Download Medical-Surgical Nursing Exam 1 (questions & answers) - Jersey College and more Exams Nursing in PDF only on Docsity!
Medical-Surgical Nursing Exam 1 (questions
& answers) - Jersey College
VIII kVestibucochlear k- k(CORRECT kANSWER)-Balance kand kequilibrium kare kfunctions kof kthe k________ knerve. tympanic kmembrane k- k(CORRECT kANSWER)-The kexternal kear kis kseparated kfrom kthe kmiddle kear kby ka kdisk-shaped kstructure kcalled kthe k________________________. auricle k(pinna) k- k(CORRECT kANSWER)-The k_______ kcollects kthe ksound kwaves kand kdirects kvibrations kin kto kthe kexternal kauditory kcanal. cerumen k(ear kwax) k- k(CORRECT kANSWER)-A kbrown, kwaxlike ksubstance ksecreted kby kceruminous kglands kis kcalled? 1 kmm k- k(CORRECT kANSWER)-How kwide kis kthe keustacian ktube? 35 kmm k- k(CORRECT kANSWER)-How klong kis kthe keustacian ktube? It khelps kto kconduct ksound kvibration. k- k(CORRECT kANSWER)-What kis kthe kfunction kof kthe ktympanic kmembrane? pearly kgrey k- k(CORRECT kANSWER)-What kcolor kis kNORMAL kfor kthe ktympanic kmembrane? pars ktensa k- k(CORRECT kANSWER)-Approximately k80% kof kthe ktympanic kmembrane kis kcomposed kof kall kthree klayers kand kis kcalled kthe k___________. pars kflaccida k- k(CORRECT kANSWER)-The kremaining k20% kof kthe ktympanic kmembrane kthat klacks kthe kmiddle klayer kis kcalled k? annulus k- k(CORRECT kANSWER)-The kfibrous kborder kthat kattaches kthe keardrum kto kthe ktemporal kbone k? perilymph k- k(CORRECT kANSWER)-The kbony klabyrinth ksurrounds kand kprotects kthe kmembranous klabyrinth, kwhich kis kbathed kin ka kfluid kcalled k___________. hearing
balance kand kequilirium k- k(CORRECT kANSWER)-What kare kthe ktwo kfunctions kof kthe kears? eustacian ktube k- k(CORRECT kANSWER)-Helps kto kequalize kpressure kin kthe kear k? seborrheic kdermatitis k- k(CORRECT kANSWER)-A kflaky kscaliness kon kor kbehind kthe kauricle kusually kindicates k_____________________ kand kcan kbe kpresent kon kthe kscalp kand kfacial kstructures kas kwell 5 kmm k- k(CORRECT kANSWER)-The klargest kspeculum kthat kthe kear kcanal kcan kaccommodate k____mm. gently kirrigate kthe kcanal kwith kwarm kwater k- k(CORRECT kANSWER)-If kthe ktympanic kmembrane kcannot kbe kvisualized kbecause kof kcerumen, kthe kcerumen kmay kbe kremoved khow? Weber kand kRinne ktests k- k(CORRECT kANSWER)-Name ktwo ktests kused kto kassess ka kpatient's khearing kability. Weber ktest k- k(CORRECT kANSWER)-This ktest kfor khearing kuses kbone kconduction kto ktest klateralization kof ksound. kWhat kis kit kcalled? Rinne ktest k- k(CORRECT kANSWER)-This khearing ktest kis kdone kby kshifting kthe kstem kof ka kvibrating ktuning kfork kbetween ktwo kpositions: k 2 kinches kfrom kthe kopening kof kthe kear kcanal kand kagainst kthe kmastoid kbone. kAs kthe kposition kchanges, kthe kpatient kis kasked kto kindicate kwhich ktone kis klouder kor kwhen kthe ktone kis kno klonger kavailable. kWhat kis kit kcalled? The kWeber kTest k- k(CORRECT kANSWER)-Results kof kthis ktest kare kused kto kdetermine kwhether kthe kpatient khas kconductive khearing kloss kor ksensorineural khearing kloss. kWhich ktest? air kconduction k- k(CORRECT kANSWER)-Which ktype kof kconduction kshould kbe klonger kfor ksensiorneural khearing kloss? kAir kor kBone? TRUE k- k(CORRECT kANSWER)-Conductive khearing kloss ksuch kas kfrom kotosclerosis kor kotitis kmedia, kwhen kperforming kthe kWeber ktest kthe ksound klateralizes ktoward kthe kaffected kear kT/F? Bone k- k(CORRECT kANSWER)-Weber ktest kjust kdoes k____ kconduction. Audiometry kconfirms ka kclient's kchronic kprogressive khearing kloss. kFurther kinvestigation kreveals kankylosis kof kthe kstapes kin kthe koval kwindow, ka kcondition kthat kprevents ksound ktransmission. kThis ktype kof khearing kloss kis kcalled ka: k- k(CORRECT kANSWER)- conductive khearing kloss
