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Question 1

The doctor is treating a client with encephalitis and has ordered acyclovir (Zovirax). Explaining this to the client, what might the nurse say?

Answers:
A. It is to reduce inflammation
B. It is proven to treat the pathology of encephalitis
C. It may help treat a viral infection
D. It's a precaution to prevent sepsis

Question 2

What is a main measure used in the Glasgow coma scale to evaluate a client? Select all that apply.

Answers:
A. Eye movement
B. Verbal activity
C. Breathing
D. Reflex tests
E. Motor movement

Question 3

A client is noted as having Cheyne-Stokes respirations. This means:

Answers:
A. Consistent deep breathing, indicating recent trauma
B. Normal breathing with occasional pauses
C. Deep, fast breathing, followed by slow breathes, leading to apnea
D. Difficulty breathing, and shallow breaths

Question 4

A female client reports dull aching pain that has lasted for four months. They also report sensitivity to pressure. What condition would the nurse suspect?

Answers:
A. Fibromyalgia
B. Early stage Huntington's disease
C. Multiple sclerosis
D. Cephalic disorder

Question 5

What are the two main forms of onset for Amyotrophic lateral sclerosis (ALS)?

Answers:
A. Anterior and posterior onset
B. Nerve and muscle onset
C. Reflexive and tensive onset
D. Limb and bulbar onset

Question 6

In explaining the use of Donepezil (aricept) to the family of a client with Alzheimer's disease, what statement by the nurse is incorrect?

Answers:
A. There is no cure for Alzheimer's
B. The client will eventually need complete care
C. It is typically taken once a day
D. It can slightly slow the progression of the disease

Question 7

The nurse is at a conference. A case is being discussed. In it, the male client over 60 complains of a drooping eye and occasional muscle weakness. What can the nurse say?

Answers:
A. These are normal aging issues
B. It may be signs of Myasthenia gravis
C. Childhood infection by polio can cause it
D. The client may be low on zinc

Question 8

A client diagnosed with global aphasia can understand most of what is said, but can only say "want TV" and a few other phrases. What would this indicate to the nurse?

Answers:
A. They may be worsening
B. This is a good sign, as it shows mental activity
C. That the client may be improperly diagnosed
D. They may have a recurrence of swelling

Question 9

The parent of an 8 year old child complains that he is losing focus and daydreams for short periods multiple times a day. ADHD is ruled out. What may be a cause?

Answers:
A. Absence seizures
B. Apraxia
C. Fahr's syndrome
D. Dysautonomia

Question 10

In treating a client with brain damage that led to hemispatial neglect, or neglect syndrome, what should the nurse expect?

Answers:
A. The client is unable to speak properly
B. The client is not aware of parts of their body
C. Inability to use either hand
D. Sensory loss leading to reduced function

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