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Sleep Disorders
Neurological Problems
Strokes
Hematologic Problems
Musculoskeletal Problems
100

A nurse is teaching a class about the physiology of sleep. The nurse should include that which of the following occurs as a result of sleep?

  • Decreased ability to concentrate
  • Weakened immune system
  • Transfer of memory from short-term to long-term
  • Increase in basal metabolic rate
  • Transfer of memory from short-term to long-term
100

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

  • Turn the client's head to the side.
  • Check the client's motor strength.
  • Loosen the clothing around the client's waist.
  • Document the time the seizure began.
  • Turn the client's head to the side.
100

A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?

  • pulse and blood pressure findings
  • behavioral indicators and effect
  • scheduled treatments and client illness
  • a self-report pain rating scale
  • a self-report pain rating scale
100

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

  • High fever
  • Bradycardia
  • Pain
  • Constipation
  • Pain
100

The nurse is performing an assessment on an older adult patient and observes that the patient has an increased forward curvature of the thoracic spine. What does the nurse understand this common finding is known as?

  • Lordosis
  • Kyphosis
  • Scoliosis
  • Osteoporosis
  • Kyphosis
200

A nurse is teaching a client who is obese and has obstructive sleep apnea how to decrease the number of nightly apneic episodes. Which of the following client statements indicates an understanding of the teaching?

  • "It might help if I tried sleeping only on my back."
  • "I'll sleep better if I take a sleeping pill at night."
  • "I'll get a humidifier to run at my bedside at night.
  • "If I could lose about 50 pounds, I might stop having so many apneic episodes."
  • "If I could lose about 50 pounds, I might stop having so many apneic episodes."
200

The nurse is teaching the patient about a new diagnosis of Huntington's Disease. Which statement by the patient would indicate for further teaching?

  • " I should advice my children to get genetic counseling for the Huntington's disease gene."
  • "I will seek help if I have suicidal thoughts."
  • "I may need up to eat 4,000 to 5,000 calories a day."
  • "With medication and therapy, I should be able be cured and live a normal life."
  • "With medication and therapy, I should be able be cured and live a normal life."
200

A nurse is preparing to administer Warfarin to a client who has atrial fibrillation. The nurse should explain that the purpose of this medication is which of the following?

  • To convert atrial fibrillation to sinus rhythm
  • To dissolve clots in the bloodstream
  • To slow the response of the ventricles to the fast atrial impulses
  • To reduce the risk of stroke in clients who have atrial fibrillation
  • To reduce the risk of stroke in clients who have atrial fibrillation
200

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?

  • Fatigue
  • Hypertension
  • Bradycardia
  • Diarrhea
  • Fatigue
200

A 4-year-old boy is diagnosed with Duchenne muscular dystrophy. Which nursing teaching is most appropriate for this child?

  • Increase intake of foods high in iron
  • Lift weights to strengthen weak muscles
  • Remove throw rugs
  • Take the muscle relaxant baclofen on time
  • Remove throw rugs
300

A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?

  • Enlarged tonsils
  • Heart failure
  • Brainstem injury
  • Opioid overdose
  • Enlarged tonsils
300

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?

  • Pruritus
  • Hypertension
  • Bradykinesia
  • Xerostomia
  • Bradykinesia

Difficulty moving!

300

A nurse who is off duty finds a woman who has collapsed and has right-sided weakness and slurred speech. Which of the following actions should the nurse take?

  • Obtain the telephone number of the client's provider.
  • Find a location for the client to sit.
  • Call emergency services.
  • Drive the client to the nearest emergency department.
  • Call emergency services.
300

Laboratory studies are performed for a client suspected to have pernicious anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia?

  • Elevated hemoglobin level
  • Decreased platelet count
  • Elevated red blood cell count
  • Decreased cobalamin level
  • Decreased cobalamin level
300

A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?

  • Infant
  • Toddler/Preschooler
  • Pre-adolescent/adolescent
  • Older Adult


  • Pre-adolescent/adolescent
400

A nurse is instructing a young adult client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

  • "I don't take naps throughout the day."
  • "I go to bed and get up routinely at the same time each day."
  • "I have a small snack and take a bath before going to bed each day."
  • "I watch television until I fall asleep at night."
  • "I watch television until I fall asleep at night."
400

A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?

  • Confusion
  • Weakness
  • Increased intracranial pressure
  • Increased urinary output


  • Weakness


Weakness of the diaphragm and intercostal muscles= HUGE concern! Why?

400

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?

  • Transient ischemic attack (TIA)
  • Hemorrhagic stroke
  • Thrombotic stroke
  • Embolic stroke


  • Hemorrhagic stroke
400

The nurse is preparing a teaching plan for a family with a child who has been diagnosed with sickle cell anemia along with crisis. What will the nurse include in the teaching regarding the pathophysiology of sickle cell crisis?

  • It results from altered metabolism and dehydration.
  • Tissue hypoxia and vascular occlusion caused the primary problem.
  • Increased bilirubin levels will cause hypertension.
  • There are decreased clotting factors with an increase in white blood cells.
  • Tissue hypoxia and vascular occlusion caused the primary problem.
400

A nurse is assessing a client who is in skeletal traction. The nurse should correct which of the following findings?

  • The ropes are in the center of the wheel grooves.
  • The weights rest against the foot of the bed.
  • The weights are equal on each side.
  • The ropes are securely attached to the pins
  • The weights rest against the foot of the bed.
500

Which patient statement indicates a need for further teaching about taking a sleep-aid such as extended-release zolpidem (Ambien CR)?

  • "I will take the medication an hour before bedtime."
  • "I should not take this medication if I am the only adult at home with my young children."
  • "I should not take this medication unless I can sleep for at least 8 hours."
  • "I will schedule activities that require mental alertness for later in the day."
  • "I will take the medication an hour before bedtime."
500

A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

  • “Wear an eye patch on the right eye at all times.”
  • "Plan to relax in a hot tub spa each day."
  • "Engage in a vigorous exercise program."
  • "Implement a schedule to include periods of rest."
  • "Implement a schedule to include periods of rest."
500

A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

  • Difficulty reading
  • Inability to recognize his family members
  • Right hemiparesis
  • Aphasia
  • Inability to recognize his family members
500

At an outpatient clinic, K.L.’s 78-year-old grandma is found to have a Hgb of 8.7 g/dL (87 g/L) and a Hct of 35%. Based on the most common cause of these findings in the older adult, the nurse collects information about:

  • A history of jaundice and black tarry stools.
  • A 3-day diet recall of the foods the patient has eaten.
  • Any drugs that have depressed the function of the bone marrow.
  • A history of any chronic diseases, such as cancer or renal disease.
  • A history of any chronic diseases, such as cancer or renal disease.
500

The patient with osteoporosis had a spontaneous hip fracture, How would the nurse document this type of fracture?

  • Open fracture
  • Oblique fracture
  • Pathologic fracture
  • Greenstick fracture
  • Pathologic fracture