There kare kno kactivity krestrictions kafter kthis kprocedure k- k(CORRECT kANSWER)-What kpatient keducation kfor kpost kmastoid ksurgery would kbe kincorrect? -Avoid kgetting kwater kin kthe kear. -Constant kthrobbing kpain kmay kbe ka ksign kof kinfection. -Call kfor kassistance kto kambulate kto kprevent kinjury. -There kare kno kactivity krestrictions kafter kthis kprocedure. TRUE k- k(CORRECT kANSWER)-A kcochlear kimplant kis kan kauditory kprosthesis kused kfor kpeople kwith kprofound ksensorineural khearing kloss kbilaterally kwho kdo knot kbenefit kfrom kconventional khearing kaids. kT/F k? -Glycerin -mineraloil -½ kstrength kH2O2, kor kperoxide kin kglycerol k- k(CORRECT kANSWER)-What kcan kyou kuse kto ksoften kearwax/cerumen kand kirrigate kthe kear kcanal? k(3) Malignant kexternal kotitis k- k(CORRECT kANSWER)-rare, kprogressive kinfection kthat keffects kthe kexternal kauditory kcanal, ksurrounding ktissue, kand kskull -pain kand ktenderness -discharge -edema -erythema -pruritus -hearing kloss -feelings kof kfullness kin kthe kear k- k(CORRECT kANSWER)-S/S kof kexternal kotitis k(7) wick k- k(CORRECT kANSWER)-A k_______ kmay kbe kinserted kin kthe kcanal kto kkeep kit kopen kand kfacilitate kmedication kadministration. acute kotitis kmedia k- k(CORRECT kANSWER)-This ktype kof kear kinfection kis kmost koften kseen kin kchildren k? -otalgia k(ear kpain) -fever -hearing kloss k- k(CORRECT kANSWER)-S/S kof kacute kotitis kmedia k(3) Serous kotitis kmedia k- k(CORRECT kANSWER)-fluid kin kthe kmiddle kear kwithout kevidence kof kinfection kis kcalled? kOften kdue kto keustacian ktube kdysfunction kor kblockage. mastoidectomy k- k(CORRECT kANSWER)-Removal kof kdiseased kbone, kmastoid kair kcells, kand kcholesteatoma kto kcreate ka knoninfected, khealthy kear. kWhat kis kthis kprocedure kcalled?
Cholesteatoma k- k(CORRECT kANSWER)-benign ktumor, kan kingrowth kof kskin kthat kcauses kpersistently khigh kpressure kin kthe kmiddle kear, kwhich kcauses khearing kloss kand kneurologic kdisorders kand kdestroys kstructures. kWhat kis kit kcalled? tympanotomy, kmyringotomy k- k(CORRECT kANSWER)-incision kinto kthe keardrum kfor kinserting ktubes kis kknown kby k 2 knames; kwhat kare kthey? ossiculoplasty k- k(CORRECT kANSWER)-Surgical krepair kof kan kossicle k(small kbone) kof kthe kmiddle kear kis kcalled k? stapedotomy k- k(CORRECT kANSWER)-An kalternative kprocedure kto kstapedectomy. kA ksmall kopening kis kcreated kin kthe kfixed kstapes kfootplate kwith ka ksmall kdrill kor klaser. kThis kallows kfor ktransmission kof ksound kwaves kor kplacement kof kprosthesis k? antihistamines k- k(CORRECT kANSWER)-What kclassification kof kmedications kcan kbe kused kin kvertigo? taste k- kfood kwill ktaste kdifferent kuntil kthe knerve kis khealed k- k(CORRECT kANSWER)-After kan kear kprocedure, kwhat kchange kin kthe ksenses kwill kthe kpatient kexperience? 6 kweeks k- k(CORRECT kANSWER)-After kear ksurgery, khow klong kshould kthe kpatient kkeep kthe kears kdry? cotton kball kwith kvaseline k- k(CORRECT kANSWER)-How kcan kpatients kprevent kwater kfrom kentering kthe kear? endolymphatic ksac kdecompression k- k(CORRECT kANSWER)-procedure kthat kequalizes kpressure kint kthe kendolymphatic kspace. kA kshunt kor ka kdrain kis kinserted kin kthe kendolymphatic ksac kthrough ka kpostauricular kincision. kWhat kis kthis kprocedure kcalled? vestibular knerve ksectioning k- k(CORRECT kANSWER)-Procedure kthat kprovides kthe kgreatest ksuccess krate kin keliminating kthe kattacks kof kvertigo. kIt kcan kbe kperformed kby ka ktranslabyrinthine kapproach kor kin ka kmanner kthat kcan kconserve khearing, kdepending kon kthe kdegree kof khearing kloss. kCutting kthe knerve kprevents kthe kbrain kfrom kreceiving kinput kfrom kthe ksemicircular kcanals. kWhat kis kit kcalled? Benign kParoxysmal kPositional kVertigo k(BPPV) k- k(CORRECT kANSWER)-Brief kepisodes kof kvertigo k(< k 1 kmin.) kassoc. kw/position kchange; kresult kof kdegen. kof kthe kutricular kotoconia tinnitus k- k(CORRECT kANSWER)-roaring, kbuzzing, kor khissing ksound kin kone kor kboth kears kis kcalled? -diuretic kagents: kethancrynic kacid, kfuosemide, kacetazolamide -chemotherapeutic k(antineoplastic) kagents: kcisplatin, knitrogen kmustard, kcarboplatin -antimalarial kagents: kquinine, kchoroquine
encourage kthe kclient kto kdrink kliberal kamounts kof kfluids. k- k(CORRECT kANSWER)-A kclient khas kundergone ka klumbar kpuncture kas kpart kof ka kneurological kassessment. kThe kclient kis kput kunder kthe kcare kof ka knurse kafter kthe kprocedure. kWhich kimportant kpostprocedure knursing kintervention kshould kbe kperformed kto kensure kthe kclient's kmaximum kcomfort? "I kam ktrying kto kquit ksmoking kand khave ka kpatch kon." k- k(CORRECT kANSWER)-A kpatient karrives kto khave kan kMRI kdone kin kthe koutpatient kdepartment. kWhat kinformation kprovided kby kthe kpatient kwarrants kfurther kassessment kto kprevent kcomplications krelated kto kthe kMRI? Contrast kwill kbe kgiven kand ka krapid ksequence kof kradiographs kwill kbe ktaken. k- k(CORRECT kANSWER)-A kclient ksuspected kof khaving ka kdistortion kof kcerebral karteries kand kveins kis kscheduled kfor ka kcerebral kangiography. kWhat