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MED SURG II NCLEX QUES. #2 Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- What is a Brain Tumor?
Correct Answer: A growth of abnormal cells within the cranium.
- When selecting the equipment to place in the room of a client who has been diagnosed
with Guillain-Barré syndrome, which item is most essential to the nurse's ability to facilitate?
Correct Answer: Supplemental oxygen
- What is Encephalitis?
Correct Answer: An inflammatory process affecting the central nervous system.
- To promote adequate nutrition and reduce the risk of aspiration when caring for a client
with Parkinson's, which interventions are appropriate?
Correct Answer:
- Modify the texture and consistency
- Have client flex the chin when swallowing
- Position the client in sitting position
- Allow ample time for consumption
- Tell the client to swallow several times in a row
- Because older adults often do not exhibit the typical signs and symptoms of meningitis,
the nurse would be especially vigilant for which symptoms?
Correct Answer: Low grade fever, Change in mental status
- What is a Brain Abscess?
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Correct Answer: A collection of purulent material in the brain.
- Which of the following nursing interventions is most appropriate for managing the care of
a client experiencing seizures?
Correct Answer: Provide oxygen
- What is Guillain-Barré syndrome?
- What is Plasmapheresis?
Correct Answer: When the immune system attacks the nerves. It affects the peripheral nerves and spinal nerve roots.
Correct Answer: Removal of plasma from the blood and reinfusion of the cellular
components with saline.
- What is Parkinson's disease?
- What is Cephalalgia?
Correct Answer: A disorder of the CNS that affects movement and often has tremors.
Correct Answer: Aching in the head
- A client arrives at the headache center for an initial evaluation. The client describes
flashing lights before the headaches begin. This is known as?
Correct Answer: Aura prior to a migraine headache
- TIA stands for?
- Which of the following assessment findings suggest to a nurse that a client is having
Correct Answer: Sudden brief episode of neurologic impairment caused by a temporary interruption in cerebral blood flow
TIAs?
Correct Answer: Brief periods of unilateral weakness
- What is an Endarterectomy?
Correct Answer: Surgical removal of atherosclerotic plaque
- What is Hemianopia?
Correct Answer: The ability to see only half of the normal visual field.
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- When providing a dietary tray to a client with right hemianopia, what should the nurse
- What nursing intervention is most appropriate to decrease the frustration experienced
do?Correct Answer: Place the tray on the left side of the client to allow for self feeding
by a client with expressive aphasia?
Correct Answer: Use a picture or alphabet board with frequently needed topics
- For which one of the following is it most important for the nurse to intervene when
caring for a client with leaking cerebral aneurysm?
Correct Answer: The client is constipated.
- What is a concussion?
- When the nurse's assessment of a 58-year-old client indicates the client has dementia,
Correct Answer: Temporary neurological impairment resulting from a blow to the head that jars the brain.
which would suggest the etiology of the disease?
Correct Answer: The client played football while in college
- What is a Contusion?
Correct Answer: Bruising of superficial cerebral tissue
- A nurse on a medical flight crew is assessing an alert but lethargic client with a possible
closed head injury. What should be assessed?
Correct Answer: Level of consciousness and pupillary response
- The nurse obtains history from the wife of a client who is in the ED. Which statement
- Which of the following is the most important reason for the nurse to monitor a client's
characterizes the progression of the disease?Correct Answer: "I noticed that he was confused and then collapsed in the kitchen. It happened so fast"
body temperature closely after inter-cranial surgery?
Correct Answer: Hyperthermia increases the risk for brain damage
- In developing the plan of care, which of the following will be a priority for the nursing
management of a client with a spinal cord injury at the lumbar level of the spine?
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Correct Answer: Assistance needed with ambulation
- When developing the client's care who is in chronic phase of care, which long term goal
would be most appropriate?
Correct Answer: The client will be free of skin breakdown or contractures
- When caring for a client with neurologic deficit, which one of the following nursing
interventions is most important for preventing the formation of a pressure ulcer?
Correct Answer: Relieve pressure over bony prominences
- A home care nurse is helping a client and family cope with a recent neurologic deficit.
- What is the highest priority in family teaching for someone who has Parkinson's
What interventions would be most important for the nurse to perform?Correct Answer: Assist the client and family to identify possible solutions and goals.
Disease?
Correct Answer: Reduce home safety hazards
- When planning strategies for managing bowel elimination for a client with a neurologic
deficit, which nursing intervention is most appropriate to include?
Correct Answer: Encourage a high fiber diet to increase stool bulk.
- What is Papilledema?
Correct Answer: Swelling of optic nerve
- What is Lethargy?
Correct Answer: No energy
- What is Stuporous?
Correct Answer: In and out of consciousness
- What is Cushing's triad?
Correct Answer: Change in respiratory, Change in pulse, Bradycardia
- What is Cheyne-Stokes?
Correct Answer: Shallow rapid breathing followed by apnea
- What is Demyelination?
