Week 11 NCLEX Practice Questions

Week 11 NCLEX Practice Questions 4.5 (2 reviews) Students also studied Terms in this set (10) Nightingale College BSN 395 Save

NGN: Endocrine EAQ Case Study

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MngrDwight_K_Schru...Preview Pituitary and Thyroid Glands 12 terms MngrDwight_K_Schru...Preview Week 12 NCLEX Practice Questions 10 terms MngrDwight_K_Schru...Preview Neurol 24 terms Mn A patient has just returned from having a computed tomography scan, which confirmed the presence of a large left cerebral stroke secondary to occlusion of the middle cerebral artery. At 100 kg, what would the correct dose of rtPA be?

• mg given IV bolus followed by 81 mg infused over 60

minutes 90 mg IV infused over 60 minutes

• mcg/kg given IV bolus followed by 81 mcg/kg/min

times 60 minutes 90 mcg/kg infused over 60 minutes

• mg given IV bolus followed by 81 mg infused over 60 minutes

Which symptoms would indicate subarachnoid hemorrhage (SAH)?Sudden onset of hemiparesis, aphasia, and hemianopia Abrupt onset of bilateral lower extremity weakness Sudden severe headache, vomiting, and stiff neck Bradycardia, systolic hypertension, and papilledema Sudden severe headache, vomiting, and stiff neck Which intervention is most important in promoting adequate cerebral perfusion?Administering plasma expanders to maintain hypervolemia Starting enteral feedings early in the treatment process Keeping the head of the bed elevated Maintaining PaCO2 less than 25 mm Hg Keeping the head of the bed elevated

A patient has just returned to the intensive care unit after undergoing a craniotomy to repair an arteriovenous malformation. The patient is at risk for developing increased intracranial pressure. What are the signs of the Cushing triad?Diminished deep tendon reflexes, papilledema, and unequal pupil response Bradycardia, systolic hypertension, and widening pulse pressure Decreased level of consciousness, Cheyne-Stokes respirations, and fixed and dilated pupils Headache, projectile vomiting, and hyperthermia Bradycardia, systolic hypertension, and widening pulse pressure A patient is experiencing severe vasospasm following a subarachnoid hemorrhage. Management of this complication would include which intervention?Administration of dextran Initiation of a nitroprusside drip Nimodipine 60 mg every 4 hours Mannitol 2 g/kg intravenous piggyback Nimodipine 60 mg every 4 hours A patient does not respond to verbal stimuli, so the nurse applies painful stimulus and notes the patient's reaction.The patient clenches his teeth, and his arms are extended and hyperpronated. The nurse recognizes this activity is indicative of which finding?Decerebrate posturing A positive Babinski sign Decorticate posturing Localization of pain Decerebrate posturing A patient has a suspected subarachnoid hemorrhage.Which examination will supply the most information about this?Computed tomography (CT) Cerebral angiography Magnetic resonance imaging (MRI) Skull and spine radiography Computed tomography (CT) The nurse is assisting with a lumbar puncture and notes that the cerebrospinal fluid (CSF) is a smoky color. The nurse knows that this finding is suggestive of which abnormality?Subarachnoid hemorrhage Elevated protein count Increased lumbar pressure Presence of red blood cell (RBC's) Presence of red blood cell (RBC's)

The nurse is admitting a patient with a head injury. Which parameters will the nurse evaluate as part of the patient's neurologic assessment? (Select all that apply.) Pupillary function Respiratory function Urinary output Level of consciousness Vital signs Pupillary function Respiratory function Level of consciousness Vital signs During assessment, the nurse notes that the patient has pinpoint pupils. What could cause this finding? (Select all that apply.) Atropine eye drops Opioid overdose Lower brainstem compression Bilateral damage to the pons Opioid overdose Lower brainstem compression Bilateral damage to the pons