PN2 EXAM 3 QUESTIONS AND ANSWERS Rasmussen College
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PN2 EXAM 3 QUESTIONS AND ANSWERS
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PN2 EXAM 3 QUESTIONS AND ANSWERS
PN2 EXAM 3 QUESTIONS AND ANSWERS
Know what the left temporal lobe of brain affects as far as the senses
1. 1. A nurse prepares to teach a client who has experienced damage to the left temporal lobe of the brain. Which action should the nurse take when providing education about newly prescribed me...
know what the left temporal lobe of brain affects as far as the senses 1 1 a nurse prepares to teach a client who has experienced damage to the left temporal lobe of
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PN2 EXAM 3 QUESTIONS AND ANSWERS
Know what the left temporal lobe of brain affects as far as the senses
1. 1. A nurse prepares to teach a client who has experienced damage to
theleft temporal lobe of the brain. Which action should the nurse take
when providing education about newly prescribed medications to this
client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask
questions.
ANS: C
The temporal lobe contains the auditory center for sound interpretation.
The clients hearing will be impaired in the left ear. The nurse should sit
onthe clients right side and speak into the right ear. The other
interventions do not address the clients left temporal lobe damage.
Know what hypoactive deep tendon reflexes affect
2. A nurse plans care for a client who has a hypoactive response to a test of
deep tendon reflexes. Which intervention should the nurse include in this
clientsplan of care?
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each
shift.ANS: B
Hypoactive deep tendon reflexes and loss of vibration sense can impair
balanceand coordination, predisposing the client to falls. The nurse should
plan to provide the client with ambulation assistance to prevent injury. The
other interventions do not address the clients problem.
Know what things can interfere with MRI scans
10. A nurse obtains a focused health history for a client who is scheduled for
magnetic resonance imaging (MRI). Which condition should alert the nurse to
contact the provider and cancel the procedure?
a. Creatine phosphokinase (CPK) of 100 IU/L
b. Atrioventricular graft
c. Blood urea nitrogen (BUN) of 50 mg/dL
d. Internal insulin pump
ANS: D
Metal devices such as internal pumps, pacemakers, and prostheses interfere
with the accuracy of the image and can become displaced by the magnetic
forcegenerated by an MRI procedure. An atrioventricular graft does not
contain any metal. CPK and BUN levels have no impact on an MRI procedure.
,14. After teaching a client who is scheduled for magnetic resonance
imaging (MRI), the nurse assesses the clients understanding. Which client
statement indicates a correct understanding of the teaching?
a. I must increase my fluids because of the dye used for the MRI.
b. My urine will be radioactive so I should not share a bathroom.
c. I can return to my usual activities immediately after the MRI.
d. My gag reflex will be tested before I can eat or drink anything.
ANS: C
No postprocedure restrictions are imposed after MRI. The client can return to
normal activities after the test is complete. There are no dyes or radioactive
materials used for the MRI; therefore, increased fluids are not needed and the
clients urine would not be radioactive. The procedure does not impact the
clients gag reflex.
Know what a single-photon emission computed tomography (SPECT) scan isand if
there is any care required afterwards
20. A nurse cares for a client who is recovering from a single-photon emission
computed tomography (SPECT) with a radiopharmaceutical agent. Which
statement should the nurse include when discussing the plan of care with this
client?
a. You may return to your previous activity level immediately.
b. You are radioactive and must use a private bathroom.
c. Frequent assessments of the injection site will be completed.
d. We will be monitoring your renal functions
closely.
ANS: A
The client may return to his or her previous activity level immediately.
Radioisotopes will be eliminated in the urine after SPECT, but no monitoring
or special precautions are required. The injection site will not need to be
assessedafter the procedure is complete.
Know what imitrex is and any side effects associated with it
3. A nurse obtains a health history on a client prior to administering
prescribed sumatriptan succinate (Imitrex) for migraine headaches. Which
condition shouldalert the nurse to hold the medication and contact the health
care provider?
a. Bronchial asthma
b. Prinzmetals angina
c. Diabetes mellitus
d. Chronic kidney
diseaseANS: B
Sumatriptan succinate effectively reduces pain and other associated
symptomsof migraine headache by binding to serotonin receptors and
triggering cranial vasoconstriction. Vasoconstrictive effects are not confined to
the cranium and can cause coronary vasospasm in clients with Prinzmetals
angina. The other conditions would not affect the clients treatment.
, What is bacterial meningitis and how is it contracted?
9. A nurse obtains a focused health history for a client who is suspected
ofhaving bacterial meningitis. Which question should the nurse ask?
a. Do you live in a crowded residence?
b. When was your last tetanus vaccination?
c. Have you had any viral infections recently?
d. Have you traveled out of the country in the last
month?ANS: A
Meningococcal meningitis tends to occur in multiple outbreaks. It is most
likelyto occur in areas of high-density population, such as college dormitories,
prisons, and military barracks. A tetanus vaccination would not place the
clientat increased risk for meningitis or protect the client from meningitis. A
viral infection would not lead to bacterial meningitis but could lead to viral
meningitis. Simply knowing if the client traveled out of the country does not
provide enough information. The nurse should ask about travel to specific
countries in which the disease is common, for example, sub-Saharan Africa.
What are clinical manifestations of Parkinson’s?
10. After teaching the wife of a client who has Parkinson disease, the nurse
assesses the wifes understanding. Which statement by the clients wife
indicatesshe correctly understands changes associated with this disease?
a. His masklike face makes it difficult to communicate, so I will use a
whiteboard.
b. He should not socialize outside of the house due to uncontrollable drooling.
c. This disease is associated with anxiety causing increased perspiration.
d. He may have trouble chewing, so I will offer bite-sized
portions.
ANS: D
Because chewing and swallowing can be problematic, small frequent meals
anda supplement are better for meeting the clients nutritional needs. A
masklike face and drooling are common in clients with Parkinson disease. The
client should be encouraged to continue to socialize and communicate as
normally aspossible. The wife should understand that the clients masklike face
can be misinterpreted and additional time may be needed for the client to
communicate with her or others. Excessive perspiration is also common in
clients with Parkinson disease and is associated with the autonomic nervous
systems response.
11. A nurse plans care for a client with Parkinson disease. Which
interventionshould the nurse include in this clients plan of care?
a. Ambulate the client in the hallway twice a day.
b. Ensure a fluid intake of at least 3 liters per day.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater.
ANS: D
Elevation of the head of the bed will help prevent aspiration. The other options
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