NEW
Font size
WorksheetsNSG2340 Exam 2 Content Review
Total questions: 60
Worksheet time: 30mins
A patient with Parkinson’s disease is prescribed levodopa/carbidopa. The nurse should instruct the patient to:
Avoid high-protein meals
Take the medication at bedtime only
Stop the drug if tremors worsen
Increase fluid intake to 4 liters/day
A patient presents with signs of Cushing’s syndrome. Which finding supports this diagnosis?
Weight loss
Hypotension
Moon face and truncal obesity
Hyperpigmentation
During care of a patient with myasthenia gravis, which medication should the nurse anticipate administering to improve muscle strength?
Pyridostigmine
Atropine
Lorazepam
Phenytoin
The nurse recognizes that a lumbar puncture is contraindicated in which situation?
Suspected increased intracranial pressure
Suspected meningitis
Severe headache
Spinal deformity
The priority nursing intervention for a patient experiencing a tonic-clonic seizure is:
Insert an oral airway
Restrain the patient’s arms and legs
Turn the patient to the side
Record the patient’s temperature
A patient is admitted with a stroke. The nurse notes slurred speech and right facial droop. The priority is to:
Obtain a CT scan of the head
Administer aspirin 325 mg
Begin IV fluids
Insert an indwelling catheter
A nurse is caring for a patient after a thyroidectomy. Which finding requires immediate intervention?
Hoarseness when talking
Respiratory distress and stridor
Mild pain at the incision site
Tingling in the fingers
Which assessment is most important for a patient with a cervical spinal cord injury?
Bowel sounds
Lung sounds and respiratory effort
Urine output
Skin turgor
The nurse is educating a patient with Addison’s disease about medication management. The patient should:
Increase corticosteroid dosage during stress
Discontinue medication once feeling well
Avoid salty foods
Expect fluid retention
Which diagnostic finding confirms a diagnosis of hypothyroidism?
Elevated TSH, low T3 and T4
Low TSH, high T3 and T4
Elevated cortisol
Elevated growth hormone
The nurse monitors a patient with a basilar skull fracture for:
Halo sign from ear drainage
Bradycardia and hypertension
Dilated pupils
Decreased urinary output
The nurse should suspect autonomic dysreflexia in a spinal cord injury patient who exhibits:
Hypotension and tachycardia
Hypertension, bradycardia, and headache
Hyperthermia
Hypoglycemia
Which patient requires immediate nursing intervention?
Patient with Parkinson’s disease with drooling
Patient with Guillain-Barre reporting difficulty breathing
Patient with trigeminal neuralgia reporting pain
Patient with multiple sclerosis who is fatigued
A patient is receiving mannitol IV for increased intracranial pressure. Which finding indicates the medication is effective?
Decreased urine output
Decreased intracranial pressure
Increased confusion
Elevated blood pressure
A nurse should place a patient recovering from a right CVA in which position to prevent complications?
On the left side
Supine with head flat
On the right side with head midline
In high Fowler’s position
A patient with SIADH will likely have which electrolyte imbalance?
Hyponatremia
Hyperkalemia
Hypernatremia
Hypocalcemia
Which statement indicates understanding by a patient with hyperthyroidism prescribed propranolol?
"This medication helps control my heart rate."
"It will lower my thyroid hormone levels."
"I can stop taking this once my weight stabilizes."
"This replaces my thyroid hormone."
A nurse recognizes that a patient with myasthenic crisis needs:
Mechanical ventilation
IV corticosteroids
Antipsychotic medication
Fluid restriction
When caring for a patient with meningitis, the nurse should implement:
Airborne precautions
Droplet precautions
Contact precautions
Neutropenic precautions
A nurse is calculating an IV infusion rate. The order is for 1,000 mL of NS over 8 hours. The IV tubing delivers 15 gtt/mL. Calculate the flow rate (gtt/min).
21 gtt/min
31 gtt/min
24 gtt/min
18 gtt/min
The nurse knows the most accurate indicator of neurological function is:
Glasgow Coma Scale
Pupil size
Vital signs
Reflex response
The nurse should hold the morning dose of levothyroxine if:
Heart rate is 120 bpm
Blood pressure is 110/70
The patient complains of fatigue
The patient reports cold intolerance
A patient on long-term corticosteroid therapy is at risk for:
Hypoglycemia
Immunosuppression
Hypotension
Weight loss
Which lab result would be expected in Cushing’s syndrome?
Low sodium
High potassium
High glucose
Low cortisol
A nurse identifies which finding as an early sign of increased intracranial pressure?
Cushing’s triad
Headache and restlessness
Decerebrate posturing
Fixed pupils
A nurse caring for a patient with a pituitary adenoma should monitor for:
Changes in vision
Polycythemia
Chest pain
Hyperkalemia
A nurse notes that a patient receiving phenytoin has bleeding gums. The best response is to:
Encourage good oral hygiene
Hold the next dose
Notify the provider immediately
Decrease the dose
A patient with a spinal cord injury develops a pounding headache, flushed skin, and BP of 210/110. The nurse should:
Sit the patient upright
Lay the patient flat
Give morphine
Increase IV fluids
A patient with Guillain-Barre syndrome is at greatest risk for:
Respiratory failure
Hypertension
Seizures
Urinary tract infection
Which dietary selection is best for a patient with hypothyroidism?
