Brunner And Suddarth Textbook Of Medical Surgical Nursing 11th Edition By Suzanne C. Smeltzer -Test Bank

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Brunner And Suddarth Textbook Of Medical Surgical Nursing 11th Edition By Suzanne C. Smeltzer -Test Bank


Brunner And Suddarths Textbook Of Medical Surgical Nursing 11th Edition By Suzanne C. Smeltzer -Test Bank

Chapter 2- Community-Based Nursing Practice

1. A nurse has scheduled a hypertension clinic. This service would be an example of which type of health care?
  A) Tertiary prevention C) Primary prevention
  B) Secondary prevention D) Disease prevention


2. The nursing instructor preparing to take her students into the community to provide nursing care discusses the patients that they are likely to care for in the home. Which of the following are the most frequent users of home care services?
  A) Postpartum patients C) Terminally ill patients
  B) Postoperative patients D) Elderly patients


3. Patients lifestyles in the home may vary greatly from the nurses own beliefs. To work successfully with the patient, the nurse must:
  A) Ask for another assignment if there is a conflict of interest.
  B) Ask the patient to come to the agency to receive treatment.
  C) Convey respect for the patients beliefs.
  D) Adapt the patients home to a hospital-like environment.


4. When providing care in a home, how will the nurse best implement infection control?
  A) Cleanse the hands before and after giving direct patient care
  B) Remove the patients wound dressings from the home
  C) Dispose of patients syringes in the patients garbage
  D) Disinfect all work areas in the patients home


5. The patient is ready to be discharged from the hospital. When should discharge planning begin?
  A) The day prior to discharge C) The day the patient is admitted
  B) The day of estimated discharge D) Once the nurse determines care needs


6. During the home care nurses initial visit to a patients home, it is important to provide the patient and family with which of the following information?
  A) Other available community resources to meet their needs
  B) Information on other patients in the area with similar health care needs
  C) The nurses home address and phone number
  D) Dates and times of all scheduled home care visits


7. After the home health nurse has read a referral from the hospital for a patient who needs a home visit, she should:
  A) Identify community services to initiate for the patient.
  B) Obtain a physicians order for the visit.
  C) Call the patient to obtain permission to visit.
  D) Schedule a home health aide to visit the patient.


8. The nurse should inform the health care agency of the daily routines and phone numbers of the patients that are scheduled. The purpose of this is to:
  A) Allow the agency to keep track of payment due to the nurse
  B) Protect the nurse making a home care visit
  C) Allow the nurse to be easy accessibility for changes in assignments
  D) Allow the patient to cancel appointments with minimal inconvenience


9. Documentation related to home care has specific guidelines and regulations that the nurse must consider and follow. What is most important for the nurse to document to ensure reimbursement for services while taking care of a patient who has Medicaid?
  A) The supplies the nurse will need
  B) Directions to the patients home
  C) Quality of nursing care needed
  D) The patients homebound status and the need for skilled professional nursing care


10. The patient who is being discharged following a total knee replacement will need to walk with crutches for 6 weeks. What assessment does the home care nurse need to make prior to the patient being discharged home?
  A) Assistance of significant others C) Costs of the visits
  B) Previous health status D) Home environment


11. A nurse who has achieved advanced education in primary care for a pediatric population and who is employed in a health clinic is functioning in the role of a:
  A) Nurse practitioner C) Clinical nurse specialist
  B) Case co-coordinator D) Clinic supervisor


12. A nurse working in a large meat packaging plant sees patients for work-related issues. The nurse would be functioning in which of the following roles?
  A) Occupational health nurse C) Nurse clinician
  B) Staff nurse D) Nurse educator


13. A school nurse is concerned about a 4th-grade student with cystic fibrosis because she is aware that children with health problems are at risk for:
  A) Sports injuries
  B) Attention disorders
  C) Experiencing school-related stress due to a desire to overachieve
  D) Underachieving or failing in school


14. Which type of patient seeks health care late in the course of illness and deteriorates more quickly than other patients?
  A)  The homeless    B)  Immigrants    C)  The elderly    D)  Adolescents



