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Neurological Problems (exam Mode) By Rnpedia.com

34 Questions  I  By Rnpedia
Neurological Problems (Exam Mode) by RNpedia.com
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1.  You are mentoring a student nurse in the intensive care unit (ICU) while caring for a patient with meningococcal meningitis. Which action by the student requires that you intervene immediately?   
A.
B.
C.
D.
2.  The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.20 F), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent off urine and stool. What is your best first action at this time?   
A.
B.
C.
D.
3.  A patient recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. Which information obtained during his chart review and assessment will be of greatest concern? 
A.
B.
C.
D.
4.  A patient with Parkinson disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene? 
A.
B.
C.
D.
5.  A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising? (Choose all that apply). 
A.
B.
C.
D.
6.  Which patient should be assigned to the traveling nurse, new to neurologic nursing care, who has been on the neurologic unit for 1 week? 
A.
B.
C.
D.
7.  You are preparing a nursing care plan for the patient with SCI including the nursing diagnoses Impaired Physical Mobility and Self-Care Deficit. The patient tells you, “I don’t know why we’re doing all this. My life’s over.” What additional nursing diagnosis takes priority based on this statement? 
A.
B.
C.
D.
8.  A patient with a spinal cord injury at level C3-4 is being cared for in the ED. What is the priority assessment? 
A.
B.
C.
D.
9.  A nursing student is teaching a patient and family about epilepsy prior to the patient�s discharge. For which statement should you intervene? 
A.
B.
C.
D.
10.  The patient with multiple sclerosis tells the nursing assistant that after physical therapy she is too tired to take a bath. What is your priority nursing diagnosis at this time? 
A.
B.
C.
D.
11.  A 70-year-old alcoholic patient with acute lethargy, confusion, and incontinence is admitted to the hospital ED. His wife tells you that he fell down the stairs about a month ago, but “he didn’t have a scratch afterward.” She feels that he has become gradually less active and sleepier over the last 10 days or so. Which of the following collaborative interventions will you implement first? 
A.
B.
C.
D.
12.  You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene? 
A.
B.
C.
D.
13.  The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient? 
A.
B.
C.
D.
14.  Which patient should you, as charge nurse, assign to a new graduate RN who is orienting to the neurologic unit? 
A.
B.
C.
D.
15.  The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?   
A.
B.
C.
D.
16.  Which of these patients in the neurologic ICU will be best to assign to an RN who has floated from the medical unit? 
A.
B.
C.
D.
17.  While working in the ICU, you are assigned to care for a patient with a seizure disorder. Which of these nursing actions will you implement first if the patient has a seizure? 
A.
B.
C.
D.
18.  As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer’s disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility? 
A.
B.
C.
D.
19.  A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoresis, and flushing of the face and neck. What action should you take first? 
A.
B.
C.
D.
20.  The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action (s) to the LPN/LVN? (Choose all that apply). 
A.
B.
C.
D.
21.  All of these nursing activities are included in the care plan for a 78-year-old man with Parkinson’s disease who has been referred to your home health agency. Which ones will you delegate to a nursing assistant (NA)? (Choose all that apply). 
A.
B.
C.
D.
E.
F.
22.  You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to LPN/LVN? 
A.
B.
C.
D.
23.  After receiving a change-of-shift report at 7:00 AM, which of these patients will you assess first? 
A.
B.
C.
D.
24.  You are creating a teaching plan for a patient with newly diagnosed migraine headaches. Which key items should be included in the teaching plan? (Choose all that apply).   
A.
B.
C.
D.
E.
F.
25.  The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately? 
A.
B.
C.
D.
26.  What is the priority nursing diagnosis for a patient experiencing a migraine headache? 
A.
B.
C.
D.
27.  The nurse is preparing to discharge a patient with chronic low back pain. Which statement by the patient indicates that additional teaching is necessary? 
A.
B.
C.
D.
28.  Which action (s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? (Choose all that apply). 
A.
B.
C.
D.
29.  You are helping the patient with an SCI to establish a bladder-retraining program. What strategies may stimulate the patient to void? (Choose all that apply). 
A.
B.
C.
D.
E.
30.  You are providing care for a patient with an acute hemorrhage stroke. The patient’s husband has been reading a lot about strokes and asks why his wife did not receive alteplase. What is your best response? 
A.
B.
C.
D.
31.  You are pulled from the ED to the neurologic floor. Which action should you delegate to the nursing assistant when providing nursing acre for a patient with SCI? 
A.
B.
C.
D.
32.  A patient who has been admitted to the medical unit with new-onset angina also has a diagnosis of Alzheimer’s disease. Her husband tells you that he rarely gets a good night’s sleep because he needs to be sure she does not wander during the night. He insists on checking each of the medications you give her to be sure they are the same as the ones she takes at home. Based on this information, which nursing diagnosis is most appropriate for this patient?   
A.
B.
C.
D.
33.  You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which collaborative intervention must be accomplished first? 
A.
B.
C.
D.
34.  You are caring for a patient with a recurrent glioblastoma who is receiving dexamethasone (Decadron) 4 mg IV every 6 hours to relieve symptoms of right arm weakness and headache. Which assessment information concerns you the most? 
A.
B.
C.
D.
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