Title REF - POST TEST - NEURO - (Dr. Arreglo) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 3 | A. Tell the client to take any routine anti-seizure medication prior to the EEG. B. Tell the client not to eat anything for eight (8) hours prior to the procedure. C. Instruct the client to stay awake 24 hours prior to the EEG. D. Explain to the client that there will be some discomfort during the procedure. 32. The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first? A. Note the first thing the client does in the seizure. B. Assess the size of the client’s pupils. C. Determine if the client is incontinent of urine or stool. D. Provide the client with privacy during the seizure. 33. The client that just had a three (3)-minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement? A. Perform a complete neurological assessment. B. Awaken the client every 30 minutes. C. Turn the client to the side and allow him to sleep. D. Interview the client to find out what caused the seizure. 34. The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure disorder. Which statement indicates the client understands the discharge teaching concerning this medication? A. “I will brush my teeth after every meal.” B. “I will check my Dilantin level daily.” C. “My urine will turn orange while on Dilantin.” D. “I won’t have any seizures while on this medication.” 35. The client is admitted to the intensive care department (ICD) experiencing status epilepticus. Which collaborative intervention should the nurse anticipate? A. Assess the client’s neurological status every hour. B. Monitor the client’s heart rhythm via telemetry. C. Administer an anticonvulsant medication intravenous push. D. Prepare to administer a glucocorticosteroid orally. 36. The client has been newly diagnosed with epilepsy. Which discharge instructions should be taught to the client? Select all that apply. 1. Keep a record of seizure activity. 2. Take tub baths only; do not take showers. 3. Avoid over-the-counter medications. 4. Have anticonvulsant medication serum levels checked regularly. 5. Do not drive alone; have someone in the car. A. 1,2,3 B. 1,3,4 C. 1,4,5 D. 1,2,5 37. 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.” 38. The nurse asks the male 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 seizure is 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.” 39. The client has been diagnosed with a brain tumor. Which presenting signs and symptoms help to localize the tumor position? A. Widening pulse pressure and bounding pulse. B. Diplopia and decreased visual acuity. C. Bradykinesia and scanning speech. D. Hemiparesis and personality changes. 40. The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response? A. “MRIs are loud but there will not be any invasive procedure done.” B. “You’re scared. Tell me about what is scaring you.” C. “This is the least thing to be scared about—there will be worse.” D. “I can call the MRI tech to come and talk to you about the scan.” 41. The client diagnosed with breast cancer has developed metastasis to the brain. Which prophylactic measure should the nurse implement? A. Institute aspiration precautions. B. Refer the client to Reach to Recovery. C. Initiate seizure precautions. D. Teach the client about mastectomy care. 42. The nurse has written a care plan for a client diagnosed with a brain tumor. Which is an important goal regarding self- care deficit? A. The client will maintain body weight within two (2) pounds. B. The client will execute an advance directive. C. The client will be able to perform three ADLs with assistance. D. The client will verbalize feeling of loss by the end of the shift. 43. The client diagnosed with a brain tumor was admitted to the intensive care unit with decorticate posturing. Which indicates that the client’s condition is becoming worse? A. The client has purposeful movement with painful stimuli. B. The client has assumed adduction of the upper extremities. C. The client is aimlessly thrashing in the bed. D. The client has become flaccid and does not respond to stimuli. 44. The client has undergone a craniotomy for a brain tumor. Which data indicate a complication of this surgery? A. The client complains of a headache at a 3–4 on a 1–10 scale. B. The client has an intake of 1000 mL and an output of 3500 mL. C. The client complains of a raspy sore throat. D. The client experiences dizziness when trying to get up too quickly. 45. The client diagnosed with a brain tumor has a diminished gag response. Which intervention should the nurse implement? A. Make the client NPO until seen by the health-care provider B. Position the client in low Fowler’s position for all meals. C. Place the client on a mechanically ground diet. D. Teach the client to direct food and fluid toward the unaffected side. 46. The client is diagnosed with a metastatic brain tumor, and radiation therapy is scheduled. The client asks the nurse, “Why not try chemotherapy first? It has helped my other tumors.” The nurse’s response is based on which scientific rationale? A. Chemotherapy is only used as a last resort in caring for clients with brain tumors. B. The blood–brain barrier prevents medications from reaching the brain. C. Radiation therapy will have fewer side effects than chemotherapy. D. Metastatic tumors become resistant to chemotherapy and it becomes useless. 47. The nurse knows that the expected outcome in a client with Bell’s palsy is achieved when A. there is no facial pain B. there is no muscle atrophy C. there is no pain and muscle atrophy D. patient feels all sensation in the face 48. In trigeminal neuralgia, which of the following does not trigger an attack A. bright light