NSG 203 Neurosensory Disorders Questions With Complete
Solutions
A 58-year-old client complaining of difficulty driving at night
states that the "lights bother my eyes." The client wears
corrective glasses. The nurse would expect the physician to have
the client increase his or her intake of which vitamin because the
client is experiencing a deficiency in this Correct Answers
Vitamin A
A 70-year-old client with a diagnosis of left-sided stroke is
admitted to the facility. To prevent the development of disuse
osteoporosis, which of the following objectives is appropriate?
Correct Answers Promoting weight-bearing exercises
A 75-year-old client who was admitted to the hospital with a
stroke informs the nurse that he doesn't want to be kept alive
with machines. He wants to make sure that everyone knows his
wishes. Which action should the nurse take? Correct Answers
Make arrangements for the client to receive information about
advance directives.
A child is diagnosed with chronic otitis media. Which statement
made by the mother indicates an understanding of this
condition? Correct Answers "I'll tell my relatives they can't
smoke around the baby."
A client accidentally splashes chemicals into his eye. The nurse
knows that eye irrigation with plain tap water should begin
immediately and continue for 15 to 20 minutes. What is the
,primary purpose of this first-aid treatment? Correct Answers
To prevent vision loss
A client admitted to the hospital with a subarachnoid
hemorrhage (SAH) reports severe headache, nuchal rigidity, and
projectile vomiting. The nurse suspects that lumbar puncture
(LP) may be contraindicated due to which circumstance?
Correct Answers Increased intracranial pressure (ICP)
A client admitted with a cerebral contusion is confused,
disoriented, and restless. Which nursing diagnosis takes highest
priority? Correct Answers Risk for injury related to neurologic
deficit
A client arrives at the emergency department complaining of
extreme muscle weakness after minimal effort. The physician
suspects myasthenia gravis. Which drug will be used to test for
this disease? Correct Answers Edrophonium
A client at the eye clinic is newly diagnosed with glaucoma.
What should the nurse inform the client might occur if
administration of the medication is not closely adhered to?
Correct Answers Permanent vision loss
A client comes to the emergency department after hitting his
head in a motor vehicle collision. The client is alert and
oriented. Which nursing intervention should be done first?
Correct Answers Immobilize the client's head and neck.
A client comes to the emergency department complaining of
headache, malaise, chills, fever, and a stiff neck. Vital sign
,assessment reveals a temperature elevation, increased heart and
respiratory rates, and normal blood pressure. On physical
examination, the nurse notes confusion, a petechial rash, nuchal
rigidity, Brudzinski's sign, and Kernig's sign. What does
Brudzinski's sign indicate? Correct Answers Meningeal
irritation
A client diagnosed with a brain tumor experiences a generalized
seizure while sitting in a chair. How should the nurse intervene
first? Correct Answers Assist the client to a side-lying position
on the floor, and protect her with linens.
A client has a cervical spinal cord injury at the level of C5.
Which condition would the nurse anticipate during the acute
phase? Correct Answers The need for mechanical ventilation
A client has a diagnosis of stroke versus transient ischemic
attack (TIA). Which statement demonstrates the difference
between a TIA and a stroke? Correct Answers TIAs typically
resolve in 24 hours.
A client has a history of seizures. While the client is being
transported to the medical imaging laboratory for a brain scan, a
seizure occurs. What should the nurse do first? Correct Answers
Move furniture away from the client.
A client has been hit on the head with a baseball bat. The nurse
notes clear fluid draining from the ears and nose. Which nursing
intervention is appropriate? Correct Answers Checking the
fluid for glucose with a dipstick
, A client has just been diagnosed with early glaucoma. During a
teaching session, the nurse should: Correct Answers
demonstrate eyedrop instillation.
A client in the emergency department has a suspected
neurologic disorder. To assess gait, the nurse asks the client to
take a few steps; with each step, the client's feet make a half
circle. To document the client's gait, the nurse should use which
term? Correct Answers Helicopod
A client injures his or her spinal cord in a diving accident.
Which cerebral vertebral level would the nurse associates the
injury site if the client is unable to breathe spontaneously?
Correct Answers C4
A client is admitted into a medical unit confused and agitated.
Which nursing measure should the nurse implement first to keep
the client safe? Correct Answers Encourage family, friends, or
a sitter to stay with client.
A client is admitted to an acute care facility with a diagnosis of
stroke. The nursing student is reviewing the client's history.
