August 10 Set B
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1. When prioritizing care, which of the following clients should the nurse assess first? *
1 point
2. The nurse is teaching a patient and his family about dietary practices related to Parkinson’s disease. A priority for the nurse to address is risk of: *
1 point
3. A client with Parkinson’s disease has a nursing diagnosis of Self Care Deficit: Feeding related to tremor, rigidity, and bradykinesia. Which of the following medications should the nurse administers as prescribed to control these symptoms? *
1 point
4. A client with a cerebral vascular accident (CVA) is admitted to the hospital. Which measure should the nurse include in the plan of care to prevent an increase in intracranial pressure (ICP)? *
1 point
5. Which of the following statements, if made by a patient who is receiving pyridostigmine bromide (Mestinon), should indicate to a nurse that the drug is having the desired effect? *
1 point
6. The most common cause of death to a patient with Huntington’s Disease is: *
1 point
7. A 14-year-old is admitted to the hospital after being hit by a car while riding her bicycle. She has a closed head injury and was unconscious for several minutes after the accident. While assessing the child, the nurse obtains all of the following data. Which finding definitely requires further investigation? *
1 point
8. The only chronic neurological disorder with remissions and exacerbations is: *
1 point
9. Which of the following acute neurologic disorders has the best prognosis? *
1 point
10. The following cranial nerves are excluded in Parkinson’s disease involvement: *
1 point
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Situation: Brain tumor, whether malignant or benign, has serious management implications. As a nurse, you should be able to understand the consequences of the disease and treatment. You are caring for Nikki who has a brain tumor and increased Intracranial Pressure (ICP). 
11. Monroe-Kellie hypothesis refers to *
1 point
12. A patient who demonstrates an obtunded level of consciousness *
1 point
13. An osmotic diuretic, such as Mannitol, is given to the patient with increased intracranial pressure (IICP) in order to *
1 point
14. Which of the following positions are employed to help reduce intracranial pressure (ICP)? *
1 point
15. The following drugs are contraindicated to a patient with brain tumor who is suffering pain: *
1 point
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Situation: A patient was admitted to the emergency room having experienced vehicular accident. The physician suspects traumatic head and spinal cord injuries.
16. Which of the following findings will not be evident in a patient who has sustained a head injury and is suffering an increasing intracranial pressure (ICP)? *
1 point
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17. Which of the following nursing interventions is appropriate when caring for the awake and oriented head injury patient? *
1 point
18. The patient has increase ICP, which of the following interventions should the nurse avoid? *
1 point
19. Autonomic dyslexia occurred to the patient because of a spinal lesion above T7. It is considered a neurological emergency because: *
1 point
20. Which of the following should you do first if a patient has signs and symptoms of autonomic dysreflexia? *
1 point
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