Answer Key


1. B
2. D
3. C
4. A
5. C
6. A
7. C
8. B
9. D
10. D
11. A
12. A
13. D
14. A

Chapter 20- Postoperative Nursing Management

1. What is the first assessment the recovery room nurse makes on a newly admitted patient?
  A)  Heart rate    B)  Nail perfusion    C)  Core temperature    D)  Patency of the airway


2. In what position should an unconscious patient be placed until he or she regains consciousness?
  A) Side-lying with chin extended C) Prone
  B) Dorsal with knees slightly flexed D) Semi-Fowlers


3. Upon admission to the postanesthesia care unit, a patients blood pressure was 130/90 and the pulse was 68. After 30 minutes, the patients blood pressure is 120/65, and the pulse is 100. The patients skin is cold, moist, and pale. The patient is showing symptoms of which of the following?
  A) Hypothermia C) Neurogenic shock
  B) Hypovolemic shock D) Malignant hypothermia


4. The patient is in the recovery room following chest surgery and complains of severe nausea. The nurse should first:
  A) Administer an analgesic.
  B) Apply a cool cloth to the patients forehead.
  C) Offer the patient a small amount of ice chips.
  D) Turn the patient completely to one side.


5. A nurse is caring for a patient after abdominal surgery in the postanesthesia-care unit. The patients blood pressure has increased and the patient is restless. The patients oxygen saturation is 97%. What is the likely cause for the increase in blood pressure and restlessness?
  A) The patients temperature is low. C) The patient is in pain.
  B) The patient is in shock. D) The patient is nauseated.


6. The recovery room nurse would assess the patients respiration effectively by doing which of the following?
  A) Placing the palm of the hand at the patients nose and mouth to feel the exhaled breath
  B) Visualizing the rise and fall of the patients abdomen
  C) Placing the palm of the hand on the patients abdomen to count the rate
  D) Visualizing the rise and the fall of the patients chest


7. A 60-year-old patient is admitted into the recovery room following cataract surgery. Which of the following postoperative complications could have an adverse effect on this patients surgery?
  A) Pain
  B) Vomiting
  C) Disorientation
  D) Temporary decrease in oxygen saturation


8. The patient is being discharged home from day surgery after a general anesthetic. What instruction should the patient be given prior to leaving the hospital?
  A) The patient is not to drive a vehicle.
  B) The patient should have a glass of brandy the first night at home to help him or her sleep.
  C) Eat a large meal at home.
  D) Do not sign important papers for the first 12 hours after surgery.


9. Which of the following is the most serious problem encountered in the surgical patient?
  A) Pulmonary complications C) Malignant hyperthermia
  B) Deep vein thrombosis D) Nausea and vomiting


10. A nurse is assessing a 2-day postoperative patient following chest surgery. The patient is reluctant to ambulate, has a nonproductive cough, and has crackles at the base of the lung. The nurse determines that the patient is most likely exhibiting symptoms of static pulmonary secretions. What should the nurses primary interventions for this entail?
  A) Send a sputum sample for culture and sensitivity testing.
  B) Encourage leg exercises every 2 hours.
  C) Turn the patient and encourage deep breathing every 2 hours.
  D) Decrease the patients intake of fluids.


11. The patient is 2 hours postoperative with a Foley catheter in situ. The last hourly urine output for the patient was 10 mL. The tubing of the Foley is patent. The nurse should:
  A) Irrigate the Foley with 30 mL of normal saline.
  B) Notify the physician, and continue to closely monitor the hourly urine output.
  C) Decrease the IV fluid rate.
  D) Have the patient sit in high-Fowlers position.


12. A 78-year-old patient is getting up for the first walk postoperatively. To decrease the potential for orthostatic hypotension, the nurse should plan to have the patient:
  A) Sit in a chair for 10 minutes prior to ambulating.
  B) Encourage the patient to drink plenty of fluids to increase circulating blood volume.
  C) Stand upright for 2 to 3 minutes prior to ambulating.
  D) Sit upright on the side of the bed for 15 minutes prior to ambulating.


