Med Surg RN Proctored Exam (Lippincott) Practice Questions

A nurse observes that decerebrate posturing is a comatose client's response to painful stimuli. Decerebrate posturing as a response to pain indicates:

A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term?

The nurse documenting an acute open wound should include which characteristics? Select all that apply.

Which term describes the fibrous connective tissues that cover the brain and spinal cord?

Which cranial nerve is responsible for muscles that move the eye and lids?

The critical care nurse is giving end-of-shift report on a client.
The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?

Which posture is exhibited by abnormal flexion of the upper extremities and extension of the lower extremities?

When performing a postoperative assessment on a client who has undergone surgery to manage increased intracranial pressure (ICP), a nurse notes an ICP reading of 0 mm Hg. Which action should the nurse perform first?

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

A client who has sustained a head injury cannot identify a familiar object. The nurse knows that this deficit is called which of the following?

The nurse is assessing the pupils of a client who has had a head injury. What does the nurse recognize as a parasympathetic effect?

A nurse is planning discharge education for a client who underwent a cervical discectomy. What strategies would the nurse assess that would aid in planning discharge teaching?

What is one of the earliest signs of increased intracranial pressure (ICP)?

The nurse is performing a neurologic assessment on a client diagnosed with a stroke and cannot elicit a gag reflex. This deficit is related to which of the following cranial nerves?

A clinic nurse is caring for a client with a history of osteoporosis. What diagnostic test will best allow the care team to assess the client's risk of fracture?

A critical care nurse is caring for a client diagnosed with acute pancreatitis. The nurse knows this client should be started on parenteral nutrition (PN) after what indications?

The nurse is assessing the client's pupils following a sports injury. Which of the following assessment findings indicates a neurologic concern?

An older adult client has come to the clinic for a regular check-up. The nurse's initial inspection reveals an increased thoracic curvature of the client's spine.
The nurse should document the spinal disorder as which of the following?

A client with atopic dermatitis is ordered a potent topical corticosteroid to be covered with an occlusive dressing.

To address a potential client problem associated with this treatment, the nurse formulates the nursing diagnosis of Risk for injury.

To complete the nursing diagnosis statement, the nurse should add which "related-to" phrase?