Module 4 EAQs NUR2214 / NUR 2214
(Latest ): Nursing Care of
the Older Adult – Complete Accurate
Quizzes with Verified Answers -
Rasmussen
Terms in this set (168)
_____________Quiz____________?
A nurse observes dorsiflexion of the big toe and fanning of other toes when the lateral side of a
client's foot is stroked with an applicator stick during a neurologic examination. What should
the nurse document in the client's medical record? -
Answer✓✓
"Exhibits a positive Babinski sign"
_____________Quiz____________?
A client has a tonic-clonic seizure at work and is admitted to the emergency department.
Which question is most useful when planning nursing care related to the client's seizure? -
Answer✓✓
"Were you aware of anything different or unusual just before your seizure began?"
_____________Quiz____________?
1
,On the day after surgery for insertion of a ventriculoperitoneal shunt to treat hydrocephalus,
an infant's temperature increases to 103.0° F (39.4° C). The nurse immediately notifies the
practitioner. What is the next nursing action? -
Answer✓✓
Removing excess clothing from the infant
_____________Quiz____________?
A client experiences a cerebral vascular accident (CVA) and is admitted to the hospital in a
coma. What is the priority nursing care for this client? -
Answer✓✓
Maintain an open airway.
_____________Quiz____________?
A 50-year-old male client has difficulty communicating because of expressive aphasia after a
cerebrovascular accident (CVA, also known as a "brain attack"). When the nurse asks the client
how he is feeling, his wife answers for him. How should the nurse address this behavior? -
Answer✓✓
Acknowledge the wife but look at the client for a response.
_____________Quiz____________?
A child sitting on a chair in a playroom starts to have a tonic-clonic seizure with a clenched jaw.
What is the best initial action by the nurse? -
Answer✓✓
2
,Placing the child on the floor
_____________Quiz____________?
A client has inflammation of the facial nerve, causing facial paralysis on one side. Which
diagnosis will the nurse most likely observe written in the medical record? -
Answer✓✓
Bell palsy
_____________Quiz____________?
Which antiepileptic drug is used as the first-line treatment for absence seizures? -
Answer✓✓
valproic acid
_____________Quiz____________?
During an annual physical assessment a client reports not being able to smell coffee and most
foods. Which cranial nerve function should the nurse assess? -
Answer✓✓
I
_____________Quiz____________?
Which statement indicates a nurse has a correct understanding about trigeminal autonomic
cephalalgia (cluster headaches)? -
Answer✓✓
3
, It is caused by an overactive hypothalamus.
_____________Quiz____________?
A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis
complains of dizziness and ringing in the ears. Which complication does the nurse conclude that
the client probably is experiencing? -
Answer✓✓
Salicylate toxicity
_____________Quiz____________?
Which cranial nerve damage may lead to a decrease in the client's olfactory acuity? -
Answer✓✓
Cranial nerve I
_____________Quiz____________?
A nurse uses the Glasgow Coma Scale to assess a client's status after a head injury. When the
nurse applies pressure to the nail bed of a finger, which movement of the client's upper arm
should cause the most concern? -
Answer✓✓
extending
_____________Quiz____________?
4
(Latest ): Nursing Care of
the Older Adult – Complete Accurate
Quizzes with Verified Answers -
Rasmussen
Terms in this set (168)
_____________Quiz____________?
A nurse observes dorsiflexion of the big toe and fanning of other toes when the lateral side of a
client's foot is stroked with an applicator stick during a neurologic examination. What should
the nurse document in the client's medical record? -
Answer✓✓
"Exhibits a positive Babinski sign"
_____________Quiz____________?
A client has a tonic-clonic seizure at work and is admitted to the emergency department.
Which question is most useful when planning nursing care related to the client's seizure? -
Answer✓✓
"Were you aware of anything different or unusual just before your seizure began?"
_____________Quiz____________?
1
,On the day after surgery for insertion of a ventriculoperitoneal shunt to treat hydrocephalus,
an infant's temperature increases to 103.0° F (39.4° C). The nurse immediately notifies the
practitioner. What is the next nursing action? -
Answer✓✓
Removing excess clothing from the infant
_____________Quiz____________?
A client experiences a cerebral vascular accident (CVA) and is admitted to the hospital in a
coma. What is the priority nursing care for this client? -
Answer✓✓
Maintain an open airway.
_____________Quiz____________?
A 50-year-old male client has difficulty communicating because of expressive aphasia after a
cerebrovascular accident (CVA, also known as a "brain attack"). When the nurse asks the client
how he is feeling, his wife answers for him. How should the nurse address this behavior? -
Answer✓✓
Acknowledge the wife but look at the client for a response.
_____________Quiz____________?
A child sitting on a chair in a playroom starts to have a tonic-clonic seizure with a clenched jaw.
What is the best initial action by the nurse? -
Answer✓✓
2
,Placing the child on the floor
_____________Quiz____________?
A client has inflammation of the facial nerve, causing facial paralysis on one side. Which
diagnosis will the nurse most likely observe written in the medical record? -
Answer✓✓
Bell palsy
_____________Quiz____________?
Which antiepileptic drug is used as the first-line treatment for absence seizures? -
Answer✓✓
valproic acid
_____________Quiz____________?
During an annual physical assessment a client reports not being able to smell coffee and most
foods. Which cranial nerve function should the nurse assess? -
Answer✓✓
I
_____________Quiz____________?
Which statement indicates a nurse has a correct understanding about trigeminal autonomic
cephalalgia (cluster headaches)? -
Answer✓✓
3
, It is caused by an overactive hypothalamus.
_____________Quiz____________?
A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis
complains of dizziness and ringing in the ears. Which complication does the nurse conclude that
the client probably is experiencing? -
Answer✓✓
Salicylate toxicity
_____________Quiz____________?
Which cranial nerve damage may lead to a decrease in the client's olfactory acuity? -
Answer✓✓
Cranial nerve I
_____________Quiz____________?
A nurse uses the Glasgow Coma Scale to assess a client's status after a head injury. When the
nurse applies pressure to the nail bed of a finger, which movement of the client's upper arm
should cause the most concern? -
Answer✓✓
extending
_____________Quiz____________?
4
