And Complete Answers
2024_2025
A nurse is caring for a client who is postprocedure following lumbar puncture
and reports a throbbing headache when sitting upright. Which of the
following actions should the nurse take? (SATA)
A. Use the Glasgow Coma Scale when assessing the client
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
E. Instruct the client to perform deep breathing and coughing exercises
B. Assist the client to a supine position
C. Administer an opioid medication
D. Encourage the client to increase fluid intake
A nurse is caring for a client who experienced a traumatic head injury and
has an intraventricular catheter (ventriculostomy) for ICP monitoring. The
nurse should monitor the client for which of the following complications
related to the ventriculostomy?
Infection
3 multiple choice options
A nurse is developing a plan of care for a client who is scheduled for cerebral
angiography with contrast media. Which of the following statements by the
client should the nurse report to the provider? (SATA)
,A. "I think I might be pregnant."
B. "I take warfarin."
C. "I take antihypertensive medication."
D. "I am allergic to shrimp."
E. "I ate a light breakfast this morning."
A. "I think I might be pregnant."
B. "I take warfarin."
D. "I am allergic to shrimp."
E. "I ate a light breakfast this morning."
A nurse is providing education to a client who is to undergo an EEG the next
day. Which of the following information should the nurse include in the
teaching?
"Try to stay awake most of the night prior to the procedure."
3 multiple choice options
A nurse is caring for a client who displays manifestations of stage III
Parkinson's disease. Which of the following actions should the nurse include?
Provide a walker for ambulation
3 multiple choice options
A nurse is developing a plan of care for the nutritional needs of a cleitn who
has stage IV Parkinson's disease. Which of the following actions should the
nurse include? (SATA)
A. Provide three large balanced meals daily
,B. Record diet and fluid intake daily
C. Document weight every other week
D. Offer cold fluids such as milkshakes
E. Offer nutritional supplements between meals
B. Record diet and fluid intake daily
D. Offer cold fluids such as milkshakes
E. Offer nutritional supplements between meals
A nurse is reinforcing teaching with a client who has Parkinson's disease and
has a new prescription for bromocriptine. Which of the following instructions
should the nurse include?
Rise slowly when standing
3 multiple choice options
A nurse is assessing a client for manifestations of Parkinson's disease. Which
of the following are expected findings? (SATA)
A. Decreased vision
B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
E. Bilateral ankle edema
F. Lack of facial expression
B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
F. Lack of facial expression
, A nurse is caring for a client who has Parkinson's disease and is starting to
display bradykinesia. Which of the following is an appropriate action by the
nurse?
Give the client extra time to perform activities
3 multiple choice options
A nurse is caring for a client who has multiple sclerosis. Which of the
following finding should the nurse expect?
Loss of cognitive function
3 multiple choice options
A nurse is beginning a physical assessment of a client who has a new
diagnosis of multiple sclerosis. Which of the following findings should the
nurse expect? (SATA)
A. Areas of paresthesia
B. Involuntary eye movements
C. Alopecia
D. Increased salivation
E. Ataxia
A. Areas of paresthesia
B. Involuntary eye movements
E. Ataxia