NUR 425 Exam 1 Guide
The nurse conducts A neurological assessment for a patient. Which finding correlates to
a parasympathetic stimulation of the autonomic nervous system?A. Constricted pupils
B. elevated blood glucose
C. tachycardia
D. decreased saliva production - answerA. constricted pupils
The nurse needs to provide a strong stimulus to elicit a response: however the patient
drifts back to unresponsiveness. What term should the nurse use to document this
patient's level of responsiveness?
a. Coma
b. Stupor
c. Lethargy
d. Conscious - answerB. Stupor
Your patient is having a tonic clonic seizure. Which actions should you take?
Select all that applies
a. Protect the head from injury
b. sweep anything out of the mouth
c. turn patient on to side
d. document the time of the seizure ended
e. remove any clothing from the neck area - answera. Protect the head from injury
c. turn patient on to side
e. remove any clothing from the neck area
In assessing neurological status on an older patient, the nurse needs to consider which
age-related change of the neurological system?
a. Reaction time can be slower.
b. Flexibility is maintained
c. Pain sensation is heightened.
d. Basal body temperature is elevated. - answera. Reaction time can be slower.
The nurse is caring for a patient with Parkinson's disease who has a history of
excessiveoral secretions. What is the most important safety intervention for this patient?
a. Educate the persons family about the disease
b. Use adaptive equipment to foster independence.
c. Set the person upright while eating, have suction set up.
d. Place the person on fall precautions - answerc. Set the person upright while eating,
have suction set up.
Bacterial meningitis is a droplet precaution true or false?
, a. True
b. False - answera. True
Our patient is in status epilepticus. The patient is in a safe position and suction is at the
bedside. What is the next best action that you should take?
a. Call the doctor to tell them.
b. Check the MAR for a PRN diazepam order.
c. Administer CPR.
d. Sweep the mouth of foreign objects. - answerb. Check the MAR for a PRN diazepam
order.
A patient is having a seizure on the neuro floor. Which of the following needs to be
documented?
Select All that apply
a. Onset and duration.
b. Triggering activity or aura.
c. Time of last meal.
d. Response to rescue medications.
e. All of the above
f. a comma B, D - answer
During your neuro check at 0300, the RN notices the left pupil is 3mm and the right
is5mm and non reactive. The last recordings were PERRLA. What is the best action to
take?
a. Wait until shift change until the day shift to watch it.
b. Notify a physician or call a rapid response.
c. Administer soothing eye drops.
d. Dim the lights in the room.
e. Document the findings. - answerb. Notify a physician or call a rapid response.
A patient with Huntington's disease has recorded intake and output of 25% of each
ofthe last six meals. Which nursing intervention could help safely increase PO intake?
a. Advocating for a modified texture diet that is easier to swallow.
b. Switching the patient to tube feed boluses 4 times daily.
c. Asking the patients spouse to bring familiar meals from home.
d. Ask the CNA to document refusal of all meals. - answera. Advocating for a modified
texture diet that is easier to swallow
Which of the following will the nurse use when communicating with a client who has
cognitive impairment?
a. Complete explanations with full details.
b. Pictures or active gestures.
c. Stimulating words to capture attention.
d. Short simple phrases. - answerd. Short simple phrases.
The nurse conducts A neurological assessment for a patient. Which finding correlates to
a parasympathetic stimulation of the autonomic nervous system?A. Constricted pupils
B. elevated blood glucose
C. tachycardia
D. decreased saliva production - answerA. constricted pupils
The nurse needs to provide a strong stimulus to elicit a response: however the patient
drifts back to unresponsiveness. What term should the nurse use to document this
patient's level of responsiveness?
a. Coma
b. Stupor
c. Lethargy
d. Conscious - answerB. Stupor
Your patient is having a tonic clonic seizure. Which actions should you take?
Select all that applies
a. Protect the head from injury
b. sweep anything out of the mouth
c. turn patient on to side
d. document the time of the seizure ended
e. remove any clothing from the neck area - answera. Protect the head from injury
c. turn patient on to side
e. remove any clothing from the neck area
In assessing neurological status on an older patient, the nurse needs to consider which
age-related change of the neurological system?
a. Reaction time can be slower.
b. Flexibility is maintained
c. Pain sensation is heightened.
d. Basal body temperature is elevated. - answera. Reaction time can be slower.
The nurse is caring for a patient with Parkinson's disease who has a history of
excessiveoral secretions. What is the most important safety intervention for this patient?
a. Educate the persons family about the disease
b. Use adaptive equipment to foster independence.
c. Set the person upright while eating, have suction set up.
d. Place the person on fall precautions - answerc. Set the person upright while eating,
have suction set up.
Bacterial meningitis is a droplet precaution true or false?
, a. True
b. False - answera. True
Our patient is in status epilepticus. The patient is in a safe position and suction is at the
bedside. What is the next best action that you should take?
a. Call the doctor to tell them.
b. Check the MAR for a PRN diazepam order.
c. Administer CPR.
d. Sweep the mouth of foreign objects. - answerb. Check the MAR for a PRN diazepam
order.
A patient is having a seizure on the neuro floor. Which of the following needs to be
documented?
Select All that apply
a. Onset and duration.
b. Triggering activity or aura.
c. Time of last meal.
d. Response to rescue medications.
e. All of the above
f. a comma B, D - answer
During your neuro check at 0300, the RN notices the left pupil is 3mm and the right
is5mm and non reactive. The last recordings were PERRLA. What is the best action to
take?
a. Wait until shift change until the day shift to watch it.
b. Notify a physician or call a rapid response.
c. Administer soothing eye drops.
d. Dim the lights in the room.
e. Document the findings. - answerb. Notify a physician or call a rapid response.
A patient with Huntington's disease has recorded intake and output of 25% of each
ofthe last six meals. Which nursing intervention could help safely increase PO intake?
a. Advocating for a modified texture diet that is easier to swallow.
b. Switching the patient to tube feed boluses 4 times daily.
c. Asking the patients spouse to bring familiar meals from home.
d. Ask the CNA to document refusal of all meals. - answera. Advocating for a modified
texture diet that is easier to swallow
Which of the following will the nurse use when communicating with a client who has
cognitive impairment?
a. Complete explanations with full details.
b. Pictures or active gestures.
c. Stimulating words to capture attention.
d. Short simple phrases. - answerd. Short simple phrases.
