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WorksheetsNCLEX - NERVOUS SYSTEM Day1 (Part 2)
Total questions: 10
Worksheet time: 10mins
Name
Class
Date
1.
The nurse and unlicensed assistive personnel (UAP) are caring for a client who is at increased risk for falls. The nurse should intervene if the UAP is observed
a)
Check on the client every hour
b)
Raise all 4 side rails of the client's bed
c)
Put nonslip socks on the client's feet
d)
Place a fall risk identification bracelet on the client's wrist
e)
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2.
A client is seen in the clinic for the third time for a nonhealing, infected diabetic foot ulcer. The client is able to verbalize the correct procedure for wound care but reports not adhering to the ordered routine at home. What intervention does the nurse prioritize to promote proper self care?
a)
Assess the client's feelings about placement at a skilled nursing facility for care
b)
Educate the client on the risks of tissue death if not properly cared for at home
c)
Explore the client's abilities and motivation to perform care at home
d)
Provide the client with the supplies needed to change dressings as recommended
e)
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3.
A new nurse attends a risk management class on the indications and legal implications of using chemical restraints to maintain client safety. Which prescription should the nurse question before administering?
a)
Haloperidol for a client with a fall history who keeps getting out of bed without assistance
b)
Lorazepam for a client who is in alcohol withdrawal and is extremely agitated
c)
Olanzapine for a client with schizophrenia who is exhibiting violent behavior
d)
Propofol for a client who is intubated and receiving mechanical ventilation
e)
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4.
A nurse is evaluating an acutely ill client with suspected meningitis. The nurse should take what action first?
a)
Check for Kernig's and Brudzinski's signs
b)
Establish IV access
c)
Place the client on droplet precautions
d)
Prepare the client for lumbar puncture
e)
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5.
The nurse in the emergency department is caring for a client who sustained blunt force head trauma and is experiencing blurry vision. The nurse should suspect the client has sustained injury to the
a)
temporal lobe
b)
occipital lobe
c)
parietal lobe
d)
frontal lobe
e)
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6.
A client diagnosed with trigeminal neuralgia is given a prescription of carbamazepine by the health care provider. Which intervention does the nurse add to this client's care plan?
a)
Encourage client to drink cold beverages
b)
Encourage client to eat a high-fiber diet
c)
Encourage client to perform facial massage
d)
Encourage client to report any fever or sore throat
e)
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7.
The office nurse, while reviewing a client's health information, notices that the client has recently started taking St. John's wort for symptoms of depression. What additional information is most important for the nurse to obtain?
a)
Ask if the client is currently taking any prescription antidepressant medications
b)
Ask if the client has been diagnosed with depression by a mental health care provider
c)
Ask if the client takes a multivitamin with iron
d)
Ask if the client uses tanning beds
e)
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8.
The nurse is talking with a client with a brain tumor who has a new prescription for levetiracetam. Which of the following statements would be appropriate for the nurse to make?
a)
The medication will prevent blood clots in your legs.
b)
The medication will decrease the size of your tumor.
c)
The medication helps prevent seizures from occurring.
d)
The medication helps decrease swelling around your tumor.
e)
-
9.
The nurse taught the caregiver of a child with a ventriculoperitoneal (VP) shunt about when to contact the health care provider (HCP). The caregiver shows understanding of the instructions by contacting the HCP about which symptom?
a)
A temperature of 99 F (37 C) that occurs during the evening
b)
The child cannot recall items eaten for lunch the previous day
c)
The child vomits after awakening from a nap and 1 hour later
d)
The VP shunt is palpated along the posterior-lateral portion of the skull
e)
-
10.
A client is receiving scheduled doses of carbidopa-levodopa. The nurse evaluates the medication as having the intended effect if which finding is noted?
a)
Improvement in short-term memory
b)
Improvement in spontaneous activity
c)
Reduction in number of visual hallucinations
d)
Reduction of dizziness with standing
e)
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