KAPLAN NEUROLOGY EXAM 2024
The nurse in the outpatient clinic cares for a client dx with Bell’s palsy. Which actions should the nurse take first
Assess the client’s pain experience
The nurse identifies what is the most important risk factor to develop stroke?
hypertension
while the nurse ambulated the client to the bathroom, the client begins to have a seizure. Which of the following actions should the nurse take FIRST
ease the patient to the floor
The nurse cares for a patient dx with Meniere’s disease. the nurse expects the patient to exhibit what
vertigo, hearing loss, tinnitus
The nurse in the emergency department admits patients from a multicar accident. Which of the following patient should the nurse attend to first
A patient with clear fluid draining from the right ear
The nurse cares for a client admitted to the medical/surgical unit dx with a stroke. THe nurse plans care to prevent the client from experiencing sensory overload. The nurse determines that which plan is most effective?
The nurse obtains vital signs and assists the patient with am care in one visit
The nurse cares for a patient scheduled for an EEG. To prepare for the test, it is most important for the nurse to make what statement
The procedure is not painful but you must lie still
The nurse cares for a patient diagnosed with closed head injury and increased intracranial pressure. Which of the following actions by the nurse is best?
Instruct patient to exhale when turning or moving in bed
The nurse cares for a client with a glascow coma scale of 7. The nurse identifies it is important to give eye care to this patient for which reason?
To prevent corneal irritation
The nurse instructs a client about an EEG. The nurse informs the client which of the following foods should be omitted from the clients diet before the test
Hot chocolate
During the nursing history, the admitting nurse attempts to identify the aura of a client dx with grand mal seizures. Which of the following statements accurately describes an aura
unusual sensations prior to the seizure
The nurse identifies a nursing diagnosis of “altered nutrition: less than body requirements related to inability to feed self,” for a client with a right-sided hemiplegia. What intervention is most appropriate to imporve the clients nutrition
Provide pureed diet
The nurse plans care for an elderly patient recently admistted for acute pulmonary edema. The nurse understands what nursing statement is most important to prevent the patient from experiencing sensory deprivation.
assess support system for the family
The nurse finds a client dx with meniere’s disease leaning over the sink in the room and clutching it with both hands. After determining that the client is having an acute attack, which action should the nurse take first?
Help the client back to bed and place a pillow on either side of the clients head
The nurse notes a newly admitted patient dx with a head injury has a clear nasal drainage. what action should the nurse take first
check the nasal drainage for glucose
A patient dx with parkinson’s disease has tremors of both upper arms. The nurse observes that the tremors disappear as the patient unbuttons his shirt. What statement indicates the most accurate understanding of the tremors
Tremors decrease in severity when attention is diverted by activity
The nurse cares for a patient admitted to the emergency room following an automobile accident. The patient complains of dizziness, and the physician suspects a head injury. The nurse should intervene if what is observed
the patient is leaning forward with his head over the knees
Patient complains of pounding headache and nasal congestion. The nurse notes that the patient has profuse sweating from the forehead and piloerection. What action should the nurse take first
check the foley catheter and tubing for kinks
The nurse instructs the family of a pt dx with parkinsons disease. what statement by the family reflects a need for further education.
We will buy lots of soup for dad
A patient is admitted to the hospital with symptoms of myasthenia gravis. When caring for his pt, the nurse should give priority to what nursing goal
maintain respiratory function
The nurse understands that which of the following cranial nerves is affected in tic douloureux
trigeminal
The nurses cares for a patient suspected of having a seizure disorder. The patient tells the nurse, “I smeed oranges today and there wasn’t one on my tray.” What response by the nurse is best?
Have you experienced this sensation before
The nurse in the outpatient clinic assesses a client dx with trigeminal neuralgia. The nurse should intervene if the client makes what statement
“I drink coffee with breakfast and after dinner”
The nurse instructs a client diagnosed with Bell’s palsy. It is most important for the nurse to make what statement about nighttime care?
Apply an eye shield over the affected eye
The nurse cares for client diagnosed with absence seizures. It is most important for the nurse to take which of the following actions
Monitor the patient for brief interruptions of consciousness
What nursing goal is most realistic and appropriate in planning care for a patient with parkinson’s disease?
maintain optimal function within the patient’s limitations
A client is diagnosed with meningitis. the nurse notes that when the client flexes the head, the client also flexes the hip and knee. What action by the nurse is the best
immediately report his to the health provider
Which clinical manifestation should the nurse anticipate when care for a client with a history of multiple sclerosis
Urinary retention, hyperreflexia of the extremities, ataxia, decreased concentration
The nurse identifies which of the following manifestations is most characteristic of myasthenia gravis
tiredness with slight exertion
The client says “I know my children visited me today, but they deny it. What’s going on and why am I so mixed-up. What action by the nurse is best
Allow the client to discuss the “mixed up” feelings
The nurse in the outpatient clinic cares for a client dx with Bell’s palsy. Which actions should the nurse
take first – correct answer✔✔ Assess the client’s pain experience
The nurse identifies what is the most important risk factor to develop stroke? – correct answer✔✔
hypertension
while the nurse ambulated the client to the bathroom, the client begins to have a seizure. Which of the
following actions should the nurse take FIRST – correct answer✔✔ ease the patient to the floor
The nurse cares for a patient dx with Meniere’s disease. the nurse expects the patient to exhibit what –
correct answer✔✔ vertigo, hearing loss, tinnitus
The nurse in the emergency department admits patients from a multicar accident. Which of the
following patient should the nurse attend to first – correct answer✔✔ A patient with clear fluid draining
from the right ear
The nurse cares for a client admitted to the medical/surgical unit dx with a stroke. THe nurse plans care
to prevent the client from experiencing sensory overload. The nurse determines that which plan is most
effective? – correct answer✔✔ The nurse obtains vital signs and assists the patient with am care in one
visit
The nurse cares for a patient scheduled for an EEG. To prepare for the test, it is most important for the
nurse to make what statement – correct answer✔✔ The procedure is not painful but you must lie still
The nurse cares for a patient diagnosed with closed head injury and increased intracranial pressure.
Which of the following actions by the nurse is best? – correct answer✔✔ Instruct patient to exhale when
turning or moving in bed
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