Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 66 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Encourage semiannual dental exams.
B Use ophthalmic lubricant and protect the eye.
C Complete the course of antibiotics as prescribed.
D Avoid stimuli that trigger pain.
Question #2
A Administer medications at exact intervals ordered.
B Document medication given and dose.
C Assess client’s reaction to new medication schedule.
D Give client plenty of fluids with medications.
Question #3
A swallowing
B smelling
C tasting
D chewing
Question #4
A No familial tendency has been demonstrated.”
B There is a strong familial tendency.”
C There is a very weak familial tendency.
D Only secondary migraine headaches show a familial tendency.”
Question #5
A 48 hours
B 12 hours
C 24 hours
D 72 hours
Question #6
A Phenobarbital
B Vasopressin
C Furosemide (Lasix)
D Mannitol
Question #7
A Place the client in wrist restraints.
B Reorient the client while gently holding their arms.
C Apply oxygen via nasal cannula.
D Administer lorazepam per orders.
Question #8
A Shortness of breath
B Drooping eyelids
C Muscle spasms
D Sensitivity to bright light
Question #9
A A partial seizure
B An absence seizure
C A tonic-clonic seizure
D A complex seizure
Question #10
A Check the equipment.
B Continue the assessment because no actions are indicated at this time.
C Contact the physician to review the care plan.
D Document the reading because it reflects that the treatment has been effective.
Question #11
A Cerebyx
B Valium
C Ativan
D Phenobarbital
Question #12
A Give acetaminophen per orders.
B Document signs and symptoms of inflammation.
C Assess for weight loss.
D Administer corticosteroids as ordered.
Question #13
A My children are at greater risk to develop this disease.”
B “I will have progressive muscle weakness.”
C I need to remain active for as long as possible.”
D I will lose strength in my arms.”
Question #14
A Administer morning dose of anticonvulsant.
B Elevate the head of the bed.
C Complete a head-to-toe assessment.
D Administer Percocet as ordered.
Question #15
A Attains desired fluid balance
B Maintains a patent airway
C Displays no signs or symptoms of infection
D Demonstrates optimal cerebral tissue perfusion
Question #16
A Excessive urine output and serum hypo-osmolarity
B Excessive urine output and decreased urine osmolality
C Oliguria and decreased urine osmolality
D Oliguria and serum hyperosmolarity
Question #17
A Normal
B Decerebrate
C Flaccid
D Decorticate
Question #18
A decerebrate.
B decorticate.
C flaccid.
D normal.
Question #19
A Elevating the head of the bed 90 degrees
B Administering a stool softener as ordered
C Encouraging oral fluid intake
D Suctioning the client once each shift
Question #20
A Dawn phenomenon
B Hashimoto’s disease
C Cushing’s
D Monro-Kellie
Question #21
A Flat
B Elevated 30 degrees
C Elevated no more than 10 degrees
D Turned onto the operative side
Question #22
A Skin care
B Self-care
C Safety
D Activity
Question #23
A Infection
B Increased ICP
C Increase in cerebral perfusion pressure
D Exacerbation of uncontrolled hypertension
Question #24
A A tonic-clonic seizure
B A partial seizure
C An absence seizure
D myoclonic seizure
Question #25
A promote an active range of motion
B avoid physical contact between the client and family members.
C minimize exposure to bright lights and noise.
D increase environmental stimuli.
Question #26
A unequal response
B equal response
C constricted response
D rapid response
Question #27
A Epilepsy
B Trigeminal neuralgia
C Hypostatic pneumonia
D Brain tumor
Question #28
A Maintain hydration by drinking eight glasses of fluid a day
B Perform the Heimlich maneuver
C Apply warm or cool cloths to the forehead or back of the neck
D Use pressure-relieving pads or a similar type of mattress
Question #29
A Maintaining adequate hydration
B Administering prescribed antipyretics
C Hyperoxygenation before and after tracheal suctioning
D Restricting fluid intake and hydration
Question #30
A diminished responsiveness.
B decreasing blood pressure.
C elevated temperature.