Low-calorie, high-fiber
High-protein, low-fat
High-iodine foods
Low-sodium, high-potassium
A nurse caring for a patient with hyperthyroidism should report which finding to the provider?
Weight loss
Tachycardia
Temperature 102°F (38.9°C)
Anxiety
Which symptom is expected in a patient with hypocalcemia after thyroid surgery?
Numbness and tingling
Constipation
Weight gain
Bradycardia
The nurse recognizes that a patient post-stroke with expressive aphasia:
Has difficulty speaking but understands speech
Cannot understand spoken language
Has memory impairment
Experiences complete paralysis
Which medication would the nurse expect for a patient with status epilepticus?
Lorazepam IV
Lithium
Haloperidol
Furosemide
When caring for a patient with increased ICP, the nurse should avoid:
Suctioning frequently
Elevating HOB 30 degrees
Keeping neck midline
Monitoring pupils
Which vital sign change suggests Cushing’s triad?
Bradycardia, irregular respirations, widened pulse pressure
Tachycardia, rapid respirations, low BP
Bradycardia, low BP, high temperature
Tachycardia, high BP, irregular respirations
A nurse evaluating a patient on levodopa notes facial tics. The priority action is to:
Report the finding to the provider
Increase the dose
Stop the medication
Give at bedtime
A nurse caring for a patient with diabetes insipidus expects which finding?
Polyuria and dehydration
Low urine output
Weight gain
Hyponatremia
The best indicator that mannitol is effective in reducing ICP is:
Increased urinary output
Increased BP
Slowed heart rate
Decreased pupil reactivity
The nurse should prioritize assessment for which patient?
Addison’s disease with fatigue
SIADH with confusion
Hyperthyroidism with tachycardia
Parkinson’s disease with tremor
Which intervention is most appropriate for a patient with Alzheimer’s disease?
Use short, simple sentences
Provide multiple choices
Frequently change environment
Give lengthy explanations
The nurse is teaching a patient with MS about fatigue management. Which statement shows understanding?
"I will plan activities with rest breaks."
"I will increase exercise when tired."
"I will drink more caffeine."
"I will avoid sleeping during the day."
A nurse administers 25 mg of hydrocortisone IV every 8 hours. How much will the patient receive in 24 hours?
25 mg
50 mg
75 mg
100 mg
A patient with a spinal cord injury suddenly complains of sweating and nasal congestion. The nurse suspects:
Autonomic dysreflexia
Neurogenic shock
Spinal shock
Sepsis
A patient with a TIA should be educated on which medication?
Aspirin
Insulin
Phenytoin
Furosemide
Which finding in a patient with diabetes insipidus requires immediate action?
Serum sodium 152 mEq/L
Urine output 200 mL/hr
Urine specific gravity 1.005
BP 90/60 mmHg
A patient with chronic seizure disorder should:
Take medication at the same time daily
Discontinue medication when seizures stop
Avoid swimming
Limit fluid intake
Which lab result supports a diagnosis of Addison’s disease?
Elevated cortisol
Low sodium, high potassium
High glucose
High sodium
The nurse should monitor which electrolyte closely when a patient is on furosemide?
Potassium
Calcium
Sodium
Chloride
A nurse reviews a patient’s thyroid panel: TSH 0.1, T3/T4 elevated. This indicates:
Hyperthyroidism
Hypothyroidism
Cushing’s disease
Addison’s disease
The nurse recognizes which as a potential complication of SIADH treatment?
Rapid sodium correction leading to seizures
Dehydration
Weight gain
Hypokalemia
A patient with meningitis reports photophobia. The nurse should:
Dim the room lights
Encourage ambulation
Provide cold compresses
Increase stimuli
The nurse caring for a patient with TBI monitors for which sign of herniation?
Unequal pupils
Dilated neck veins
Hypotension
Hyperreflexia
Which instruction is appropriate for a patient taking phenytoin?
Use nonhormonal contraception
Take on an empty stomach
Stop if rash occurs
Skip doses if drowsy
A patient recovering from stroke has difficulty swallowing. The nurse should:
Place patient in high Fowler’s
Offer thin liquids
Feed quickly
Avoid checking gag reflex
Which finding indicates Cushing’s syndrome?
Buffalo hump
Weight loss
Hypoglycemia
Bradycardia
A patient with hyperthyroidism is prescribed methimazole. Which lab should the nurse monitor?
WBC count
Potassium
Calcium
Sodium
The nurse calculates: Order – 500 mg ampicillin PO q6h. Supply: 250 mg tablets. How many tablets per dose?
1
2
3
4
A patient with Cushing’s disease reports mood swings and irritability. The best nursing action is:
Provide emotional support
Discontinue corticosteroids
Restrict fluids
Give antihypertensives
A patient develops confusion after a head injury. The nurse should:
Perform neurological checks frequently
Give pain medication
Encourage fluids
Place in Trendelenburg position