13. A nurse is caring for an adult patient on the first postoperative day following removal of a bullet due to a gunshot wound. The nurse should plan the instructions for wound care for this patient based on the wound class status called:
  A)  Clean    B)  Clean-contaminated    C)  Contaminated-dirty    D)  Dirty


14. The nurse has completed discharge teaching with a patient related to signs and symptoms of infection. Which statement would indicate the patient needs additional teaching?
  A) I should notify my physician if my dressing has a foul odor.
  B) I should not have swelling and pain to the wound.
  C) It is normal for the edges of the wound to be slightly raised.
  D) Red streaks in the skin near the wound are normal and will disappear.


15. A patient is 1 day postoperative following abdominal surgery. The patient calls the nurse to the room because she feels something gave way on her incision. The nurse assesses the incision and discovers that the wound is open with a loop of intestine protruding from the wound. What action should the nurse take?
  A) Cover the wound with sterile gauze soaked in normal saline and call the physician.
  B) Cover the wound with Steri-Strips.
  C) Apply an abdominal pad over the wound.
  D) Pour Betadine into the wound and call the physician.


16. The patient has returned from recovery and been on the unit for 1 hour. The patients vital signs have been stable. How often should the nurse be assessing the patients vital signs?
  A) Every 5 minutes C) Every 4 hours
  B) Every 15 minutes D) Every 30 minutes


17. The nurse is evaluating a postoperative patient for infection. Which sign or symptom would be most indicative of infection?
  A) Presence of an indwelling urinary catheter
  B) Rectal temperature of 100 F (37.8 C)
  C) Red, warm, tender incision
  D) White blood cell (WBC. count of 8,000/ml


18. A patient who undergoes a surgical procedure that requires the use of general anesthesia is most at risk for:
  A)  Atelectasis    B)  Anemia    C)  Dehydration    D)  Peripheral edema


19. A patient has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. The nurses first response is to:
  A) Call the physician.
  B) Place saline-soaked sterile dressings on the wound.
  C) Take a blood pressure and pulse.
  D) Pull the dehiscence closed.


20. To assess the effectiveness of incentive spirometry, the nurse can use a pulse oximeter to monitor the patients:
  A) Oxygen saturation
  B) Hemoglobin level
  C) Partial pressure of carbon dioxide (PaCO2)
  D) Partial pressure of oxygen (PaO2)


21. The nurse is caring for a patient who just had surgery. What is the nurses highest priority?
  A) Assessing for hemorrhage C) Managing the patients pain
  B) Maintaining a patent airway D) Assessing vital signs every 15 minutes


22. The nurse is teaching a patient with a leg ulcer about tissue repair and wound healing. Which of the following statements by the patient indicates that teaching has been effective?
  A) Ill limit my intake of protein.
  B) Ill make sure that the bandage is wrapped tightly.
  C) My foot should feel cold.
  D) Ill eat plenty of fruits and vegetables.


23. The postanesthesia-care unit (PACU) nurse is caring for a patient who has arrived from the operating room and is still unconscious. During the initial assessment, the nurse notices that the patients skin is blue and dusky, so she looks, listens, and feels for breathing. She determines the patient is not breathing. The priority intervention is to:
  A) Check an oxygen saturation rate, continue to monitor for apnea, and perform a focused assessment.
  B) Treat the possible airway obstruction by tilting the head back and pushing forward on the angle of the lower jaw.
  C) Check the arterial pulses and place the patient in the Trendelenburg position.
  D) Call a code blue and then get a rapid intubation kit and prepare to reintubate.


24. A student nurse asks the postanesthesia care unit (PACU) nurse, Why does the patient come to the PACU prior to the medical-surgical unit? The PACU nurse explains to the student nurse that:
  A) The PACU allows the patient to recover from anesthesia in a stimulating environment to facilitate awakening and reorientation.
  B) The PACU allows the patient to recover from the effects of anesthesia; the patients stay in PACU until they are oriented, have stable vital signs, and are without complications.
  C) Frequently, patients are recovered in the medical-surgical unit, but hospitals are usually short of beds and the PACU is an excellent place to triage patients.
  D) The medical-surgical unit is frequently very busy and unable accept the patient from surgery, so the patients are observed and monitored in PACU until a bed is available.