D pupillary changes.
Question #31
A You must restrict your fluid intake.”
B You must lie flat for 24 hours after surgery.”
C You must avoid coughing, sneezing, and blowing your nose.”
D You must report ringing in your ears immediately.”
Question #32
A At least 50% carbohydrate
B Restricts protein to 10% of daily caloric intake
C Low in fat
D High in protein and low in carbohydrate
Question #33
A More than 200 mL/h
B 50 to 100 mL/h
C 100 to 150 mL/h
D 150 to 200 mL/h
Question #34
A Positioning to prevent complications
B Maintenance of a patent airway
C Assessment of pupillary light reflexes
D Determination of the cause
Question #35
A supine position with the head slightly elevated.
B dorsal recumbent position.
C prone position with the head turned to the unaffected side
D Trendelenburg position.
Question #36
A Access for intravenous (IV) fluids
B To assess visual acuity
C Aspiration of a brain abscess
D Visualization of a hemorrhage
Question #37
A Risk for impaired skin integrity related to prolonged immobility
B Ineffective airway clearance related to altered LOC
C Risk of injury related to decreased LOC
D Deficient fluid volume related to inability to take fluids by mouth
Question #38
A decreased level of consciousness.
B vomiting.
C herniation.
D headache.
Question #39
A Premonitory
B Postdrome
C Aura
D Headache
Question #40
A carefully move the client to a flat surface and turn him on his side.
B allow the client to remain in the chair but move all objects out of his way.
C place an oral airway in the client’s mouth to maintain an open airway.
D hold the client’s arm still to keep him from hitting anything.
Question #41
A Pituitary carcinoma
B Esophageal carcinoma
C Colorectal carcinoma
D Laryngeal carcinoma
Question #42
A Ask the patient to cough to observe the sputum color and consistency.
B Notify the physician of a possible cerebrospinal fluid leak.
C Give the patient some mouthwash to gargle with.
D Request an antihistamine for the postnasal drip.
Question #43
A Osteoarthritis
B Obesity
C Osteoporosis
D Anemia
Question #44
A Lethargy and stupor
B Hypertension
C A bounding pulse
D Bradycardia
Question #45
A Restricting fluid intake and hydration
B Hyperoxygenation before and after tracheal suctioning
C Administering prescribed antipyretics
D Maintaining adequate hydration
Question #46
A Extreme hip flexion, with the hip supported by pillows
B Keeping the head of bed flat
C Rotating the neck to the far right with neck support
D Using a cervical collar
Question #47
A Assess neurological findings.
B Maintain airway via artificial ventilation.
C Time, distance, and shielding against radiation
D Assessing skull dressing for excess drainage
Question #48
A Seizure was 1 minute in duration including tonic-clonic activity.
B The client cried out before the seizure began.
C Sleeping quietly after the seizure
D Seizure began at 1300 hours.
Question #49
A Dextrose 5% in water (D5W)
B One-third normal saline (0.33% NSS)
C Half-normal saline (0.45% NSS)
D Mannitol
Question #50
A secondary headache is located in the frontal area.”
B A secondary headache is one for which no organic cause can be identified.”
C A migraine headache is an example of a secondary headache.”
D A secondary headache is associated with an organic cause, such as a brain tumor.”
Question #51
A High Fowler’s, to prevent aspiration
B Semi-Fowler’s, to promote breathing
C Supine, to rest the muscles of the extremities
D Side-lying, to facilitate drainage of oral secretions
Question #52
A 60 mm Hg
B 50 mm Hg
C 70 mm Hg
D 80 mm Hg
Question #53
A Increased ICP is 12 mm Hg.
B mean arterial pressure (MAP) is equal to the intracranial pressure (ICP).
C The pupils are dilated and fixed.
D Cerebral perfusion pressure (CPP) is 21 mm Hg.
Question #54
A Capillary refill of 2 seconds
B Shivering
C Urine output of 100 mL/hr
D Cool, dry skin
Question #55
A Corticosteroids
B Antianxiety
C Diuretics
D Anticonvulsants