Neurology

The patient with a history of psychiatric disorders tells the nurse that her neighbor is working with Mr. Dawsom at the World Financial Organization to bring the world under their control, and that she is the only one who knows about it. Which response by the nurse is best?

The patient tells the nurse, “I really didn’t expect acupuncture to decrease my pain, but it actually did! Why did it work?” The nurse bases the response on which theory of pain control?

Release of which neurotransmitters in the brain and spinal cord leads to increased nociception? Select all that apply.

The patient is experiencing syndrome of inappropriate antidiuretic hormone. The nurse recognizes malfunction of which structure is responsible for this disorder?

Following brain surgery, the patient is producing massive volumes of dilute urine. The nurse suspects which structure was inadvertently harmed during the surgery?

The 6-month-old infant is admitted to the pediatric intensive care unit with a diffuse purpuric rash and prolonged bleeding. The nurse notes the fingers on the right hand are pale and cool to the touch. Which question asked of the parents will be the most helpful in diagnosing this patient’s condition?

The patient with increased intracranial pressure has been administered mannitol. Which patient symptom indicates the drug is having its intended effect?

The patient has sustained a spinal cord injury at the level of C8. The nurse plans care to include teaching about the use of which adaptive device?

The emergency department nurse is assessing the unconscious patient following a fall from the ladder while he was doing home improvement work. Which assessment is performed first?

The nurse is the first responder to a motor vehicular accident involving the injury of a 40-year-old male. Which action is the highest priority?

The patient with malignant hypertension has suffered from a transient ischemic attack. He asks the nurse if he can continue taking his St. John’s wort for depression. Which answer by the nurse is most appropriate?

Which patient is triaged as first to be treated following a hurricane?

The patient with neurosyphilis who has attempted to stab the nurse with scissors, pulled out several IVs, and is a fall risk is placed in wrist restraints per physician order. How frequently does the nurse assess the patient’s skin integrity?

Which explanation of the mechanism of action of the cutaneous stimulation method in reducing pain is correct?

During a lumbar puncture, which event warrants immediate intervention by the nurse?

Which patient is at the highest risk for falls?

Which assessment finding in a patient complaining of back pain requires immediate action?

The patient is brought to the emergency room by her husband with slurred speech and facial drooping. Which question does the nurse ask first?

The nurse is caring for a 30-year-old male patient who is diagnosed with bipolar disorder. Which of the following is not a routine component of the patient's plan of care?

The patient is being treated for obsessive-compulsive disorder with medication and behavioral therapy. At a follow-up visit, the patient reports near complete resolution of symptoms. The nurse anticipates discussing which treatment plan?  

The nurse instructs parents on which type of diet to decrease the risk for lead poisoning in their children? 

The 5-day-old infant presents to the pediatrician's office for a well-baby visit. The parents report being happy that their child is a "good baby" who sleeps a lot and rarely cries. They also report the baby eats 4 times per day, sleeping for 8 hours at night. The nurse notes the baby is at the 70th percentile for weight. Upon assessment, the baby is minimally responsive. The nurse is most concerned about which condition? 

Following a motor vehicle accident, the patient is brought to the emergency department with a head injury. Upon assessment, the nurse notes otorrhea and mastoid bruising. The nurse reports the findings to the provider and suspects further testing will reveal which injury? 

The patient with Guillain-Barre Syndrome is ordered to undergo plasmapheresis. Which rationale for the procedure does the nurse provide to the patient and family? 

The nurse observes the affected eye of the patient with newly diagnosed Bell's palsy is not closing fully and performs which interventions? Select all that apply.

The 5-year-old boy with measles cries when the nurse enters the room and turns on the lights. The nurse is most concerned about which reason behind the patient's behavior?

The nurse learns in report the patient with schizophrenia has mainly exhibited negative symptoms. The nurse most expects to make which observation? 

The patient with chronic pain and generalized anxiety disorder has been prescribed alprazolam. Which medication, if also prescribed to the patient, prompts the nurse to clarify the order with the provider?

