Exam 3: NUR210 / NUR 210 (Latest
Update 2024 / 2025) Transition to Practice - Capstone | Questions and Verified Answers | 100% Correct - Fortis
Question:
The nurse is assessing a client for meningeal irritation and elicits a positive Brudzinski's sign. Which finding did the nurse observe
Answer:
The client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column.
Question:
The nurse is evaluating the status of a client who had a craniotomy 3 days ago.Which assessment finding would indicate that the client is developing meningitis as a complication of surgery?
Answer:
A positive Brudzinski's sign
- / 4
Question:
The nurse notes documentation that a child is exhibiting an inability to flex leg when the thigh is flexed anteriorly at the hip. Which condition does the nurse suspect?
Answer:
Meningitis
Question:
A lumbar puncture is performed on a child suspected to have bacterial meningitis, and cerebrospinal fluid is obtained for analysis. The nurse reviews the results of the CSF analysis and determines which results would verify the diagnosis
Answer:
Cloudy CSF, elevated protein, and decrease glucose levels
Question:
The home health nurse is visiting a client with a diagnosis of multiple sclerosis. The client has been taking oxybutynin (Ditropan XL). The nurse evaluates the effectiveness of the medication by asking the client which assessment question?
Answer:
"Are you getting up at night to urinate?"
- / 4
Question:
The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan?
Answer:
There is the potential of decreased effectiveness of birth control pills while taking phenytoin
Question:
Client with ADHD, how do you know the prescribed medications have a therapeutic effect?
Answer:
Fidgets less Can focus Able to complete activities started Can follow instructions
Question:
A child is diagnosed with Reye's syndrome. The nurse assists to develop a nursing care plan for the child. Which statement would indicate further teaching?
Answer:
Parents watch TV in the child's room with high volume 3 / 4
Question:
A child is diagnosed with Reye's syndrome. The nurse assists to develop a nursing care plan for the child and should include which intervention in the plan?
Answer:
Providing a quiet atmosphere with dimmed lighting
Question:
When preparing the discharge plans for a patient with chronic anxiety, Nurse Barbara evaluates the goals that were set for the patient. Nurse Barbara also evaluates if the patient has achieved the discharge long-term goals. Which goal would be most\appropriate to be include in the plan of care requiring evaluation?
Answer:
The patient is able to identify triggers that produce anxiety
Question:
A client is admitted with a recent history of severe anxiety following a home invasion and robbery. During the initial assessment interview, which statement by the client should indicate to the nurse the possible diagnosis of post-traumatic stress disorder? Select all that apply.
Answer:
"I keep reliving the robbery." "I see his face everywhere I go." "I might have died over a few dollars in my pocket."
- / 4