25. A nurse is caring for a 38-year-old patient in the postanesthesia care unit (PACU) following abdominal surgery; as the patient begins to awaken he is restless and asking for a drink of water. The nurse checks his skin and finds it is cold, moist, and pale. The nurse is concerned the patient may be at risk for:
  A) Hemorrhage and shock C) Pain and anxiety
  B) Loss of airway and hypotension D) Hypertension and dysrhythmias


26. A nurse is caring for an 82-year-old woman in the postanesthesia care unit (PACU). The woman begins to awaken and responds to her name but is confused, restless, and agitated. The nurse is aware that:
  A) Postoperative confusion indicates an oxygen problem or possibly a stroke during surgery.
  B) Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time.
  C) Postoperative confusion is common in the elderly, but it could also indicate a significant blood loss.
  D) Confusion, restlessness, and agitation indicate inadequate pain management; analgesics will help.


27. A man returns to the emergency department (ED) after receiving 10 stitches for a knife wound while cleaning fish. The wound is now infected. The stitches are removed and the wound is cleaned and packed with gauze. The ED instructs the man to return the next day to remove the packing and resuture the wound. The nurse is aware that the wound will now heal by:
  A)  Late intention    B)  Second intention    C)  Third intention    D)  First intention


28. A student nurse is going to be changing an abdominal dressing; the first step is to provide the patient with information regarding the procedure. Which of the following represents the best plan for completing this task?
  A) The dressing change is often painful; we will be giving you pain medication prior to the procedure so you do not have to worry.
  B) During the dressing change, I will provide privacy at a time of your choosing; it should not be painful. You can look at the incision and help with the procedure if you want to.
  C) The dressing change should not be painful but you can never be sure; infection is always a concern.
  D) The best time for doing a dressing change is during lunch so we are not interrupted; I will provide privacy, and it should not be painful.


29. A nurse is caring for a patient who has had major abdominal surgery. The postsurgical nurse is aware that the postoperative plan of care should include:
  A) Providing passive range of motion, assisting the patient with coughing and deep breathing as needed, and increasing mobility by helping the patient sit on the side of the bed every day.
  B) Assessing bowel sound every 8 hours, offering medications as ordered, and allowing the patient privacy and security.
  C) Managing the patients pain, working with the patient to cough and deep breathe every 2 hours, turning the patient frequently, exercising, and ambulating as early as possible.
  D) Allowing the patient to visit with family, allowing time for rest and reflection, and then have the nursing assistant provide a sponge bath while the nurse begins the discharge teaching process.


30. A 79-year-old man who has returned to the medical-surgical unit following abdominal surgery is unable to ambulate and is now refusing to wear an external pneumatic compression stocking. The nurse explains that refusing to wear the stocking places him at significant risk for:
  A)  Sepsis    B)  Infection    C)  Pulmonary embolism    D)  Hematoma


31. A nurse is completing the discharge instructions for a 75-year-old widower who is living alone and is leaving the hospital following hip replacement surgery. The measurable outcome that should guide the patients discharge plan of care should be the patients ability to:
  A) Be responsible for herself
  B) Meet developmental way points
  C) Demonstrate self-care abilities
  D) Provide evidence of follow-through on the plan of care


32. A nurse in the postanesthesia care unit (PACU) is caring for a 56-year-old male patient who had a hernia repair. The patients blood pressure is now 164/92, he had no history of hypertension prior to surgery, and his preoperative blood pressure was 112/68. The nurse knows that hypertension following surgery is often related to:
  A) Dysrhythmias, blood loss, and hyperthermia
  B) Electrolyte imbalances and neurologic changes
  C) A parasympathetic reaction and low blood volumes
  D) Pain, hypoxia, or bladder distention, which all cause sympathetic stimulation