kwould kthe knurse ktell kthe kclient kabout kthe kupcoming ktest? observing kthe kclient's kresponse kto kpainful kstimuli k- k(CORRECT kANSWER)-The knurse kis kcaring kfor ka kcomatose kclient. kThe knurse kknows kshe kshould kassess kthe kclient's kmotor kresponse. kWhich kmethod kmay kthe knurse kuse kto kassess kthe kmotor kresponse? "Although kthe krequired kposition kmay knot kbe kcomfortable, kit kwill kmake kthe kprocedure ksafer kand keasier kto kperform." k- k(CORRECT kANSWER)-A kclient kpreparing kto kundergo ka klumbar kpuncture kstates khe kdoesn't kthink khe kwill kbe kable kto kget kcomfortable kwith khis kknees kdrawn kup kto khis kabdomen kand khis kchin ktouching khis kchest. kHe kasks kif khe kcan klie kon khis kleft kside. kWhich kstatement kis kthe kbest kresponse kby kthe knurse? flaccid kmuscles k- k(CORRECT kANSWER)-Lower kmotor kneuron klesions kcause k? comatose k- k(CORRECT kANSWER)-The kcritical kcare knurse kis kgiving kreport kon ka kclient kthey kare kcaring kfor. kThe knurse kuses kthe kGlasgow kComa kScale k(GCS) kto kassess kthe klevel kof kconsciousness k(LOC) kof ka kfemale kclient kand kreports kto kthe kon-coming knurse kthat kthe kclient khas kan kLOC kof k6. kWhat kdoes kan kLOC kscore kof k 6 kin ka kclient kindicate? 1+ k- k(CORRECT kANSWER)-Diminished kor khypoactive kDTRs kare kindicated kby ka kscore kof k______. 0 k- k(CORRECT kANSWER)-DTRs kindicated kby ka kscore kof k____ kmeans kthat kthe kpatient kdid knot khave ka kresponse. 2+ k- k(CORRECT kANSWER)-What kis kthe knormal kDTR kresponse kscore? 3+ k- k(CORRECT kANSWER)-Increased kresponse kof kDTRs kare kindicated kby ka kscore kof k______. refrain kfrom keating kor kdrinking kfor know. k- k(CORRECT kANSWER)-The knurse khas kcompleted kevaluating kthe kclient's kcranial knerves. kThe knurse kdocuments kimpairment kof
kthe kright kcervical knerves k(CN kIX kand kCN kX). kBased kon kthese kfindings, kthe knurse kshould kinstruct kthe kclient kto k? dysfuction kof kthe kvagus knerve. k- k(CORRECT kANSWER)-A kpatient kis kbeing ktested kfor ka kgag kreflex. kWhen kthe knurse kplaces kthe ktongue kblade kto kthe kback kof kthe kthroat, kthere kis kno kresponse kelicited. kWhat kdysfunction kdoes kthe knurse kdetermine kthe kpatient khas? 70-20 kmm kH2O k- k(CORRECT kANSWER)-CSF kpressure kwith kthe kpatient kin ka klateral krecumbent kposition kis knormally k____-_____ kmm kH2O. 200 kmm kH2O k- k(CORRECT kANSWER)-Pressures kof kmore kthan k____mm kH2O kare kconsidered kabnormal. "Who kis kthe kpresident kof kthe kUnited kStates?" k- k(CORRECT kANSWER)-The knurse kis kassessing kthe kclient's kmental kstatus k. kWhich kquestion kwill kthe knurse kinclude kin kthe kassessment? The knurse kshould knot kmove kor kmanipulate kthe kpatient's khead kwhile kassessing kfor kbleeding kor kswelling. k- k(CORRECT kANSWER)-The knurse kis kcompleting kthe kphysical kassessment kof ka kpatient ksuspected kof ka kneurologic kdisorder. kThe kpatient kreports kto kthe knurse kthat khe khas krecently ksuffered ka khead ktrauma. kIn ksuch ka kcase, kwhich kof kthe kfollowing kprecautions kshould kthe knurse ktake kfor kthe kpatient? kSelect kall kthat kapply. CN kI k- k(CORRECT kANSWER)-The knurse kis kperforming kan kassessment kof kcranial knerve kfunction kand kasks kthe kpatient kto kcover kone knostril kat ka ktime kto ksee kif kthe kpatient kcan ksmell kcoffee, kalcohol, kand kmint. kThe kpatient kis kunable kto ksmell kany kof kthe kodors. kThe knurse kis kaware kthat kthe kpatient khas ka kdysfunction kof kwhich kcranial knerve? Helicopod k- k(CORRECT kANSWER)-A kclient kin kthe kemergency kdepartment khas ka ksuspected kneurologic kdisorder. kTo kassess kgait, kthe knurse kasks kthe kclient kto ktake ka kfew ksteps; kwith keach kstep, kthe kclient's kfeet kmake ka khalf kcircle. kTo kdocument kthe kclient's kgait, kthe knurse kshould kuse kwhich kterm? temporal k- k(CORRECT kANSWER)-Which kcerebral klobe kcontains kthe kauditory kreceptive kareas? close khis kor kher keyes kand kstand kerect. k- k(CORRECT kANSWER)-A knurse kis kworking kin ka kneurologist's koffice. kThe kphysician korders ka kRomberg ktest. kThe knurse kshould khave kthe kclient: the kcerebellum k- k(CORRECT kANSWER)-What kpart kof kthe kbrain kcontrols kand kcoordinates kmuscle kmovement? cerebral kangiography k- k(CORRECT kANSWER)-The kphysician's koffice knurse kis kcaring kfor ka kclient kwho khas ka khistory kof ka kcerebral kaneurysm. kWhich kdiagnostic ktest kdoes kthe knurse kanticipate kto kmonitor kthe kstatus kof kthe kaneurysm?
