Title WORKBOOK - NEURO (KEY) ✅

45. Gerrie complained of partial vision loss in both eyes. He was diagnosed with closed-angle glaucoma. The physician prescribes Pilocarpine ophthalmic solution, 0.25% gtt i, OU q.i.d. Based on this prescription, the nurse should teach the client or a family member to administer the drug by: A. Instilling one drop of pilocarpine 0.25% into both eyes daily. B. Instilling one drop of pilocarpine 0.25% into both eyes four times daily. C. Instilling one drop of pilocarpine 0.25% into the right eye daily. D. Instilling one drop of pilocarpine 0.25% into the left eye four times daily. 46. Rene L has been paralyzed on both legs and has been receiving physical therapy and attending teaching sessions about safety. Which behavior indicates that the client accurately understands safety measures related to paralysis? A. The client leaves the side rails down. B. The client uses a mirror to inspect the skin. C. The client repositions only after being reminded to do so. D. The client hangs the left arm over the side of the wheelchair. 47. You assessed a client with a hysterical disorder disorder. During the assessment you noticed that with each step, the client’s feet make a half-circle. To document the client’s gait, the nurse should use which term? A. Ataxic B. Dystrophic C. Helicopod D. Steppage 48. Serena S is admitted with bacterial meningitis pending CSF GS/CS results. Which hospital room would be the best choice for this client? A. A private room down the hall from the nurses’ station. B. An isolation room three doors from the nurses’ station. C. A semi-private room with a 32-year-old client who has viral meningitis. D. A two-bedroom with a client who previously had bacterial meningitis. 49. Aileen was diagnosed with myasthenia gravis and was prescribed with pyridostigmine 60 mg P.O. every 3 hours. Before administering this anticholinesterase agent, the nurse reviews the client’s history. Which preexisting condition would contraindicate the use of pyridostigmine? A. Ulcerative colitis B. Blood dyscrasia C. Intestinal obstruction D. Spinal cord injury 50. Yuriko X developed a ankylosis of the stapes in the oval window and undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After the stapedectomy, the nurse should provide which client instruction? A. “Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours.” B. “Try to ambulate independently after about 24 hours.” C. “Shampoo your hair every day for ten (10) days to help prevent ear infection.” D. “Don’t fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days.” 51. Dantrolene was administered to a 34 year old who experienced malignant hyperthermia. Which of the following adverse effects should you watch out for? A. Excessive tearing B. Urine retention C. Muscle weakness D. Slurred speech 52. Nurse Jella is monitoring Myra for adverse reactions to atropine sulfate) eyedrops. Systemic absorption of atropine sulfate through the conjunctiva can cause which adverse reaction? A. Tachycardia B. Increased salivation C. Hypotension D. Apnea 53. A 35 year old male patient is admitted with a cervical spine injury sustained during a car racing accident. When planning this client’s care, the nurse should assign the highest priority to which nursing diagnosis? A. Impaired physical mobility B. Ineffective breathing pattern C. Disturbed sensory perception (tactile) D. Self-care deficit: Dressing/grooming 54. Ben D, a 40 year old mailman has a history of painful, continuous muscle spasms. His physician prescribes diazepam. He tells you that Diazepam seems familiar. You tell him that in addition to being used to relieve painful muscle spasms, Diazepam also is recommended for: A. Long-term treatment of epilepsy. B. Postoperative pain management of laminectomy clients. C. Postoperative pain management of diskectomy clients. D. Treatment of spasticity associated with spinal cord lesions. 55. Ellen A was brought to the ER after being found lying on a pavement unconscious. In the intensive care unit, the nurse checks the client’s oculocephalic (doll’s eye) response by: A. Introducing ice water into the external auditory canal. B. Touching the cornea with a wisp of cotton. C. Turning the client’s head suddenly while holding the eyelids open. D. Shining a bright light into the pupil. 56. While reviewing a client’s chart, the nurse notices that the female client has myasthenia gravis. Which of the following statements about neuromuscular blocking agents is true for a client with this condition? A. The client may be less sensitive to the effects of a neuromuscular blocking agent. B. Succinylcholine shouldn’t be used; pancuronium may be used in a lower dosage. C. Pancuronium shouldn’t be used; succinylcholine may be used in a lower dosage. D. Pancuronium and succinylcholine both require cautious administration. 57. Brad N first found out that he was color blind during a driving test. You understand that this client has a problem with: A. Rods. B. Cones. C. Lens. D. Aqueous humor. 58. Isko K was trapped inside a collapsed building for hours after an earthquake. He was rushed to the ER unconscious. During your neuro exam, you observed that he responds to painful stimuli with decerebrate posturing. This finding indicates damage to which part of the brain? A. Diencephalon B. Medulla C. Midbrain D. Cortex 59. Merle is 45 year old teacher who was diagnosed with multiple sclerosis. Upon review of her history, which of the following s/sx would you expect A. Vision changes B. Absent deep tendon reflexes C. Tremors at rest D. Flaccid muscles 60. The nurse is caring for a male client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform? TOP RANK REVIEW ACADEMY, INC. Page 4 | 7