
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? correct answer -
Supplements via nasogastric tube
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? correct answer -
Incorporate nonverbal cues in the conversation.
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? correct answer -Shivering
An acute care nurse is caring for an adult client who is undergoing evaluation
for a possible brain tumor. When performing a neurological examination,
, which of following is the most reliable indicator of cerebral status? correct
answer -LOC
A nurse is caring for a client at a rehabilitation center 3 weeks after a
cerebrovascular accident (CVA). Because the client's CVA affected the left side
of the brain, which of the following goals should the nurse anticipate including
in the client's rehabilitation program? correct answer -Establish the ability
to communicate effectively.
A nurse is assessing a client who has meningitis and notes when passively
flexing the client's neck there is an involuntary flexion of both legs. Which of
the following conditions is the client displaying? correct answer -
Brudzinski sign
A client has right-sided paralysis from a cerebral vascular accident (CVA).
Which of the following interventions should the nurse implement to prevent
foot-drop? correct answer -Support the right foot in dorsiflexion with a
footboard.
A nurse is collaborating on care for a client following a cerebrovascular
accident (CVA). Which of the following should be addressed by an
occupational therapist? correct answer -Completing self-care
A nurse suspects that a client admitted for treatment of bacterial meningitis is
experiencing increased intracranial pressure (ICP). The nurse should know
that which of the following client findings supports this suspicion? correct
answer -Diplopia.
A nurse is caring for a client following surgical treatment for a brain tumor
near the hypothalamus. For which of the following is the client at risk?
correct answer -Inability to regulate body temperature
A nurse creates a plan of care for a client who has a traumatic head injury to
determine motor function response. Which of the following client responses
to painful stimulus is within normal limits? correct answer -Pushes the
painful stimulus away
An older adult client in a long-term care facility had a cerebrovascular
accident (CVA) 4 weeks ago and has been unable to move independently since