350 kto k 375 kmL. k- k(CORRECT kANSWER)-A kpotential kcomplication kof ka khemorrhagic kstroke kis kinterference kwith kthe kability kof kthe karachnoid kvilli kto kabsorb kCSF. kTherefore, kfluid kin kthe kventricles kincrease kbeyond kthe kamount kthat kis kusually kabsorbed kdaily, kwhich kis: VIII kfor kRom kTest k- k(CORRECT kANSWER)-The kprovider korders kthe kRomberg ktest kfor ka kpatient. kThe knurse ktells kthe kpatient kthat kthe kprovider kwants kto kevaluate khis kequilibrium kby kassessing kwhich kcranial knerve? Acetylcholine k- k(CORRECT kANSWER)-Which kof kthe kfollowing kneurotransmitters kare kdeficient kin kmyasthenia kgravis? IX kand kX k- k(CORRECT kANSWER)-Cranial knerves kfor kgag kreflex? Glossopharyngeal knerve k- k(CORRECT kANSWER)-What kis kthe kname kof kcranial knerve kIX? "Have kyou knoticed ka kchange kin kyour kmemory?" k- k(CORRECT kANSWER)-To khelp kassess ka kclient's kcerebral kfunction, ka knurse kshould kask: Parietal k- k(CORRECT kANSWER)-Which klobe kof kthe kbrain kis kresponsible kfor kspatial krelationships? Muscle kspasticity k- k(CORRECT kANSWER)-Which kof kthe kfollowing kis ka kmanifestation kof kan kupper kmotor kneuron klesion? eye kmuscle kmovement k- k(CORRECT kANSWER)-The ktrochlear knerve kcontrols kwhich kfunction? transcranial kdoppler k- k(CORRECT kANSWER)-Which kdiagnostic ktest kmay kbe kperformed kto kevaluate kblood kflow kwithin kintracranial kblood kvessels? Astereognosis k- k(CORRECT kANSWER)-A kclient khas ksustained ka khead kinjury kto kthe kparietal klobe kand kcannot kidentify ka kfamiliar kobject kby ktouch. kThe knurse kknows kthat kthis kdeficit kis turning kthe kclient's khead ksuddenly kwhile kholding kthe keyelids kopen. k- k(CORRECT kANSWER)-A kclient kwho kwas kfound kunconscious kat khome kis kbrought kto kthe khospital kby ka krescue ksquad. kIn kthe kintensive kcare kunit, kthe knurse kchecks kthe kclient's koculocephalic k(doll's keye) kresponse kby: hypoxia k- k(CORRECT kANSWER)-A kclient kis kadmitted kto kan kacute kcare kfacility kwith ka ksuspected kdysfunction kof kthe klower kbrain kstem. kThe knurse kshould kmonitor kthis kclient kclosely kfor:
fourth kventricle k- k(CORRECT kANSWER)-Which kanatomic kpart ksupplies kcerebrospinal kfluid kto kthe ksubarachnoid kspace kand kdown kthe kspinal kcord kon kthe kdorsal ksurface? clonus k- k(CORRECT kANSWER)-Which koccurs kwhen kreflexes kare khyperactive kwhen kthe kfoot kis kabruptly kdorsiflexed? To kensure kcorrect kapplication kof kantibiotic kointment, kgently kdrag ktip kof ktube kalong klower klid kwhile ksqueezing kointment kon kto klid. k- k(CORRECT kANSWER)-A kyoung kclient kis kbeing kseen kby ka kpediatric kophthalmologist kdue kto ka krecent kskateboarding kaccident kthat kresulted kin ktrauma kto kthe kright kcornea, kand kis know kat krisk kof kdeveloping kan kinfection. kWhich knursing kintervention kwould kbe kcontraindicated kfor ka kclient kat krisk kfor kinfection? constricts kpupil k- k(CORRECT kANSWER)-Miotic keye ksolutions kare koften kordered kin kthe ktreatment kof kglaucoma. kWhich kis kthe kbest knursing krationale kfor kthe kuse kof kthis kmedication? NSAIDS k- k(CORRECT kANSWER)-To kavoid kthe kside keffects kof kcorticosteroids, kwhich kmedication kclassification kis kused kas kan kalternative kin ktreating kinflammatory kconditions kof kthe keyes? Coumadin k- k(CORRECT kANSWER)-Which kof kthe kfollowing kmedications kneeds kto kbe kwithheld kfor k 5 kto k 7 kdays kprior kto kcataract ksurgery? The kpower kof kthe klens kto kaccommodate kwill kbe kdecreased k- k(CORRECT