NUR 146 NEURO FINAL EXAM WITH 100

NUR 146 NEURO FINAL EXAM WITH 100 +

QUESTIONS AND 100% CORRECT ANSWERS |

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SUCCESS | NUR 146 ACTUAL EXAM [BRAND

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Before a transesophageal echocardiogram, a nurse gives a client an oral topical anesthetic spray. When the client returns from the procedure, the nurse observes that the client has no active gag reflex. What is the next action by the nurse?

• Withhold food and fluids.
• Insert an oral airway.
• Position the client on the side.
• Introduce a nasogastric (NG) tube. - ANSWER- a. Withhold food and fluids

To evaluate a client's cerebellar function, a nurse should ask

• Balancing functions are ok?
• Experiencing any difficulty speaking?
• Problem solving ability intact ?
• Muscle strength changes in recent times. - ANSWER- a. Balancing functions are

ok?

The nurse is assessing a client's respiratory status. Which assessment data indicate a problem? 1 / 4

• 28 breaths/min and audible
• 20 breaths/min and shallow in character
• 18 breaths/min and inhaled through the mouth
• 16 breaths/min and deep in character - ANSWER- a. 28 breaths/min and audible

A client has been experiencing abdominal cramps, loose stools, and concentrated urine for the past 2 days. Which signs would be included in a focused assessment?

• signs of dehydration, including loss of weight; poor tissue turgor; and dry,

cracked mucous membranes

• signs of abdominal distension, auscultation of reduced bowel sounds, and

tympany upon percussion

• signs of kidney suppression with enlargement of the kidneys, reduced urine

flow, and concentrated urine

• signs of metabolic alkalosis with disorientation because of loss of intestinal

fluids - ANSWER- a. signs of dehydration, including loss of weight; poor tissue turgor; and dry, cracked mucous membranes

A nurse determines that a client has 20/40 vision. Which action by the nurse is most appropriate?

• Refer the client to a healthcare provider for possible corrective lenses.
• Encourage the client to purchase corrective lenses for reading.
• Tell the client that corrective lenses will be required for driving.
• Educate the client about ways to maintain normal vision. - ANSWER- a. Refer

the client to a healthcare provider for possible corrective lenses.

In a care conference, the social worker is asking if a psychosocial assessment has been completed. Which areas would the nurse report on as part of this assessment?

• health habits, family relationships, affect, and thought patterns 2 / 4

• breathing patterns, circulation patterns, and responses to hospitalization
• rest and sleep patterns, activity and exercise patterns, and coping and stress

tolerance

• general survey results, eating habits, and ability to perform activities of daily

living - ANSWER- a. health habits, family relationships, affect, and thought patterns The nurse is performing an assessment on a pregnant client with a history of cardiac disease. Which body area will venous congestion most commonly be noted in?

• Vulva
• Around the eyes
• Fingers of the hands
• Around the abdomen - ANSWER- a. Vulva

When assessing a child with meningitis, which finding would indicate the presence of Kernig's sign?

• The inability of the child to extend the legs fully when lying supine
• The flexion of the hips when the neck is flexed from a lying position
• Pain when the chin is pulled down to the chest
• Calf pain when the foot is dorsiflexed - ANSWER- a. The inability of the child

to extend the legs fully when lying supine

The registered nurse is observing a new nurse auscultate the breath sounds on a client with pneumonia. Which action by the new nurse would lead the registered nurse to determine that there is a need for further teaching?

• Uses the bell of the stethoscope
• Asks the client to sit straight up
• Places the stethoscope directly on the client's skin 3 / 4

• Encourages the client to breathe slowly and deeply through the mouth -

ANSWER- a. Uses the bell of the stethoscope

The nurse caring for a client after shoulder arthroplasty for rheumatoid arthritis monitors the client for brachial plexus compromise. To assess the status of the median nerve, which action would the nurse perform?

• While grasping the nurse's hand, note the strength of the client's first and second

fingers.

• Have the client move the thumb toward the palm and back to the neutral

position.

• Monitor for flexion of the biceps by having the client raise the forearm.
• Have the client spread all of the fingers wide and resist pressure. - ANSWER- a.

While grasping the nurse's hand, note the strength of the client's first and second fingers.

To assess the effectiveness of cardiac compressions during adult cardiopulmonary resuscitation (CPR), a nurse should palpate which pulse site?

• Carotid
• Radial
• Brachial
• Popliteal - ANSWER- a. carotid

A nurse prepares to auscultate a client's carotid arteries for bruits. For this procedure, the nurse should

• use the bell of the stethoscope
• Palpate radial artery
• Eat Tacos with salsa
• Watch a fun movie - ANSWER- a. use the bell of the stethoscope
• / 4