Answer Key


1. D
2. A
3. B
4. D
5. C
6. A
7. B
8. A
9. A
10. C
11. B
12. C
13. D
14. D
15. A
16. D
17. C
18. A
19. B
20. A
21. B
22. D
23. B
24. B
25. A
26. C
27. C
28. B
29. C
30. C
31. C
32. D

Chapter 40- Assessment and Management of Patients With Biliary Disorders

1. While assessing a typical patient with cholecystitis who complains of localized pain, the nurse asks if the pain has radiated to the:
  A)  Left upper arm    B)  Lower abdomen    C)  Neck or jaw    D)  Right shoulder


2. The critical care nurse admitting a 55-year-old male with acute pancreatitis is aware that acute pancreatitis occurs when:
  A) Toxic substances inflame the pancreas.
  B) The patient abuses alcohol.
  C) Viruses digest the pancreas.
  D) Pancreatic enzymes digest the pancreas.


3. When assessing the patient with chronic pancreatitis, the nurse anticipates potential dysfunction of which of the following?
  A) Pancreatic islet cells C) Decrease in biliary stenosis
  B) Peristalsis D) Large bowel absorption


4. The patient has a gallstone blocking the bile duct. Upon assessment of the patients laboratory studies, the nurse will expect to find a(n):
  A) Increased bilirubin level in the blood
  B) Decreased cholesterol level
  C) Increased BUN level
  D) Decreased serum alkaline phosphatase level


5. A patient is complaining of right shoulder pain following a laparoscopic cholecystectomy. Which of the following should the nurse suggest to relieve the pain?
  A) Morphine IM injection
  B) Application of heat 15 to 20 minutes as ordered
  C) Application of ice pack 30 minutes as ordered
  D) Apply liniment rub to the affected area


6. The nurse who assesses the patient after a laparoscopic cholecystectomy is aware that the most serious potential complication is:
  A) Pulmonary atelectasis C) Wound evisceration
  B) Decubitus ulcer D) Bile duct injury


7. The operating nurse is assisting during a procedure in which the patients gallbladder is removed with litigation of the cystic duct and artery. This procedure is known as a:
  A) Cholecystectomy C) Choledochostomy
  B) Cholecystotomy D) Choledocholithotomy


8. The patient is complaining of pain related to pancreatitis. The nurse would expect the patients pain to be in the abdomen and the:
  A)  Left lower quadrant    B)  Midepigastric area    C)  Back    D)  Midclavicular area


9. The nurse assesses that the patient is jaundiced. When the patient has a bowel movement, the nurse expects that the stool will be:
  A)  Green    B)  Black    C)  Orange    D)  Pale-colored


10. The nurse in a health clinic cares for a wide range of individuals. On this given morning, which of the following patients seeking care has the greatest risk for developing gallbladder disease?
  A) A 45-year-old woman with two children
  B) A 35-year-old man who is a social drinker
  C) A 48-year-old obese woman with four children
  D) A 17-year-old girl with a high-fat diet


11. The nurse in a health clinic cares for a wide range of individuals. Which of the following patients is at an increased risk for an acute pancreatitis attack?
  A) A 45-year-old woman with a high-fat diet
  B) An 18-year-old man who is a weekend binge drinker
  C) A 45-year-old man with chronic alcoholism
  D) A 51-year-old woman who smokes one pack of cigarettes per day


12. A 40-year-old male patient enters the emergency department complaining of nausea and vomiting and severe abdominal pain. While assessing the patient, the patients wife informs the nurse that the patient had ingested 24 oz of alcohol last evening. The patients abdomen is rigid, and there is bruising to the patients flank. The patient is exhibiting signs of:
  A) Severe pancreatitis with possible peritonitis
  B) Acute cholecystitis
  C) Obstruction of the bowel
  D) Acute appendicitis


13. During an acute pancreatitis attack, what intervention will the nurse include in the patients plan of care?
  A) Administer morphine injections every 4 hours as ordered for pain.
  B) Withhold oral intake as ordered.
  C) Limit coffee intake to 2 cups a day.
  D) Administer 1 oz of brandy at bedtime to aid relaxation.