Which question does the nurse ask to determine the patient's risk for suicide in the patient with major depressive disorder? 

Following electroconvulsive therapy, the patient with bipolar disorder tells the nurse he does not remember whether he arrived by bus or car. Which response by the nurse is appropriate? 

The nurse is assessing the patient with major depressive disorder. Which characteristic alerts the nurse that the patient may be planning to commit suicide? 

The 34-year-old G1P1 patient who just delivered a healthy baby via cesarean section four hours ago. The patient sits on the bed watching her newborn lying in the bed but does not touch or hold the baby. Which response by the nurse is most appropriate? 

The patient with delusional disorder tells the nurse that he needs to see the Pope in Rome because he is a messenger of God. Which response by the nurse is most therapeutic?

The nurse is assigned to care for a 45-year-old patient who presents with a three-day history of fever, sore throat, chills, and myalgia. On physical assessment, the nurse notes the patient has multiple erythematous macular areas surrounding bullous lesions, some of which have ruptured and desquamated. Past medical history is significant for a recently diagnosed seizure disorder, managed with lamotrigine. Which intervention will be performed first?

The patient who has taken phenytoin for the past 12 years for seizure disorder reports feeling something strange in the mouth. The nurse anticipates observing which condition? 

Maternal infection with which organism(s) during pregnancy may lead to neonatal seizures? Select all that apply.

The patient is prescribed phenytoin for treatment of a seizure disorder. The nurse instructs the patient about which adverse effect of treatment? 

The nurse is assigned to a 38-year-old patient who presents with polydipsia and polyuria. Past medical history is significant for bipolar disorder diagnosed two months ago, for which the patient was prescribed lithium. The nurse anticipates further testing will reveal which condition? 

The 4-hour-old neonate in the nursery begins making rhythmic movements with the hands and smacking of the lips. An electroencephalogram is performed, and seizures are observed. The nurse prepares to administer which medication?

The nurse is assigned to a patient with epilepsy. Which nursing intervention is most important for this patient? 

The nurse is evaluating a 9-month-old male infant who presents for a routine checkup. In obtaining the patient’s history from his mother, the nurse discovers they live in a home built in 1975. The nurse instructs the mother on which health screening schedule?

The nurse learns the patient uses nasal irrigation to help prevent sickness during flu season. Which statement by the nurse is the most important?

The nurse informs the parent of an 18-month-old patient at the well-child visit that screening for an autism spectrum disorder at which time(s)?

The nurse is assigned to a 32-year-old G1P0 female at 30 weeks estimated gestational age who presents with pre-eclampsia. On physical assessment, the patient’s blood pressure is 180/125 mm Hg. The patient is prescribed magnesium sulfate by the provider. Which of the following is the most indicative that magnesium sulfate has been effective?

The older adult patient is brought to the emergency department with sudden onset confusion, agitation, and hallucinations. The patient's past medical history is significant for type 2 diabetes managed with glyburide, anxiety managed with lorazepam, and insomnia managed with zolpidem. Upon assessment, the patient's heart rate and rhythm are regular, lungs are clear to auscultation, and bowel sounds are present. Vital signs are normal, with exception of a slightly elevated heart rate. Which is the most likely cause of the patient's symptoms?

The patient is diagnosed with primary amebic meningoencephalitis. Which organism is the culprit behind this condition?

Which findings on a magnetic resonance imaging (MRI) scan suggest Alzheimer’s disease? Select all that apply.

The 3-day-old full-term neonate has yet to pass meconium and is experiencing significant abdominal distention. The child is otherwise healthy and is not requiring respiratory support. The nurse learns that Hirschsprung disease is suspected and prepares the patient for which test that will definitively diagnose the condition?

The nurse is providing preoperative teaching to the parents of a neonate diagnosed with short-segment Hirschsprung disease. Which statement by the patient’s mother indicates an understanding of the education?

Which neonate must be most closely monitored for signs of Hirschsprung disease?