kANSWER)- The knurse kis kassessing kan kolder kclient's kvision. kThe knurse kintegrates kknowledge kof kwhich kof kthe kfollowing kduring kthe kassessment? pulls kthe ktissue knear kthe kcheek kdownward kto kinstill kmedication. k- k(CORRECT kANSWER)-The knurse krealizes kthat ka kclient kunderstands khow kto kcorrectly kinstill kophthalmic kmedications kwhen kthe kclient: papilledema k- k(CORRECT kANSWER)-Which kterm krefers kto kswelling kof kthe koptic kdisc kdue kto kincreased kintracranial kpressure? LASIK kinvolves kworking kwith kthe kcornea kon ka kdeeper klevel. k- k(CORRECT kANSWER)- The knurse kis kpreparing ka kpresentation kfor ka klocal kcommunity kgroup kcomparing kphotorefractive kkeratectomy kand kLASIK krefractive ksurgeries. kWhich kof kthe kfollowing kwould kthe knurse kinclude? 21 kmm kHg kor khigher k- k(CORRECT kANSWER)-A kpatient kis ksuspected kof khaving kglaucoma. kWhat kreading kof kIOP kwould kdemonstrate kan kincrease kresulting kfrom koptic knerve kdamage? aphakia k- k(CORRECT kANSWER)-Which kterm krefers kto kthe kabsence kof kthe knatural klens?
20/200 k- k(CORRECT kANSWER)-Legally kblind Central kvision kloss kis k________ kor kworse kin kbetter keye k? retinal kangiography k- k(CORRECT kANSWER)-The knurse kis kcaring kfor ka kclient kordered kfor kmultiple keye kscreening. kFollowing kwhich kprocedure kwill kthe knurse kinstruct kthe kclient kon ka kyellow kcoloring kto kthe kskin kand kurine kas kbeing knormal? "An kimplanted klens khas kreplaced kthe kneed kfor kcorrective kglasses." k- k(CORRECT kANSWER)-An kelderly kclient kis kscheduled kfor kcataract ksurgery kand kasks kthe knurse, k"Will kI kneed kto kwear kpop-bottle klenses kafter ksurgery?" kWhich kis kthe kmost kappropriate kresponse kfrom kthe knurse? Applies kgentle kpressure kbilaterally kon kthe kbridge kof kthe knose kto kthe kinner kcanthus kof keach keye k- k(CORRECT kANSWER)-The knurse kis kdemonstrating khow kto kperform kpunctal kocclusion. kWhich kactivities kdoes kthe knurse kperform? presbyopia k- k(CORRECT kANSWER)-An kaging kclient kis kbrought kto kthe keye kclinic kby kthe kson. kThe kson kstates khe khas kseen khis kparent kholding kreading kmaterials kat kan kincreasing kdistance kto kfocus kproperly. kWhat kage-related kchanges kdoes kthis kindicate? opthalmoscopy k- k(CORRECT kANSWER)-There kare kfour kmajor ktypes kof kophthalmic kprocedures kto kcomplete ka kglaucoma kexamination. kIf kthe khealth kcare kprovider kwants kto kinspect kthe koptic knerve, kthe knurse kwould kprepare kthe kpatient kfor: amsler kgrid k- k(CORRECT kANSWER)-A kclient khas kbeen kreferred kto kan kophthalmologist kfor ksuspected kmacular kdegeneration. kThe knurse kknows kto kprepare kwhat ktest kfor kthe kphysician kto kgive kthe kclient? Ishihara k- k(CORRECT kANSWER)-A kclient kcomes kto kthe keye kclinic kfor ka kroutine kcheck- up. kThe kclient ktells kthe knurse khe kthinks khe kis kcolor kblind. kWhat kscreening ktest kdoes kthe knurse kknow kwill kbe kperformed kon kthis kclient kto kassess kfor kcolor kblindness? hyperopia k- k(CORRECT kANSWER)-A kclient khas knoticed krecently khaving kclearer kvision kat ka kdistance kthan kup kclose. kWhat kis kthe kterm kused kto kdescribe kthis kclient's kvisual kcondition? cornea k- k(CORRECT kANSWER)-Which kof kthe kfollowing kis kthe kmain krefracting ksurface kof kthe keye? myopia k- k(CORRECT kANSWER)-During ka kroutine keye kexamination, ka kpatient kcomplains kthat kshe kis kunable kto kread kroad ksigns kat ka kdistance kwhen kdriving kher kcar. kWhat kshould kthe kpatient kbe kassessed kfor?