14. The nurse is analyzing the diagnostic study results of a patient admitted with acute pancreatitis. What diagnostic findings are consistent with the diagnosis of acute pancreatitis?
  A) Decrease in amylase and lipase levels C) Hypercalcemia
  B) Fluid and electrolyte imbalance D) Proteinuria


15. The nurse preparing a patient for an ultrasound of the gallbladder the following morning will:
  A) Initiate NPO status after midnight
  B) Administer the contrast agent orally 10 to 12 hours before the study
  C) Administer the radioactive agent intravenously the evening before the study
  D) Encourage the intake of 64 oz of water 8 hours before the study


16. Upon receiving the dinner tray for a patient admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?
  A)  Fried chicken    B)  Mashed potatoes    C)  Dinner roll    D)  Tapioca pudding


17. The nurse is reviewing discharge instructions with a patient ordered to take ursodeoxycholic acid (UDCA). The nurse recognizes that additional teaching is needed regarding this medication when the patient states:
  A) It is important that I see my physician for scheduled follow-up appointments while taking this medication.
  B) I will take this medication for 2 weeks and then gradually stop taking it.
  C) If I loose weight, the dose of the medication may change.
  D) This medication will help dissolve small gallstones made of cholesterol.


18. The nurse is caring for a patient who had surgery for gallbladder disease. Which of the following finding should the nurse immediately report to the physician?
  A) Decreased breath sounds
  B) Drainage of bile-colored fluid onto the abdominal dressing
  C) Rigidity of the abdomen
  D) Acute pain with movement


19. While assessing an elderly patient with gallstones, the nurse in aware that the patient may not exhibit typical symptoms. The elderly patient may exhibit symptoms including:
  A) Fever and pain C) Nausea and vomiting
  B) Chills and jaundice D) Septic shock and oliguria


20. Based upon the pathophysiology of acute pancreatitis, select the priority nursing diagnosis:
  A)  Hyperthermia    B)  Acute pain    C)  Diarrhea    D)  Nausea


21. The nurse is reviewing orders for a patient recently admitted with acute pancreatitis. Based upon current research, the orders will include:
  A) Partial parenteral nutrition C) Oral nutrition
  B) Total parenteral nutrition D) Enteral nutrition


22. The patient with pancreatitis is at risk for numerous complications related to the disorder. The nurse is aware that is it necessary to assess for the onset of complications and take measures to decrease the risk. Considering this information, the nurse positions the patient in a:
  A) Supine position C) Trendelenburg position
  B) Lithotomy position D) Semi-Fowlers position


23. The nurse is familiar with the major cause of chronic pancreatitis in Western societies. Considering this information, the nurse will likely discuss this topic when performing patient teaching in preparation for discharge:
  A) Smoking cessation programs C) Narcotic cessation programs
  B) Alcohol cessation programs D) Stress reduction programs


24. Understanding the pathophysiology of chronic pancreatitis, the nurse is aware that she must assess for the onset of which complication?
  A) Rapid weight gain C) Fluid volume excess
  B) Constipation D) Elevated blood sugar levels


25. A patient who had a pancreaticojejunostomy 2 months ago is in the office for a routine post-surgical appointment. The patient states in frustration that he is concerned that the surgery was not successful because the pain is still present. The most appropriate initial response by the nurse is:
  A) The majority of patients who have a pancreaticojejunostomy do not achieve pain relief, so we will increase your pain medication dosage.
  B) Pain relief occurs by 6 months in more than 80% of the patients who undergo this procedure, and it has been only 2 months since your surgery.
  C) You will likely now require the removal of your gallbladder to achieve pain relief.
  D) You are probably not taking the medications appropriately for your pancreatitis and pain, so we will need to discuss your medication regimen in detail.


