Med Surg - Exam 4

The nurse is preparing to collect data for a patient’s neurological status. What equipment should the nurse gather?

What should the nurse consider when caring for a stroke patient with dysarthria in long-term care?

What additional finding is most concerning in a student with migraine symptoms?

Which data supports encephalitis as the cause of a patient’s headache, lethargy, nausea, vomiting, and fever?

Which patient statement suggests difficulty with activities of daily living (ADLs)?

Which interventions help prevent increased ICP in a patient with acute brain injury? (Select all that apply.)

What safety action should the nurse take for a brain tumor patient with increased ICP?

What condition is indicated by the RN's finding of decorticate posturing after a head injury?

Which Babinski reflex response in a 4-year-old fall patient should the nurse report to the RN?

Which structures are part of the diencephalon? (Select all that apply.)

Which finding in a patient at risk for increased ICP should the LPN report to the RN?

Which observations suggest a patient has increasing ICP? (Select all that apply.)

Which preprocedural actions should the nurse take before a CT scan with contrast? (Select all that apply.)

What care should the nurse expect for a patient with severe head injury and suspected brain herniation?

The LPN is providing care for multiple pts. Which pt situation is most concerning & should be reported to the RN or HCP?

Which test is likely for a patient with severe lower back pain from a suspected herniated disc?

Which symptoms indicate late-stage bacterial encephalopathy?

What can the nurse conclude if a patient sways and leans during a Romberg test?

Which areas of dysfunction might cause an absent left patellar reflex? (Select all that apply.)

What should the nurse avoid doing for a patient in pain and mildly agitated before a CAT scan with contrast?

Which nurse action least helps a patient with neurological eating difficulties get enough nutrition?

Which lab test should the nurse question for a confused patient with dementia and a history of STIs?

What action should the RN take when a pt has a generalized seizure lasting over 30 minutes w/o regaining consciousness?

Which finding in a patient hit by a baseball bat needs immediate reporting to the HCP or RN?

Which reassessment finding in a patient with an infectious neurological disorder should the LPN report to the RN?

Which actions should the nurse include in a migraine care plan? (Select all that apply.)

The nurse is providing care to a patient with a migraine headache. What action should the nurse take?

What type of seizure involves bilateral jerking after a traumatic brain injury?

What is the most important safety action for a nurse caring for a stage 2 Alzheimer’s patient?

Which Parkinson’s symptom puts a patient at highest fall risk?

What actions should the nurse take for a T3–T4 spinal injury pt with sudden high BP and pale, gooseflesh skin? (SATA.)

The nurse suspects a patient is experiencing a sympathetic response. What findings support this? (Select all that apply)

Which areas does the nurse assess using the FOUR tool? (Select all that apply.)

What recommendation should the nurse give the family of an older adult with dementia entering long-term care?

How should the nurse respond to a patient worried about their risk for Huntington disease after a sibling’s diagnosis?

What should the nurse document if an older adult accurately counts backward from 100 by threes but has frequent pauses?

Which change in consciousness after a head injury fall should the nurse report to the RN?

How should the nurse respond when asked why a bedridden patient wears high-top tennis shoes in bed?

What should the nurse do first upon finding a post-stroke patient lying flat and choking on saliva?

What key instructions should the nurse give when teaching about pramipexole (Mirapex)? (Select all that apply.)