BUN kand kcreatinine k- k(CORRECT kANSWER)-A kpatient kis kto khave kan kangiography kdone kusing kfluorescein kas ka kcontrast kagent kto kdetermine kif kthe kpatient khas kmacular kedema. kWhat klaboratory kwork kshould kthe knurse kmonitor kprior kto kthe kangiography? conductive k- k(CORRECT kANSWER)-During kassessment kof ka kpatient kwith ka khearing kloss, kthe knurse knotes ka kdefect kin kthe ktympanic kmembrane. kThe knurse kdocuments kthis kdisturbance kas ka kloss kknown kas: tell kthe kphysician k- k(CORRECT kANSWER)-A kclient kwith kglaucoma khas kbeen kgiven ka kprescription kfor ka kmydriatic kdrug. kWhat kis ka kpriority kaction kof kthe knurse? tonometry; kintraocular kpressure k- k(CORRECT kANSWER)-A kclient kis khaving ka kroutine keye kexamination. kThe kprocedure kbeing kperformed kis kdone kby kusing kan kinstrument kto kindent kor kflatten kthe ksurface kof kthe keye. kThis kis kknown kas k________ kand kit kis kroutinely kdone kto ktest kfor k________. increased kintraocular kpressure k(IOP). k- k(CORRECT kANSWER)-A kclient kwith kan kinflammatory kophthalmic kdisorder khas kbeen kreceiving krepeated kcourses kof ka kcorticosteroid kointment, kone-half kinch kin kthe klower kconjunctival ksac kfour ktimes ka kday kas kdirected. kThe kclient kreports ka kheadache kand kblurred kvision. kThe knurse ksuspects kthat kthese ksymptoms krepresent: cholinergics k- k(CORRECT kANSWER)-Which kmedication kclassification kincreases kaqueous kfluid koutflow kin kthe kclient kwith kglaucoma? backward k- k(CORRECT kANSWER)-To kstraighten kthe kear kcanal kin kan kadult kfor kexamination, kthe knurse kpractitioner kwould kgrasp kthe kauricle kand kpull kit: -No kattempt kshould kbe kmade kto kremove kthe kobject k-Protect kobject kfrom kjarring k-Use kmetal kshield k- k(CORRECT kANSWER)-When kan kimpaled kobject kis kin kthe keye, kwhich kof kthe kfollowing ksteps kshould kbe ktaken kto kensure kthat kno kfurther kdamage koccurs? kSelect kall kthat kapply. Otosclerosis k- k(CORRECT kANSWER)-Which kcondition kis kcharacterized kby kthe kformation kof kabnormal kspongy kbone karound kthe kstapes? Be kforthright kand kinform kothers kabout kthe khearing kdeficit. k- k(CORRECT kANSWER)-A kclient kyou kare kcaring kfor khas ka khearing kloss. kThe kclient ktells kyou khe kis kself-conscious kabout khis khearing kloss. kWhat kadvice kshould kthe knurse kgive ka kself-conscious kclient kwith khearing kloss kto kprotect khis kself-esteem? Presbycusis k- k(CORRECT kANSWER)-Which kcondition krefers kto khearing kloss kassociated kwith kdegenerative kchanges?
auditory knerve k- k(CORRECT kANSWER)-The knurse kis kinstructing ka kclient kon kthe kbenefits kof ka kcochlear kimplant. kThe kclient kasks, k"How kam kI kable kto kinterpret ksound?" kThe knurse kcredits kwhich kof kthe kfollowing kas ksignificant kin kthe kproduction kof khearing? Rinne k- k(CORRECT kANSWER)-Which ktest kuses ka ktuning kfork kshifted kbetween ktwo kpositions kto kassess khearing? Vesstibular k- k(CORRECT kANSWER)-The kclinical kmanifestations kof kmotion ksickness kare kcaused kby kan koverstimulation kin kwhat ksystem? The knurse kwould kstand klaterally kto kthe kclient, kopposite kside kto kwhere kthe kphysician kis kstanding. k- k(CORRECT kANSWER)-The knurse kis kworking kin kthe kemergency kdepartment kwhen ka kphysician kasks kfor khelp kas kthe kclient kis kperforming ka kRomberg ktest. kIn kwhich kposition kwould kthe knurse kstand kto kbe kmost khelpful? External kauditory kcanal kerythema k- k(CORRECT kANSWER)-A knures kis kperforming kan kotoscopic kexamination kon ka kclient. kWhich kfinding kwould kthe knurse kdocument kas kabnormal? 40 kdB kin kthe krange kof k 500 kto k2,000 kHz. k- k(CORRECT kANSWER)-A knurse kis kasked kto kassess ka kpatient's kneed kfor ka khearing kaid. kThe knurse kknows kthat ka kgeneral kguideline kto kdetermine kneed kwould kbe ka khearing kloss kof: Increased kblood kpressure k- k(CORRECT kANSWER)-Loud, kpersistent knoise khas kwhat keffect kon kthe kbody? Once ksymptoms koccur, kthey kwill kalways kbe kpresent. k- k(CORRECT kANSWER)-The knurse kon ka kcruise kship kis kassessing kclients kfor kmotion ksickness. kWhich kof kthe kfollowing kis ka kcommon kmisconception? Hearing kloss, kvertigo, ktinnitus k- k(CORRECT kANSWER)-The knurse kis kworking kin kthe ktriage ksection kof ka kwalk-in kclinic. kWhich ktriad kof kcommon ksymptoms, kwhen kplaced ktogether, kindicate kMénière's kdisease? organ kof kcorti k(spiral korgan) k- k(CORRECT kANSWER)-What kis klocated kin kthe kcochlea kof kthe kinner kear? Risk kfor kinjury krelated kto kneurologic kdeficit k- k(CORRECT kANSWER)-A kclient kadmitted kwith ka kcerebral kcontusion kis kconfused, kdisoriented, kand krestless. kWhich knursing kdiagnosis ktakes kthe khighest kpriority? Assess kfor ka khalo ksign k- k(CORRECT kANSWER)-A kclient khas kbeen kadmitted kfor kobservation kafter ka kclosed khead kinjury. kThere kis kclear kfluid kleaking kfrom kthe kclient's knose. kHow kwould kthe knurse kassess kif kthis kdrainage kis kCSF?
