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Neurological Disorders and Diagnostic Interventions

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

The client is being admitted to rule out a brain tumor. Which classic triad of symptoms supports a diagnosis of a brain tumor?

a)

Nervousness, metastasis to the lungs, and seizures.

b)

Headache, vomiting, and papilledema.

c)

Hypotension, tachycardia, and tachypnea.

d)

Abrupt loss of motor function, diarrhea, and changes in taste.

2.

The nurse is caring for a client diagnosed with meningitis. Which collaborative intervention should be included in the plan of care?

a)

Administer antibiotics.

b)

Obtain a sputum culture.

c)

Monitor the pulse oximeter.

d)

Assess intake and output.

3.

The nurse is caring for clients on a medical-surgical floor. Which client should be assessed first?

a)

The 65-year-old client, who was diagnosed with seizures, is complaining of a headache that is a 2 on a 1 to 10 scale.

b)

The 24-year-old client was diagnosed with a T10 spinal cord injury and cannot move his toes.

c)

The 58-year-old client diagnosed with Parkinson’s disease is crying and worried about her facial appearance.

d)

The 62-year-old client was diagnosed with a cerebrovascular accident and has a resolving left hemiparesis.

4.

Which is a common cognitive problem associated with Parkinson's disease?

a)

Emotional lability.

b)

Depression.

c)

Memory deficits.

d)

Paranoia.

5.

Which diagnostic test is used to confirm the diagnosis of ALS?

a)

Electromyogram.

b)

Muscle biopsy.

c)

Serum creatine kinase.

d)

Pulmonary Function Test.

6.

The client diagnosed with ALS asks the nurse, “I know this disease is going to kill me. What will happen to me in the end?” Which statement by the nurse would be most appropriate?

a)

You are afraid of how you will die?

b)

Most people with ALS die of respiratory failure.

c)

Don't talk like that. You have to stay positive.

d)

ALS is not a killer. You can live a long life.

7.

The nurse is admitting the client to rule out encephalitis. Which interventions should the nurse assess to support the diagnosis of encephalitis? Select all that apply.

a)

Determine if the client has recently received any immunizations.

b)

Ask the client if he or she has had a cold in the last week.

c)

Check to see if the client has active herpes simplex 1.

d)

Find out if the client has traveled to the Great Lakes region.

e)

Assess for exposure to soil with fungal spores.

8.

Which is an expected outcome for a client diagnosed with encephalitis?

a)

The client will regain as much neurological function as possible.

b)

The client will have no short-term memory loss.

c)

The client will have improved renal function.

d)

The client will apply hydrocortisone cream daily.

9.

Which statement by the female client indicates that the client understands factors that may precipitate seizure activity?

a)

It is all right for me to drink coffee for breakfast.

b)

My menstrual cycle will not affect my seizure disorder.

c)

I am going to take a class in stress management.

d)

I should wear dark glasses when I am out in the sun.

10.

The nurse asks the client with epilepsy if he has auras with his seizures. The client says, “I don’t know what you mean. What are auras?” Which statement by the nurse would be the best response?

a)

Some people have a warning that the seizures are about to start.

b)

Auras occur when you are physically and psychologically exhausted.

c)

You're concerned that you do not have auras before your seizures?

d)

Auras usually cause you to be sleepy after you have a seizure.