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    Exam Review

    1. A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?
      A)Ability to self-feed with the use of adaptive equipment
      B)Ability to achieve independent transfer from bed to wheelchair
      C)Independent control of bowel and bladder function
      D)Use of a wheelchair with a chin or mouth stick
    2. A nurse is caring for a client who is being admitted for an acute exacerbation of Ulcerative Colitis. Which of the following actions should the nurse take first?
      A)Investigate the client's emotional concerns
      B)Check the client's perianal skin integrity
      C)Review the client's electrolyte values
      D)Obtain a dietary history from the client
    3. A nurse is assessing a client who has Multiple Sclerosis. The client reports that, since the onset of the disease, there are times when their symptoms are active and then followed by a period with no symptoms. Which of the following types of Multiple Sclerosis does this pattern indicate?
      A)Clinically isolating syndrome
      B)Secondary progressive multiple sclerosis
      C)Primary progressive multiple sclerosis
      D)Relapsing-remitting multiple sclerosis
    4. A nurse is educating a client about a new prescription for mesalamine for Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I will wear sunscreen with the use of this medication."
      B)"I will reduce my fluid intake with this medication."
      C)"I will take this medication with ibuprofen for better pain control."
      D)"I should crush this medication so I can take it easily."
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    Exam Review

    1. A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to Ulcerative Colitis. Which of the following interventions should the nurse include in the plan?
      A)Cleanse with antimicrobial scrub and thoroughly dry
      B)Wipe perianal area with warm water and apply a barrier cream
      C)Soak in a sitz bath for 20 min after each stool
      D)Administer an enema to cleanse the colon
    2. What information should the nurse include when educating a client with Crohn's disease about prednisone?
      A)This medication can cause significant weight loss
      B)Increase the dosage if your symptoms of Crohn's disease worsen
      C)Stop taking prednisone immediately if experiencing side effects
      D)Monitor your blood pressure daily while taking this medication
    3. Which of the following is a common lab finding in individuals with Crohn's disease during an exacerbation?
      A)Low alkaline phosphatase level
      B)Elevated hemoglobin
      C)Increased albumin level
      D)Low hematocrit
    4. A nurse is teaching a client who has a history of Ulcerative Colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
      A)Chronic blood loss
      B)Intestinal parasites
      C)Intestinal malabsorption syndrome
      D)Dietary iron restrictions
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    Exam Review

    1. A nurse is caring for a client who has Crohn's disease. Which of the following food choices would follow the recommended diet for clients who have Crohn's disease?
      A)Strawberry yogurt
      B)Tossed spinach salad
      C)Buttered popcorn
      D)Grilled chicken
    2. A client has had an exacerbation of Ulcerative Colitis with cramping and diarrhea persisting longer than 1 week. The nurse should assess the client for which complication?
      A)heart failure
      B)hypokalemia
      C)deep vein thrombosis
      D)hypocalcemia
    3. A child with a history of febrile seizures is being monitored in the pediatric unit. The child has a current temperature of 39°C (102.2°F). Which nursing action should be prioritized to prevent another febrile seizure?
      A)Administering prescribed antipyretic medication as per protocol
      B)Placing the child in a cool bath to reduce body temperature
      C)Encouraging the child to drink plenty of cold fluids
      D)Monitoring the child for signs of seizure activity
    4. A nurse is admitting a client who has an exacerbation of Crohn's disease. Which of the following provider orders should the nurse anticipate?
      A)Begin bowel rest
      B)Administer ibuprofen for pain as needed
      C)Initiate a high-fiber, low-lactose diet
      D)Weigh client weekly
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    Exam Review

    1. Glasgow Coma Scale The nurse is reassessing the level of consciousness in a client with a head Injury and elevated intracranial pressure. The previous Glasgow Coma Scale score was 6. Using the Glasgow Coma Scale, the nurse notes that the client opens the eyes only as a response to pain, responds with sounds that are not understandable, and has abnormal extension of the upper extremities when pain is elicited. What should the nurse do?
      A)Reposition the client with the extremities in normal alignment.
      B)Notify the healthcare provider.
      C)Chart the client's level of consciousness and continue to monitor.
      D)Attempt to arouse the client.
    2. A nurse is caring for a client who has Ulcerative Colitis and is teaching the client about a common link with Crohn's disease. Which of the following Information should the nurse include?
      A)Both manifest fistula formation
      B)Both begin in the rectum
      C)Both require frequent surgery
      D)Both attack the digestive tract
    3. An acute care nurse receives shift report for a client who has increased intracranial pressure. The nurse is told that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe when assessing the client?
      A)External rotation of the lower extremities
      B)Extension of the arms
      C)Pronation of the hands
      D)Plantar flexion of the legs
    4. A nurse is teaching a client about benztropine to treat their Parkinson's disease symptoms. The nurse should instruct the client to report which of the following adverse effects?
      A)Excessive salivation
      B)Difficulty voiding
      C)Diarrhea
      D)Decreased heart rate
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    Exam Review

    1. A 28-year-old client presents with a report of diarrhea. fecal urgency, LLQ pain, and weight loss. Their stool is often bloody. The client reports pain and stiffness in their elbows and knees. Which diagnosis does the care team suspect?
      A)Diverticulitis
      B)Colon cancer
      C)Ulcerative Colitis
      D)Chron Disease
    2. A nurse is caring for a client who experiences absence seizures. Which of the following statements accurately describes a characteristic of absence seizures?
      A)Absence seizures are more common in adults than in children
      B)Clients with absence seizures maintain partial awareness during the seizure
      C)Clients experiencing absence seizures can present with repetitive eye blinking
      D)Clients with absence seizures have full loss of consciousness and rhythmic convulsions
    3. A nurse is teaching a client who has Multiple Sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?
      A)Sunbathing
      B)Flying
      C)High altitude travel
      D)Working in an office
    4. A nurse is teaching a client who has Multiple Sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?
      A)"Monitor your blood pressure since hypertension can occur."
      B)"Do not take antihistamines with this medication."
      C)"Stop taking this medication immediately if you are drowsy."
      D)"Expect muscle spasticity to worsen initially."
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    Exam Review

    1. A nurse is providing teaching about ileostomy care to a client. Which of the following statements by the client indicates a need for further teaching?
      A)"I will be certain to take enteric-coated medications."
      B)"I will change my entire pouch system at least weekly."
      C)"I will use caution when eating high fiber foods."
      D)"I will empty my pouch when it becomes 1/3 full."
    2. Which respiratory pattern indicates increasing intracranial pressure in the brain stem?
      A)Slow, irregular respirations
      B)Rapid, shallow respirations
      C)Nasal flaring
      D)Asymmetric chest excursion
    3. A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?
      A)The client's blood pressure becomes elevated.
      B)The client states having a severe headache.
      C)The client's bladder becomes distended.
      D)The client states having nasal congestion.
    4. A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
      A)"Give mouth to mouth breaths."
      B)"Move objects away from the client."
      C)"Place the client on his back."
      D)"Attempt to stop their movements."
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