T6 k- k(CORRECT kANSWER)-Autonomic kdysreflexia kcan koccur kwith kspinal kcord kinjuries kabove kwhich kof kthe kfollowing klevels? Basilar kskull kfracture k- k(CORRECT kANSWER)-The knurse kin kthe kemergency kdepartment kis kcaring kfor ka kpatient kbrought kin kby kthe krescue ksquad kafter kfalling kfrom ka ksecond-story kwindow. kThe knurse kassesses kecchymosis kover kthe kmastoid kand kclear kfluid kfrom kthe kears. kWhat ktype kof kskull kfracture kis kthis kindicative kof? It kallows kfor kstabilization kof kthe kcervical kspine kalong kwith kearly kambulation. k- k(CORRECT kANSWER)-A kpatient kwas kbody ksurfing kin kthe kocean kand ksustained ka kcervical kspinal kcord kfracture. kA khalo ktraction kdevice kwas kapplied. kHow kdoes kthe kpatient kbenefit kfrom kthe kapplication kof kthe khalo kdevice? Client khas kcerumen kin kthe kear. k- k(CORRECT kANSWER)-A kclient kwho khas kbeen kfitted kwith ka khearing kaid kcomes kfor ka kfollow-up kevaluation. kDuring kthe kvisit, kthe kclient kstates, k"I've knoticed kthat kI kstill kdon't kseem kto khear kwell kenough. kThe khearing kaid kdoesn't kseem kto kmake kthe ksounds klouder." kWhich kof kthe kfollowing kmight kthe knurse kdetermine kas kthe kpossible kcause? Conductive khearing kloss kmay koccur. k- k(CORRECT kANSWER)-Which kstatement kis kconsistent kwith kacute kotitis kmedia? Air-conducted ksound kheard klonger kthan kbone-conducted ksound k- k(CORRECT kANSWER)-The knurse kis kperforming kthe kRinne ktest kon ka kclient kwith ka ksensorineural khearing kloss. kWhich kof kthe kfollowing kwould kthe knurse kexpect? "Usually kthe kincisional kpain kis kmild kand kcontrolled kby kthe kprescribed kmedication kfor kthe kfirst k 24 khours." k- k(CORRECT kANSWER)-A kclient kundergoing kmastoid ksurgery kasks kthe knurse kabout kthe kpain kfollowing kthe ksurgery. kWhich kresponse kby kthe knurse kis kappropriate? Sensorineural kloss. k- k(CORRECT kANSWER)-During khis kannual kphysical kexamination, ka kretired kairplane kmechanic kreports knoticeable khearing kloss. kThe knurse kpractitioner kprescribes ka kseries kof khearing ktests kto kconfirm kor krule kout knoise-induced khearing kloss, kwhich kis kclassified kas ka: -Diabetes kmellitus -Loop kdiuretics k(e.g., kLasix) -Bacterial kmeningitis -Gentamicin k- k(CORRECT kANSWER)-Nursing kassessment kof khearing kloss kin kan kolder kadult kclient kincludes kevaluation kof kage-related kchanges, kas kwell kas ka khistory kof kcurrent killnesses kand kmedications. kWhich kof kthe kfollowing kfactors kare kassociated kwith kototoxic keffects? kSelect kall kthat kapply. Constriction kof kperipheral kblood kvessels kIncreased kblood kpressure
raccoon's keyes kand kBattle ksign. k- k(CORRECT kANSWER)-A kclient kwho khas kbeen kseverely kbeaten kis kadmitted kto kthe kemergency kdepartment. kThe knurse ksuspects ka kbasilar kskull kfracture kafter kassessing: Change kin klevel kof kconsciousness k(LOC) k- k(CORRECT kANSWER)-Which kof kthe kfollowing kis kthe kearliest ksign kof kincreasing kintracranial kpressure k(ICP)? Young kage kMale kgender kSubstance kabuse k- k(CORRECT kANSWER)-The knurse kis kplanning kto kprovide keducation kabout kprevention kin kthe kcommunity kYMCA kdue kto kthe kincrease kin knumbers kof kspinal kcord kinjuries k(SCIs). kWhat kpredominant krisk kfactors kdoes kthe knurse kunderstand kwill khave kto kbe kaddressed? kSelect kall kthat kapply. A ksmall kamount kof kyellow kdrainage kat kthe kleft kpin kinsertion ksite k- k(CORRECT kANSWER)-A kclient kin kthe ksurgical kintensive kcare kunit khas kskeletal ktongs kin kplace kto kstabilize ka kcervical kfracture. kProtocol kdictates kthat kpin kcare kshould kbe kperformed keach kshift. kWhen kproviding kpin kcare kfor kthe kclient, kwhich kfinding kshould kthe knurse kreport kto kthe kphysician? Edema kto kthe khead kwith kbruising kof kthe kmastoid kprocess k- k(CORRECT kANSWER)-The knurse kis kevaluating kthe ktransmission kof ka kreport kfrom ka kparamedic kunit kto