NR 325 Final EXAM QUESTIONS AND VERIFIED ANSWERS (GRADED A+)

NR 325 Final EXAM QUESTIONS AND
VERIFIED ANSWERS (GRADED A+)

The nurse is caring for a patient who had a tonic clonic seizure. Which of the following is
most concerning? Vomiting
The nurse is caring for a patient with a ruptured cerebral aneurysm. Which of the
following should be immediately reported to the healthcare provider? Select all that
apply. 1 episode of small amount of vomiting
Confusion
Intracranial pressure 19mmHg
Ataxia
The nurse is caring for a patient with epilepsy who takes phenytoin. Which of the
following should the nurse include in the patient education? Select all that apply.
Practice oral care and floss regularly
Anticipate regular blood draws
This medication can cause a slow heart rate
The nurse is caring for a patient with vascular dementia who is agitated and demanding
to leave the facility to go Christmas shopping. Which of the following statements by the
nurse is most appropriate? Tell me about who you shop for at Christmas
The nurse in a long-term care facility is providing education to a group of caregivers for
people with early stages of dementia. Which of the following would be included in the
education Bring in pictures of family members
It is important for the caregivers to practice self-care
Provide referrals for adult daycare
Provide referrals to case management
The nurse is caring for a patient who presents with a thunderclap headache and states
"This is the worst headache of my life" which of the following nursing actions is most
important. elevate the head of the bed 30 degrees
The nurse is caring for a patient with an embolic stroke in the left hemisphere. The
nurse anticipates which of the following symptoms? Speech and language problems
The nurse is caring for a patient who developed dysarthria and confusion. The nurse
should take which of the following actions? Obtain a blood glucose
Call a code stroke
Complete a BEFAST assessment
Anticipate a CT head scan
The nurse is caring for a patient with a history of epilepsy. Which of the following
nursing interventions should the nurse include Place a pad on the floor next to the bed
Ensure suction is available
Have a bag-valve mask and oxygen available
The nurse is caring for a paraplegic patient with a spinal cord injury at T8. The patient
appears flushed and diaphoretic and complains of sudden onset of a severe headache.
The nurse should assess for which of the following complications? Autonomic
dysreflexia
The nurse is caring for a patient with multiple sclerosis who was admitted for an
exacerbation of symptoms. Which of the following complications is a priority to monitor
for? Respiratory depression