Nursing Exam Practice Questions PDF

## Nursing Exam Practice Questions 1. During hospitalization, a child experiences a grand-mal seizure. Which of the following actions should the nurse take? - Perform a jaw thrust and administer oxygen. 2. Which of the following findings would be most supportive of the diagnosis of myasthenia...

## Nursing Exam Practice Questions 1. During hospitalization, a child experiences a grand-mal seizure. Which of the following actions should the nurse take? - Perform a jaw thrust and administer oxygen. 2. Which of the following findings would be most supportive of the diagnosis of myasthenia gravis? - A history of muscle weakness improved with rest. 3. Which of the following risk factors should the nurse identify as the most important factor contributing to a stroke? - Hypertension 4. The nurse is caring for a client who has aphasia following a cerebrovascular accident. Which of the following nursing interventions should the nurse include in the plan of care? - Attempt repetition with phrases when speaking to the client. 5. Which of the following actions is a priority for the nurse to perform first in a client with a spinal cord injury who complains of a headache? - Take the blood pressure. 6. The patient with a spinal cord injury is at risk for pneumonia and respiratory arrest, you should plan to: - Monitor blood values. 7. You are caring for a client with Parkinson's disease. What will you do in the client's care? - Encourage the client to sit in a reclining, soft chair without arms. 8. The physician tells a client with multiple sclerosis that it is a chronic progressive neurologic condition. The client asks the nurse, "Will I experience pain?" The most appropriate response by the nurse is which of the following? - "Tell me about your fears regarding pain." 9. You are caring for a client with Guillain-Barré syndrome. Which of the following would indicate the client's condition is deteriorating? - Respiratory infection 10. The nurse's response should be based on an understanding that meningitis is a - Cerebrospinal infection. 11. You are caring for a patient with atrioventricular malformation who is scheduled for surgery. Which of the following should be the priority in the care? - Administer intravenous fluids to prevent dehydration 12. Immediately following a spinal cord injury, a client's family asks the nurse, "Is the damage the client presents with in the emergency room as bad as it seems?" The most appropriate response by the nurse is which of the following? - "Because of edema around the spinal cord, it is difficult to evaluate the extent of the injury for up to 1 week." 13. You see a client with myasthenia gravis at 5pm. Which of the following assessment findings should the nurse anticipate the client to report? - Double vision and muffled, nasal-quality speech 14. The nurse's plan of care for a client with Guillain-Barré syndrome is based on an understanding of which of the following disease processes? - Segmental demyelination of the ventral and dorsal nerve roots in the spinal cord and medulla 15. What is the most accurate information regarding a client suspected of having a C4 injury? - Ask the client to shrug the shoulders while applying downward pressure 16. A client has difficulty communicating because of expressive aphasia following a cerebrovascular accident. When the nurse asks how the client is feeling, the spouse answers for the client. The nurse should? - Acknowledge the spouse but look at the client for a response. 17. Which statement made by the spouse of a client with multiple sclerosis indicates to the nurse an understanding of the home-care needs for this client? - "I will put up handrails in the shower." 18. What is true about with Lou Gehrig disease, or amyotrophic lateral sclerosis (ALS)? - Death frequently occurs from decreased respiratory function 19. In planning the post-op care after cranial surgery, the nurse should place the client in which of the following positions? - Elevate the head of bed 30° 20. The nurse is preparing a plan of care for a client post-op following a craniotomy. The nurse formulates which of the following goals as the priority goal when caring for this client? - Prevent increased intracranial pressure 21. Which of the following findings about cerebrospinal fluid analysis should the nurse report? - White blood cells 100/ml 22. You will need what in assessing cranial nerve X? - A tuning fork 23. A mother asks the nurse if the seizures her child is experiencing will last a lifetime. The appropriate response by the nurse would be which of the following? - "Your child is experiencing a type of seizure called typical absence seizure and it may or may not go away. Each child is different." 24. The nurse is caring for a client with increased intracranial pressure. Which of the following assessment findings should the nurse immediately report? - Absence of papillary response 25. Which of the following tasks may be appropriately delegated to unlicensed assistive personnel? - Monitor the temperature in a client who had a spinal cord injury 26. You should monitor a client receiving pyridostigmine (Mestinon) for? - Increased intraocular pressure 27. The nurse should assess for which of the following after slowly administering lorazepam (Ativan) intravenously to a client who has been experiencing seizures in rapid succession? - Respiratory depression 28. A client is taking phenytoin (Dilantin) 200 mg daily. The nurse monitors the client for which of the following adverse reactions? - Diarrhea 29. The nurse infuses phenytoin (Dilantin) with which of the following solutions to control seizures? - D5W 0.5 normal saline 30. Phenytoin (Dilantin) has been prescribed for a client. Based on an understanding of medication, the nurse caring for the client should? - Maintain a Dilantin level of 30 to 50 µg/ml.