2026): Principles of Pharmacology | Questions
and Verified Answers | 100% Correct | Grade A -
Galen
toes up or down - ANSWER -The nurse is planning to test position sensation in an
adult female client. To perform this procedure, the nurse should ask the client to
close her eyes while the nurse moves the client's
Risk for Aspiration - ANSWER -A client is admitted to the health care facility
with new onset of right-sided paralysis, slurred speech, and lethargy. A nurse
obtains in the history that the client has uncontrolled hypertension and smokes 2
packs of cigarettes a day. Which nursing diagnosis is priority for the client upon
admission?
Meningitis - ANSWER -The nurse has placed her hands behind the client's head
and flexed the client's neck forward as far as the client can tolerate. During the test,
the client experiences leg pain and bends his knees. This assessment finding is
suggestive of what health problem?
Depth of respirations - ANSWER -A client sustains an injury to the brain stem.
What is the most important assessment parameter that the nurse should perform for
this client?
Ask the client to walk in a heel-to-toe fashion and watch for an unsteady gait -
ANSWER -A client reports the feeling of being unsteady when walking. What is
an appropriate action by the nurse to assess for a problem with gait and balance?
This is called nystagmus to the left. - ANSWER -A client with a history of seizure
disorder and taking several seizure medications reports that a friend noted
"jumping eye movements." The client describes a sensation of movement at rest
since his medications were adjusted upward following a breakthrough seizure
,several weeks ago. Examination shows that both eyes slowly move to the right
then quickly jump to the left. Based on these signs, which of the following is true?
Dorsiflexion of the great toe and fanning of all toes - ANSWER -A nurse performs
a neurologic examination on a client who sustained an injury to the spinal cord.
What finding should the nurse expect when stroking the bottom of the client's feet?
Recent narcotic use - ANSWER -The emergency department nurse's rapid
assessment of a young adult client admitted unresponsive reveals fixed, constricted
pupils bilaterally. The nurse should consider what possible cause for this
assessment finding?
Decerebrate rigidity - ANSWER -A 37-year-old comatose woman arrives at the
emergency room. Paramedics say her husband found her unconscious at home. Her
past medical history consists of type 1 diabetes for which she takes insulin. In the
ambulance the paramedics obtained a glucose check and determined she was
severely hypoglycemic. They began a dextrose saline infusion and intubated her to
protect her airway. Despite their efforts she is posturing in the emergency room
with her arms straight at her side and her jaw clenched. Her legs are also straight
and her feet are plantar flexed. What type of posturing is she showing?
VIII (8) - ANSWER -During an assessment of the cranial nerves, a client reports
spontaneously losing balance. The nurse should focus additional assessment on
which cranial nerve?
III Oculomotor Nerve - ANSWER -A nurse assesses a client for pupillary
response of the eyes and finds a unilateral dilated pupil that is unresponsive to light
or accommodation. The nurse recognizes that which cranial nerve is responsible
for the damage of pupillary response?
"Are you having any dizziness or lightheadedness?" - ANSWER -A client presents
to the health care facility for a routine health checkup. The nurse learns that the
client has a long history of cardiovascular disease, including hypertension and
carotid artery disease. When assessing this client for potential problems in the
nervous system, which question by the nurse is appropriate?
, Cerebellar ataxia - ANSWER -The nurse working in the emergency department is
assessing an intoxicated driver involved in a motor vehicle crash when the client
insists on ambulating to the bathroom. The nurse escorts the client and calls for
help while anticipating which abnormal gait in this client that places him at risk for
falls?
Move the tongue from side to side - ANSWER -What task should a nurse ask a
client to perform to assess the function of cranial nerve XII?
Assess for nonverbal signs. - ANSWER -The nurse has completed a Glasgow
Coma Scale assessment and assigns the client a score of three. Which is the best
way for the nurse to assess pain in this client?
Psychiatric medications - ANSWER -The nurse is assessing a client exhibiting
dystonic movements. The nurse should review the client's medications from home
to check whether he is taking which medications that may cause the dystonia?
Glossopharyngeal (IX) - ANSWER -A client who was injured by a fall at a
construction site has been admitted to the hospital. He has suffered nerve damage
such that his gag reflex is no longer intact, requiring him to receive intravenous
total parenteral nutrition. Which nerve should the nurse suspect to be involved in
this client's injury?
"Can you repeat brown, chair, textbook, tomato?" - ANSWER -The nurse is
assessing the neurologic system of an adult client. To test the client's use of
memory to learn new information, the nurse should ask the client
shrug shoulders against resistance - ANSWER -What task should a nurse ask a
client to perform to assess the function of cranial nerve XI?
swaying - ANSWER -The nurse documents "Romberg test positive" on a client's
medical record. What did the nurse most likely assess in this client?
, Document the findings. - ANSWER -The nurse performs a neurological
assessment and determines the Glasgow Coma Scale (GCS) score is 15. What is
the nurse's best action?
Test the client's hearing for lateralization and bone and air conduction. -
ANSWER -Which of the following assessments is most likely to provide insight
into the function of the client's CN VIII?
"What are your height and usual weight?" - ANSWER -When obtaining the
nutritional health history from a female client, which question would be best to
elicit information about the client's knowledge of her own health status?
Potassium level - ANSWER -An older male with a history of consuming an
increased amount of processed foods since the death of his wife is complaining of
heart palpitations. Which lab result is priority for the nurse to assess?
altered nutrition, more than body requirements related to intake greater than
calories expended. - ANSWER -The nurse documents that a 45-year-old male is
177.8 cm (5 ft 10 in) tall and weighs 97.5 kg (215 lb). He tells the nurse that he
"has a good appetite, but doesn't get much exercise because of his busy work
schedule." An appropriate NANDA nursing diagnosis for this client is
Type II diabetes mellitus
Stroke
Hypertension - ANSWER -A nurse begins a comprehensive physical examination
on a client and notes that the client has a large amount of adipose tissue around the
waistline. The nurse recognizes that this client should be assessed for an increased
risk of which diseases? Select all that apply.
Purposeful drinking - ANSWER -You are teaching a health class. What would you
tell older adults is necessary when they are exposed to heat stress or when they
perform sustained vigorous physical activity?
Mid-arm circumference - ANSWER -A nurse is assessing a client's skeletal
muscle mass. Which measurement would be best?