kthe kemergency kroom. kThe kmedic kreports kthat ka kclient kis kunconscious kwith kedema kof kthe khead kand kface kand kBattle's ksign. kWhat kclinical kpicture kwould kthe knurse kanticipate? Coma kApnea kAbsence kof kbrainstem kreflexes k- k(CORRECT kANSWER)-The knurse kis kcaring kfor ka kclient kwho kis kbeing kassessed kfor kbrain kdeath. kWhich kare kcardinal ksigns kof kbrain kdeath? kSelect kall kthat kapply. Pulse kand kblood kpressure k- k(CORRECT kANSWER)-The knurse kis kcaring kfor ka kclient kimmediately kafter ka kspinal kcord kinjury. kWhich kassessment kfinding kis kessential kwhen kcaring kfor ka kclient kin kspinal kshock kwith kinjury kin kthe klower kthoracic kregion? subdural khematoma k- k(CORRECT kANSWER)-Which kcondition koccurs kwhen kblood kcollects kbetween kthe kdura kmater kand karachnoid kmembrane? An kintracerebreal khematoma k- k(CORRECT kANSWER)-A kpatient ksustained ka khead ktrauma kin ka kdiving kaccident kand khas ka kcerebral khemorrhage klocated kwithin kthe kbrain. kWhat ktype kof khematoma kis kthis kclassified kas? look kfor ksigns kof kincreased kICP k- k(CORRECT kANSWER)-A kclient kwith ka kconcussion kis kdischarged kafter kthe kassessment. kWhich kinstruction kshould kthe knurse kgive kthe kclient's kfamily?
Keep kthe kclient's kneck kin ka kneutral kposition k(no kflexing). k- k(CORRECT kANSWER)-A kclient kin kthe kintensive kcare kunit k(ICU) khas ka ktraumatic kbrain kinjury. kThe knurse kmust kimplement kinterventions kto khelp kcontrol kintracranial kpressure k(ICP). kWhich kof kthe kfollowing kare kappropriate kinterventions kto khelp kcontrol kICP? traction kwith kweights kand kpulleys k- k(CORRECT kANSWER)-The knurse kis kadmitting ka kclient kfrom kthe kemergency kdepartment kwith ka kreported kspinal kcord kinjury. kWhat kdevice kwould kthe knurse kexpect kto kbe kused kto kprovide kcorrect kvertebral kalignment kand kto kincrease kthe kspace kbetween kthe kvertebrae kin ka kclient kwith kspinal kcord kinjury? autonomic kdysreflexia k- k(CORRECT kANSWER)-You kare ka kneurotrauma knurse kworking kin ka kneuro kICU. kWhat kwould kyou kknow kis kan kacute kemergency kand kis kseen kin kclients kwith ka kcervical kor khigh kthoracic kspinal kcord kinjury kafter kthe kspinal kshock ksubsides? Bradycardia kHypertension kBradypnea k- k(CORRECT kANSWER)-At ka kcertain kpoint, kthe kbrain's kability kto kautoregulate kbecomes kineffective kand kdecompensation k(ischemia kand kinfarction) kbegins. kWhich kof kthe kfollowing kare kassociated kwith kCushing's ktriad? kSelect kall kthat kapply. low kbone kmass kand kosteoporosis. k- k(CORRECT kANSWER)-Bone kdensity ktesting kin kclients kwith kpost-polio ksyndrome khas kdemonstrated The kclient kwith kHuntington kdisease. k- k(CORRECT kANSWER)-Which kclient kshould kthe knurse kassess kfor kdegenerative kneurologic ksymptoms? C5 k- k(CORRECT kANSWER)-A kclient kwith ka kspinal kcord kinjury khas kfull khead kand kneck kcontrol kwhen kthe kinjury kis kat kwhich klevel? Body ktemperature k- k(CORRECT kANSWER)-When kcaring kfor ka kclient kwho kis kpost- intracranial ksurgery kwhat kis kthe kmost kimportant kparameter kto kmonitor? Ineffective kairway kclearance: kApply ksuction kas kindicated kDisturbed ksleep kpattern: kProvide kback krubs kto kthe kclient kInterrupted kfamily kprocess: kEncourage kthe kfamily kto kjoin ka ksupport kgroup k- k(CORRECT kANSWER)-The kstatements kpresented khere kmatch knursing kinterventions kwith knursing kdiagnoses. kWhich kstatements kare kappropriate kfor ka kclient kwho khas ksuffered ka khead kinjury? kSelect kall kthat kapply. Bradycardia kand khypertension k- k(CORRECT kANSWER)-A knurse kis kcaring kfor ka kpatient kwho kis kexhibiting ksigns kand ksymptoms kof kautonomic kdysreflexia. kWhat kclinical kmanifestations kwould kthe knurse kexpect kin kthis kpatient? severe khypertension, kslow kheart krate, kpounding kheadache, ksweating k- k(CORRECT kANSWER)-Which kare kcharacteristics kof kautonomic kdysreflexia?