26. In planning the care for a patient with pancreatic cancer, the nurse focuses on managing the patients pain. The nurse is aware that the pain is often more severe during the:
  A)  Morning    B)  Afternoon    C)  Evening    D)  Night


27. A patient has been diagnosed with a tumor on the head of the pancreas. In preparing the patients care plan, the nurse is aware that this type of cancer may require:
  A) Immediate surgery within the next 12 hours
  B) Placement of an indwelling catheter to monitor the copious amount of dilute urine in a 24-hour period
  C) Placement of a biliary-enteric shunt
  D) A diet low in protein along with pancreatic enzymes


28. The priority nursing diagnosis related to the care of a patient with chronic pancreatitis with drainage through the skin and abdominal wall is:
  A) Disturbed body image C) Nausea
  B) Impaired skin integrity D) Risk for deficient fluid volume


29. The nurse caring for a patient discharged to the home after extensive pancreatitic surgery documents the nursing diagnosis of risk for imbalanced nutrition: less than body requirements. The home care nurse arrives at this nursing diagnosis based upon the potential complications that may occur after surgery. Potential complications include:
  A) Proteinuria and hyperkalemia C) Weight loss and hypoglycemia
  B) Hemorrhage and hypercalcemia D) Malabsorption and hyperglycemia



Answer Key


1. D
2. D
3. A
4. A
5. B
6. D
7. A
8. C
9. D
10. C
11. C
12. A
13. B
14. B
15. A
16. A
17. B
18. C
19. D
20. B
21. D
22. D
23. B
24. D
25. B
26. D
27. C
28. B
29. D

Chapter 60- Assessment of Neurologic Function

1. The nurse assessing a patient with a head injury due to a motor vehicle accident who is experiencing temporary blindness in the left eye would be correct in documenting this abnormal finding as corresponding to which of the following cerebral lobes?
  A)  Temporal    B)  Occipital    C)  Parietal    D)  Frontal


2. A nurse completing a neurological exam on a patient with Mnires disease is assessing cranial nerve VIII. The nurse would be correct in identifying the function of this nerve as which of the following?
  A) Movement of the tongue C) Sense of smell
  B) Visual acuity D) Hearing and equilibrium


3. The nurse assessing a patient who exhibits an uncoordinated gait knows that which of the following brain structures affects balance and coordination?
  A)  Cerebellum    B)  Pons    C)  Medulla    D)  Midbrain


4. A patient is scheduled for an electroencephalography (EEG) to aid in the diagnosis of a seizure disorder. Appropriate patient teaching for this diagnostic test would include which of the following?
  A) Sedation will be given prior to the test.
  B) The patient will be NPO prior to the test.
  C) The patient may be sleep deprived prior to the test.
  D) Coffee can be consumed in the meal prior to the test.


5. To assess function of cranial nerve VIII, the nurse would be correct in completing which of the following assessment techniques?
  A) Have the patient identify familiar odors with his eyes closed
  B) Assess papillary reflex
  C) Utilize the Snellen chart
  D) Test for air and bone conduction (Rinnes test)


6. The patient is receiving a cholinergic medication. With knowledge of the parasympathetic nervous system (PNS), the nurse would expect to find which of the following clinical manifestations?
  A)  Diaphoresis    B)  Decreased bowel sounds    C)  Hypotension    D)  Pupil dilation


7. A patient has an upper motor neuron lesion. The nurse would be correct in assessing for which of the following during assessment of the patients lower extremities?
  A) Muscle spasticity C) Decreased muscle tone
  B) Hyporeflexia D) Muscle atrophy


8. The nurse preparing a patient for magnetic resonance imaging (MRI) would include which of the following?
  A) Withhold stimulants 24 to 48 hours prior to exam
  B) Remove all metal-containing objects
  C) Instruct the patient to void prior to exam
  D) Initiate an intravenous line for administration of contrast


9. The nurse is assisting with a lumbar puncture in a patient with an intracranial mass. The cerebrospinal fluid (CSF) is sent to the lab for analysis. The nurse knows that a normal CSF test is positive for which of the following?
  A)  Glucose    B)  Potassium    C)  Creatinine    D)  Blood


10. The nurse caring for an 83-year-old

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