Which history findings noted will the student report as risk
factors for stroke? Select all that apply. Correct Answers
Smoking ½ pack of cigarettes a day
Hypertension
Obesity
A client is admitted to the emergency department with a
suspected overdose of an unknown drug. Arterial blood gas
Solutions
A 58-year-old client complaining of difficulty driving at night
states that the "lights bother my eyes." The client wears
corrective glasses. The nurse would expect the physician to have
the client increase his or her intake of which vitamin because the
client is experiencing a deficiency in this Correct Answers
Vitamin A
A 70-year-old client with a diagnosis of left-sided stroke is
admitted to the facility. To prevent the development of disuse
osteoporosis, which of the following objectives is appropriate?
Correct Answers Promoting weight-bearing exercises
A 75-year-old client who was admitted to the hospital with a
stroke informs the nurse that he doesn't want to be kept alive
with machines. He wants to make sure that everyone knows his
wishes. Which action should the nurse take? Correct Answers
Make arrangements for the client to receive information about
advance directives.
A child is diagnosed with chronic otitis media. Which statement
made by the mother indicates an understanding of this
condition? Correct Answers "I'll tell my relatives they can't
smoke around the baby."
A client accidentally splashes chemicals into his eye. The nurse
knows that eye irrigation with plain tap water should begin
immediately and continue for 15 to 20 minutes. What is the
,primary purpose of this first-aid treatment? Correct Answers
To prevent vision loss
A client admitted to the hospital with a subarachnoid
hemorrhage (SAH) reports severe headache, nuchal rigidity, and
projectile vomiting. The nurse suspects that lumbar puncture
(LP) may be contraindicated due to which circumstance?
Correct Answers Increased intracranial pressure (ICP)
A client admitted with a cerebral contusion is confused,
disoriented, and restless. Which nursing diagnosis takes highest
priority? Correct Answers Risk for injury related to neurologic
deficit
A client arrives at the emergency department complaining of
extreme muscle weakness after minimal effort. The physician
suspects myasthenia gravis. Which drug will be used to test for
this disease? Correct Answers Edrophonium
A client at the eye clinic is newly diagnosed with glaucoma.
What should the nurse inform the client might occur if
administration of the medication is not closely adhered to?
Correct Answers Permanent vision loss
A client comes to the emergency department after hitting his
head in a motor vehicle collision. The client is alert and
oriented. Which nursing intervention should be done first?
Correct Answers Immobilize the client's head and neck.
A client comes to the emergency department complaining of
headache, malaise, chills, fever, and a stiff neck. Vital sign
,assessment reveals a temperature elevation, increased heart and
respiratory rates, and normal blood pressure. On physical
examination, the nurse notes confusion, a petechial rash, nuchal
rigidity, Brudzinski's sign, and Kernig's sign. What does
Brudzinski's sign indicate? Correct Answers Meningeal
irritation
A client diagnosed with a brain tumor experiences a generalized
seizure while sitting in a chair. How should the nurse intervene
first? Correct Answers Assist the client to a side-lying position
on the floor, and protect her with linens.
A client has a cervical spinal cord injury at the level of C5.
Which condition would the nurse anticipate during the acute
phase? Correct Answers The need for mechanical ventilation
A client has a diagnosis of stroke versus transient ischemic
attack (TIA). Which statement demonstrates the difference
between a TIA and a stroke? Correct Answers TIAs typically
resolve in 24 hours.
A client has a history of seizures. While the client is being
transported to the medical imaging laboratory for a brain scan, a
seizure occurs. What should the nurse do first? Correct Answers
Move furniture away from the client.
A client has been hit on the head with a baseball bat. The nurse
notes clear fluid draining from the ears and nose. Which nursing
intervention is appropriate? Correct Answers Checking the
fluid for glucose with a dipstick
, A client has just been diagnosed with early glaucoma. During a
teaching session, the nurse should: Correct Answers
demonstrate eyedrop instillation.
A client in the emergency department has a suspected
neurologic disorder. To assess gait, the nurse asks the client to
take a few steps; with each step, the client's feet make a half
circle. To document the client's gait, the nurse should use which
term? Correct Answers Helicopod
A client injures his or her spinal cord in a diving accident.
Which cerebral vertebral level would the nurse associates the
injury site if the client is unable to breathe spontaneously?
Correct Answers C4
A client is admitted into a medical unit confused and agitated.
Which nursing measure should the nurse implement first to keep
the client safe? Correct Answers Encourage family, friends, or
a sitter to stay with client.
A client is admitted to an acute care facility with a diagnosis of
stroke. The nursing student is reviewing the client's history.
Which history findings noted will the student report as risk
factors for stroke? Select all that apply. Correct Answers
Smoking ½ pack of cigarettes a day
Hypertension
Obesity
A client is admitted to the emergency department with a
suspected overdose of an unknown drug. Arterial blood gas
